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Effects of Stress on Physiological Conditions in the Oral Cavity
Published in Eli Ilana, Oral Psychophysiology, 2020
As treatment of these patients under deep sedation or general anesthesia is often contraindicated, nonpharmaceutical methods of analgesia can sometimes be used, such as electronic dental anesthesia, hypnosis, etc.146,162 (see also Chapter 11).
Preclinical Antidepressant-Like Effects of Terpenes, Polyphenolics, and Other Non-Flavonoid Phytochemicals
Published in Scott Mendelson, Herbal Treatment of Major Depression, 2019
Eugenol is a highly aromatic member of the allylbenzene class of chemical compounds. It is found in the essential oils of a variety of herbs and spices, most notably clove, nutmeg, cinnamon, basil, and bay leaf. It is known to have a variety of pharmacological properties, including anti-inflammatory and antioxidant effects.70 It also produces the remarkable effect of dental anesthesia.71
Vasoconstrictors: Chemistry, Mode of Action, and Dosage
Published in Marwali Harahap, Adel R. Abadir, Anesthesia and Analgesia in Dermatologic Surgery, 2019
Norepinephrine is available mixed with local anesthetics intended primarily for dental use. Premixed dental cartridges contain propoxycaine hydrochloride (7.2 mg/1.8 mL), procaine (36 mg/1.8 mL), and norepinephrine (0.12 mg/mL) (19). Outside of the United States, lidocaine or carbocaine with norepinephrine is available for dental anesthesia (31).
Locally advanced sinonasal adenoid cystic carcinomas: endoscopic endonasal surgery-centered comprehensive treatment provides benefits
Published in Acta Oto-Laryngologica, 2023
Jin Wang, Meng Zhang, Wenqi Yi, Liang Li, Liangyu Li, Chuan Pang, Lei Chen
SNACCs may spread to the PPF and ITF via direct and perineural invasion. PPF and ITF are two complex paramedial regions of the skull base that contain many critical neurovascular and osteomuscular structures. They communicate via the pterygomaxillary fissure and are connected to the orbit via the inferior orbital fissure. Although these anatomically deep sites make the surgical resections challenging, EES has an advantage in treating tumors invading PPF and ITF lesions because the anterior boundaries of these sites are comprised of the posterolateral wall of the maxillary sinus, which can be effectively accessed via endoscopic anteromedial maxillectomy while causing minimal tissue trauma [9]. Besides, it has been reported that endoscopic ipsilateral endonasal transmaxillary, contralateral endonasal transseptal transmaxillary, and CLA did not differ significantly in the exposure area [13]. However, we consider the CLA an appropriate approach for patients exhibiting maxillary and lateral skull base involvement, although it could prolong the operative duration and increase the risk of potential operative complications. We intermittently sutured the gingival incision and compressed the upper lip with a four-head band to prevent hematoma at the end of the surgery. The patients included in this study did not experience significant complications such as alveolar processes and dental anesthesia when treated via this approach.
Evaluation of pain, disruptive behaviour and anxiety in children aging 5-8 years old undergoing different modalities of local anaesthetic injection for dental treatment: a randomised clinical trial
Published in Acta Odontologica Scandinavica, 2020
Priscila de Camargo Smolarek, Leonardo Siqueira da Silva, Paula Regina Dias Martins, Karen da Cruz Hartman, Marcelo Carlos Bortoluzzi, Ana Cláudia Rodrigues Chibinski
Therefore, the behavioural response of children after dental anaesthesia is often a mixture of anxiety and pain [37]. Consequently, in a split-mouth design, the first procedure could influence the subsequent pain report after the anaesthesia in a second dental appointment. It’s is known that early treatment sessions seem to exert influence on the behaviour and the perception of pain during dental anaesthesia, especially with highly anxious young [42]. This was observed in a clinical trial with 120 patients (7–11 years old), comparing computerised and conventional anaesthesia, that found difference in the disruptive behaviour only in the second anaesthetic procedure [43]. Considering that, a parallel design was implemented in this research. However, since we did not investigate the children’s previous dental experience, our sample probably included children that have never been treated as well as patients with previous dental experiences, this situation could be a possible limitation of the study and demands further researches to corroborate our findings.
Intraosseous anaesthesia as a primary technique for mandibular posterior teeth with symptomatic irreversible pulpitis
Published in Acta Odontologica Scandinavica, 2018
The authors point out that, for IO anaesthesia, “some concerns exist regarding the increase in blood pressure” (p. 1). In fact, the systemic effects of intraosseous injection concern heart rate rather than blood pressure alterations. A quick search in the available literature found 16 articles dealing with hemodynamic changes in IO anaesthesia; only three of them investigated diastolic, systolic, mean arterial pressure [6–8]. Numerous studies do show that injecting anaesthetic solutions with vasoconstrictors will trigger a heart rate increase, but the heart rate will usually return to the initial values in less than 4 min [5]. There are no clinically significant changes concerning blood pressure (mean, systolic, or diastolic) [6–9]. On the other hand, Brand et al. explain that hemodynamic variations during dental anaesthesia are greatly influenced by the vasoconstrictor but also by the pain and anxiety associated with the injection. The increase of catecholamine secretion can be more than 10 times the base rate [10], or even 50 times, as stated by Isen [11].