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자료유형
학술저널
저자정보
Sovatdy, Sam (Department of Oral &Maxillofacial Surgery, Faculty of Dentistry, Mahidol University) Vorakulpipat, Chakorn (Department of Oral &Maxillofacial Surgery, Faculty of Dentistry, Mahidol University) Kiattavorncharoen, Sirichai (Department of Oral &Maxillofacial Surgery, Faculty of Dentistry, Mahidol University) Saengsirinavin, Chavengkiat (Department of Oral &Maxillofacial Surgery, Faculty of Dentistry, Mahidol University) Wongsirichat, Natthamet (Department of Oral &Maxillofacial Surgery, Faculty of Dentistry, Mahidol University)
저널정보
대한치과마취과학회 Journal of dental anesthesia and pain medicine Journal of dental anesthesia and pain medicine 제18권 제6호
발행연도
2018.1
수록면
339 - 347 (9page)

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Background: There are many techniques of inferior alveolar nerve block injection (IANBI); one among them is the computer-assisted intraosseous injection (CAIOI). Here we aim to evaluate the effectiveness of CAIOI with $Quicksleeper^{(R)}$ in mandibular third molar surgery. Methods: This study is a clinical, single-blind, randomized, split-mouth, controlled trial including 25 patients (10 males and 15 females, mean age 21 years). The patients underwent surgical removal of bilateral mandibular third molars with two different IANBI techniques. One side was injected using $Quicksleeper^{(R)}$, and the other side was injected using a conventional IANBI. Both techniques used one cartridge (1.7 ml) of 1:100,000 epinephrine 4% articaine. A supplementary injection was used if necessary. All volumes of anesthetic agent used were recorded. Statistical analysis was performed using paired t-test and Wilcoxon test. Results: This research showed that CAIOI has faster onset and shorter duration of action than IANBI (P < 0.05). The pain was similar in both techniques. In the CAIOI group, one-third of the cases could be completed without additional anesthesia. The remaining two-thirds required minimal supplementary volume of anesthesia. The success rates were 68% for CAIOI and 72% for IANBI, respectively. Conclusion: CAIOI is an advantageous anesthetic technique. It can be used as an alternative to conventional IANBI for mandibular third molar surgery.

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