Block Anesthesia versus Infiltration Anesthesia of Inferior Alveolar Nerve When Placing Dental Implants in the Posterior Mandibular Region
박성준, 지남석, 손민호, Lee Eoy-Jung, 이수운,
소속 상세정보
박성준 ( Park Seong-June ) - Inje University Haeundae Paik Hospital Department of Oral and Maxillofacial Surgery
지남석 ( Chee Nam-Seok ) - Inje University Haeundae Paik Hospital Department of Oral and Maxillofacial Surgery
손민호 ( Son Min-Ho ) - Inje University Haeundae Paik Hospital Department of Oral and Maxillofacial Surgery
( Lee Eoy-Jung ) - Inje University Haeundae Paik Hospital Department of Oral and Maxillofacial Surgery
이수운 ( Lee Soo-Woon ) - Inje University Haeundae Paik Hospital Department of Oral and Maxillofacial Surgery
KMID : 0602720140180010030
Abstract
Inferior alveolar nerve (IAN) block or infiltration anesthesia can be used during the dental implant placement in the posterior
mandibular region. The IAN block eliminates all somatosensory perceptions of the mandible and assures patient comfort during the placement of implants, while complications or nerve damages by implants can occur when patients cannot feel pain. Infiltrations may allow the patients to warn the surgeons when the IAN is in danger of being damaged, while it may also cause discomforts or pains during the implantation. In this study, we present a case of IAN block and infiltration in a female patient who had three teeth missing in each posterior mandibular region. Block anesthesia was used in the right side, while infiltration anesthesia used in the left side. After the surgery, the patient was instructed to record her discomfort or pain during the anesthesia or operation on the visual analogue scale. The patient preferred infiltration to IAN block as only anesthesia is being evaluated, because she considered that the acute pain by infiltration was more endurable than the dull pain by block. Nevertheless, she preferred block anesthesia when including implant placement during the evaluation because she had felt pain during preparation of the placementsite under infiltration anesthesia.
키워드
block anesthesia; cone-beam computed tomography; dental implant; inferior alveolar nerve; infiltration anesthesia
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