相关实验视频
Updated: Jul 2, 2025

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CO2-Lasertonsillotomy Under Local Anesthesia in Adults
Published on: November 6, 2019
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在儿童常规牙科治疗期间克服局部麻醉失败
Michael Yagudaev1, Noam Yarom2,3, Malka Ashkenazi1
1Pediatric Dentistry Clinic, Oral Medicine Unit, Sheba Medical Center, Tel-HaShomer, Israel.
International journal of paediatric dentistry
|February 27, 2024
概括
随后的局部麻醉 (LA) 尝试对于成功的儿科牙科治疗至关重要. 对于大牙,结合后上气泡神经阻塞 (PSANB) 和大 palatine神经阻塞 (GPNB) 是有效的. 对于下牙,建议通过计算机控制局部麻醉输送 (CCLAD) 系统进行内注射.
科学领域:
- 儿科牙科 儿科牙科
- 儿童疼痛管理 在儿童疼痛管理
- 本地麻醉技术本地麻醉技术
背景情况:
- 在儿童中,局部麻醉 (LA) 的失败率在最初的尝试中为5%至35%.
- 关于儿科牙科患者重复LA尝试的成功率的数据有限.
- 了解后续LA的有效性对于优化治疗结果至关重要.
研究的目的:
- 评估初级,二级和三级局部麻醉 (LA) 尝试的有效性.
- 评估特定的LA技术,用于在日常牙科护理期间在儿童中麻醉牙.
- 根据牙类型和位置确定最佳的二次LA策略.
主要方法:
- 对2-18岁儿童 (2011-2022) 牙科记录的回顾性分析.
- 包括所有接受LA的患者进行一次性或永久性牙治疗,由一名儿科牙医进行治疗.
- 在所有LA管理中使用计算机控制局部麻醉剂 (CCLAD) 系统.
主要成果:
- 在1312个牙中,LA初始失败率为13%,受年龄,牙类型,治疗和骨架的影响.
- 二次性LA (S-LA) 的有效性有所不同:口腔透 (50%),内膜 (87.2%),下膜神经阻塞 (66.7%),大 palatine神经阻塞 (GPNB) (63.6%),后部上膜神经阻塞 (PSANB) (33.3%),和PSANB+GPNB (100%).
- S-LA的成功与患者的年龄或特定的牙/治疗特征没有显著联系.
结论:
- 对于大牙,PSANB和GPNB的组合在二次尝试中实现了100%的有效性.
- 使用IS-CCLAD系统进行内注射证明对下牙最有效.
- 有针对性的二级LA技术可以显著提高儿童麻醉成功率.
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