Optimizing Local Anaesthetic Practice: Addressing Misconceptions and Minimizing Anaesthetic Failures

Negin Oghabi; Tara Renton

doi:10.12968/DENU.2022.49.1.32

Optimizing Local Anaesthetic Practice: Addressing Misconceptions and Minimizing Anaesthetic Failures

Negin Oghabi^*
, Tara Renton

^*Corresponding author for this work

Centre for Oral, Clinical & Translational Sciences

GSTT Guy's and St Thomas' NHS Foundation Trust
King's College London

Research output: Contribution to journal › Article › peer-review

Abstract

Local anaesthesia is a sine qua non for pain management in dentistry. Optimizing local anaesthesia practice reduces intra-operative pain, and ultimately ameliorates patient comfort. Many patients still report experiencing intra-operative pain despite being anaesthetized. This is commonplace with inferior alveolar nerve blocks, the current routine approach to mandibular anaesthesia. This technique has been shown, in many cases, to fail at first attempt and can be uncomfortable for patients. It has a higher positive-aspiration rate than other techniques, increasing the risk of systemic complications. CPD/Clinical Relevance: Clinicians should be aware of more effective techniques for mandibular anaesthesia for optimal and safe pain management, and ultimately a better patient experience.

Original language	English
Pages (from-to)	32-38
Number of pages	7
Journal	Dental Update
Volume	49
Issue number	1
DOIs	https://doi.org/10.12968/DENU.2022.49.1.32
Publication status	Published - 2 Jan 2022

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10.12968/DENU.2022.49.1.32

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abstract = "Local anaesthesia is a sine qua non for pain management in dentistry. Optimizing local anaesthesia practice reduces intra-operative pain, and ultimately ameliorates patient comfort. Many patients still report experiencing intra-operative pain despite being anaesthetized. This is commonplace with inferior alveolar nerve blocks, the current routine approach to mandibular anaesthesia. This technique has been shown, in many cases, to fail at first attempt and can be uncomfortable for patients. It has a higher positive-aspiration rate than other techniques, increasing the risk of systemic complications. CPD/Clinical Relevance: Clinicians should be aware of more effective techniques for mandibular anaesthesia for optimal and safe pain management, and ultimately a better patient experience.",

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Optimizing Local Anaesthetic Practice: Addressing Misconceptions and Minimizing Anaesthetic Failures

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