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Intraligamentary anesthesia--a histological study.

D Galili, E Kaufman, A A Garfunkel

    International Journal of Oral Surgery
    |December 1, 1984
    PubMed
    Summary
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    Intraligamentary dental anesthesia is safe and effective. Histological analysis in baboons showed minor, reversible damage to the periodontal apparatus, with no bone or cemental damage observed.

    Area of Science:

    • Dentistry
    • Periodontology
    • Anesthesiology

    Background:

    • Intraligamentary dental anesthesia is a widely used, effective, and safe anesthetic technique.
    • Potential for tissue damage exists due to needle insertion and high-pressure anesthetic delivery.

    Purpose of the Study:

    • To histologically evaluate potential damage to the periodontal apparatus following intraligamentary dental anesthesia in baboon models.
    • Assess the reversibility and extent of any induced tissue alterations.

    Main Methods:

    • Histological examination of periodontal tissues in baboon monkeys post-injection.
    • Analysis focused on damage induced by the needle and anesthetic solution under pressure.

    Main Results:

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  • Damage observed was localized, minor, and reversible.
  • Most specimens showed complete resolution of damage within 8 days.
  • Some specimens exhibited granulation tissue in the lamina propria at 15 days.
  • No instances of bone or cemental damage were recorded.

    • Conclusions:

    • Intraligamentary dental anesthesia causes minimal and transient periodontal tissue damage.
    • The periodontal apparatus demonstrates significant regenerative capacity after this anesthetic technique.
    • The safety profile of intraligamentary anesthesia is supported by the lack of severe or permanent tissue injury.