What is it about?

Intraosseous anesthesia as a primary anesthetic technique has been shown to have far better results than any other current anesthetic techniques for anesthetizing teeth with irreversible pulpitis (hot teeth). The majority of papers on this topic are in English: we provide further references in other languages.

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Why is it important?

This article is a tribute to Otté’s contribution to the intraosseous technique, raises a methodological issue (non-inclusion of missed IANB in the statistics), discusses the hemodynamic variations with intraosseous anesthesia, reports some additional studies about the effectiveness of intraosseous anesthesia, provides further information on a variant of intraosseous anesthetic techniques (namely, the "osteocentral" technique) and on another device (QuicksleeperTM), and finally discusses the choice of plain mepivacaine in the study.

Perspectives

We strongly believe that primary intraosseous dental anesthesia will take a prominent position among all currently used dental anesthetic techniques, because: -it is highly efficient, even for numbing hot teeth -it requires lower amounts of anesthetic solution -it has a very short onset (less than 30 seconds) -it is administered in less than 2min30 seconds -one can start the treatment at once ( virtually as soon as the injection is terminated) -it has a relatively short duration of action (this allows to perform a majority of dental treatments provided in a private practice); this analgesic action can be easily and safely prolonged if required by re-injecting -it is particularly well accepted by patients, especially by children -there is no or minimal soft tissue anesthesia (lip, cheeks, tongue)

Thierry COLLIER

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This page is a summary of: Intraosseous anaesthesia as a primary technique for mandibular posterior teeth with symptomatic irreversible pulpitis, Acta Odontologica Scandinavica, September 2018, Taylor & Francis,
DOI: 10.1080/00016357.2018.1489558.
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