儿童下牙槽神经阻滞麻醉不全及并发症的因素分析

中国口腔医学继续教育杂志 ›› 2021, Vol. 24 ›› Issue (2): 119-123.

儿童下牙槽神经阻滞麻醉不全及并发症的因素分析

张莉欣, 秦满

北京大学口腔医院儿童口腔科北京 100081

出版日期:2021-03-31 发布日期:2021-10-29
通讯作者: 秦满,教授,博士,E-mail：qin-man@foxmail.com,电话:01082195928

Failure and complications of inferior alveolar nerve block in children

Online:2021-03-31 Published:2021-10-29

摘要/Abstract

摘要： 下牙槽神经阻滞麻醉广泛应用于儿童口腔诊疗中,然而其麻醉不全与并发症发生几率较高,给临床治疗带来困扰,本文就国内外学者分析儿童下牙槽神经阻滞麻醉不全以及并发症的因素进行综述,旨在提高下牙槽神经阻滞麻醉的临床成功率,减少发生并发症的几率,为患儿提供更舒适与安全的治疗。

关键词: 儿童口腔医学, 下牙槽神经, 局部麻醉, 并发症

张莉欣, 秦满. 儿童下牙槽神经阻滞麻醉不全及并发症的因素分析[J]. 中国口腔医学继续教育杂志, 2021, 24(2): 119-123.

