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Providing Pain Relief

Administering effective pain management to patients is key to successful dental treatment.

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One of the most frequently used local anesthesia injections, the inferior alveolar nerve block, has a disappointing rate of success. Which of the following is accurate?

Hand of dentist holding dental syringe milosljubicic / iStock / Getty Images Plus
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Even well known and highly regarded alternative injections, such as the Gow-Gates nerve block, do not have reported success rates of 100%.

Doctor holding in her dentist's hand carpool syringe for local anesthesia on background isolated ANRproduction / iStock / Getty Images Plus
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Periodontal ligament injections have which reported rate of success?

Syringe for anesthesia in dentistry with a used capsule for the needle, close-up top view isolated on white background. Andrei Vasilev / iStock / Getty Images Plus
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The periodontal ligament injection is an excellent single-tooth remedy whenever a nerve block fails to achieve profound anesthesia, regardless of the cause of the failure.

Woman looking scared as dentist puts syringe in his mouth bulatovic / iStock / Getty Images Plus
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Successful periodontal ligament-inferior alveolar approach injections leverage anatomic features of the mandible when the anesthetic pathway is in close proximity to the mandibular canal.

The body of a special dental syringe for anesthetics in the treatment of teeth Banannaanna / iStock / Getty Images Plus
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Attempts to force solution through the fenestrations in the dental socket into cancellous bone using excessive pressure are very helpful.

Dentist holding a syringe and prepering to anesthetizing female patient aywan88 / E+
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Injection site pain and post-operative discomfort have been characterized as disadvantages of periodontal ligament injections, and this approach may not be appropriate for patients who require antibiotic premedication.

Anesthetic syringe Brosa / iStock / Getty Images Plus
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A periodontal ligament injection technique using a standard or specialized manual syringe is recommended for use on primary teeth with underlying or adjacent permanent teeth due to the potential for hypoplastic disturbances of the newly forming teeth.

the doctor in blue gloves is going to give an injection in the gum and holds a syringe with the drug in the dental office juliadu / iStock / Getty Images Plus
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Providing Pain Relief
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This information is from the article “The Use of Periodontal Ligament Injections” by Arthur C. DiMarco, DMD and Kathy Bassett, RDH, MEd. To read the article, click here.
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