[1] CIANETTI S, LOMBARDO G, LUPATELLI E, et al.Dental fear/anxiety among children and adolescents. A systematic review[J]. Eur J Paediatr Dent, 2017, 18(2): 121-30.
[2] DEAN J A, AVERY D R, MCDONALD R E.McDonald and Avery’s dentistry for the child and adolescent[M]. Tenth ed. St. Louis, Missouri: Elsevier, 2016.
[3] BASSETT K B, DIMARCO A C, NAUGHTON D K.Local anesthesia for dental professionals[M]. Boston: Person, 2010.
[4] 张震康,俞光岩. 口腔颌面外科学 [M]. 第2版 ed. 北京: 北京大学医学出版社, 2013.
[5] MALAMED S F.Handbook of local anesthesia[M]. 6th ed. St. Louis: Elsevier/Mosby, 2013.
[6] KEROS J, KOBLER P, BAUČIĆ I, et al. Foramen mandibulae as an indicator of successful conduction anesthesia[J]. Collegium antropologicum, 2001, 25(1): 327-31.
[7] SOXMAN J A.Handbook of clinical techniques in pediatric dentistry[M]. 1 ed. Ames, Iowa: Wiley Blackwell, 2015.
[8] EPARS J-F, MAVROPOULOS A, KILIARIDIS S.Influence of age and vertical facial type on the location of the mandibular foramen[J]. Pediatric dentistry, 2013, 35(4): 369-73.
[9] PARYAB M, AHMADYAR M.Locating Mandibular Foramen in Children with Mandibular Retrognathism in Mixed Dentition[J]. J Dent Res Dent Clin Dent Prospects, 2015, 9(2): 66-71.
[10] FEUERSTEIN D, COSTA-MENDES L, ESCLASSAN R, et al.The mandibular plane: a stable reference to localize the mandibular foramen, even during growth[J]. Oral radiology, 2020, 36(1): 69-79.
[11] KANG S-H, BYUN I-Y, KIM J-H, et al.Three-dimensional anatomic analysis of mandibular foramen with mandibular anatomic landmarks for inferior alveolar nerve block anesthesia[J]. Oral surgery, oral medicine, oral pathology and oral radiology, 2013, 115(6): e17-e23.
[12] ASHKENAZI M, TAUBMAN L, GAVISH A.Age-Associated Changes of the Mandibular Foramen Position in Anteroposterior Dimension and of the Mandibular Angle in Dry Human Mandibles[J]. Anatomical record (Hoboken, NJ : 2007), 2011, 294(8): 1319-25.
[13] TSAI H-H.Panoramic radiographic findings of the mandibular foramen from deciduous to early permanent dentition[J]. The Journal of clinical pediatric dentistry, 2004, 28(3): 215-9.
[14] YOU T M, KIM K D, HUH J, et al.The influence of mandibular skeletal characteristics on inferior alveolar nerve block anesthesia[J]. Journal of dental anesthesia and pain medicine, 2015, 15(3): 113-9.
[15] PARK W, PARK W, KIM B-C, et al.Architectural characteristics of the normal and deformity mandible revealed by three-dimensional functional unit analysis[J]. Clinical oral investigations, 2010, 14(6): 691-8.
[16] MEECHAN J G.How to overcome failed local anaesthesia[J]. British dental journal, 1999, 186(1): 15-20.
[17] HARGREAVES K M, KEISER K.Local anesthetic failure in endodontics: Mechanisms and Management[J]. Endodontic topics, 2002, 1(1): 26-39.
[18] RODRíGUEZ-WONG L, POZOS-GUILLEN A, SILVA-HERZOG D, et al. Efficacy of mepivacaine-tramadol combination on the success of inferior alveolar nerve blocks in patients with symptomatic irreversible pulpitis: a randomized clinical trial[J]. International endodontic journal, 2016, 49(4): 325-33.
[19] SHANTIAEE Y, JAVAHERI S, MOVAHHEDIAN A, et al.Efficacy of preoperative ibuprofen and meloxicam on the success rate of inferior alveolar nerve block for teeth with irreversible pulpitis[J]. International dental journal, 2017, 67(2): 85-90.
[20] CHAVARRíA-BOLAñOS D, RODRíGUEZ-WONG L, NOGUERA-GONZáLEZ D, et al. Sensitivity, Specificity, Predictive Values,Accuracy of Three Diagnostic Tests to Predict Inferior Alveolar Nerve Blockade Failure in Symptomatic Irreversible Pulpitis [J]. Pain research & management, 2017, 2017(3108940-8.
[21] 李学军, 余鹰, 陶亮. 药理学[M]. 第4版 ed. 北京: 北京大学医学出版社, 2018.
[22] NUSSTEIN J M, READER A, DRUM M.Local Anesthesia Strategies for the Patient With a “Hot” Tooth[J]. The Dental clinics of North America, 2010, 54(2): 237-47.
[23] GOLD M S, REICHLING D B, SHUSTER M J, et al.Hyperalgesic Agents Increase a Tetrodotoxin-Resistant Na+ Current in Nociceptors[J]. Proceedings of the National Academy of Sciences - PNAS, 1996, 93(3): 1108-12.
[24] VASSEND O, VASSEND O.Anxiety, pain and discomfort associated with dental treatment[J]. Behaviour research and therapy, 1993, 31(7): 659-66.
[25] MAKKES P C, VAN WIJK A J. Highly anxious dental patients report more pain during dental injections [J]. British dental journal, 2008, 205(3): E7; discussion 142-3.
[26] WEISENBERG M, AVIRAM O, WOLF Y, et al.Relevant and irrelevant anxiety in the reaction to pain[J]. Pain (Amsterdam), 1984, 20(4): 371-83.
[27] KAUFMAN E, WEINSTEIN P, MILGROM P.Difficulties in achieving local anesthesia[J]. Journal of the American Dental Association (1939), 1984, 108(2): 205-8.
[28] KHOURY J, MIHAILIDIS S, GHABRIEL M, et al.Anatomical relationships within the human pterygomandibular space: Relevance to local anesthesia[J]. Clinical anatomy (New York, NY), 2010, 23(8): 936-44.
[29] ROBISON S F, MAYHEW R B, COWAN R D, et al.Comparative study of deflection characteristics and fragility of 25-, 27-, and 30-gauge short dental needles[J]. Journal of the American Dental Association (1939), 1984, 109(6): 920-4.
[30] AL-MORAISSI E A, AL-SELWI A M, AL-ZENDANI E A. Do length and gauge of dental needle affect success in performing an inferior alveolar nerve block during extraction of adult mandibular molars? A prospective, randomized observer-blind, clinical trial[J]. Clin Oral Investig, 2021
[31] 葛立宏. 儿童口腔医学 [M]. 第2版 ed. 北京: 北京大学医学出版社, 2013.
[32] TRAPP L, WILL J .Acquired Methemoglobinemia Revisited[J]. The Dental clinics of North America, 2010, 54(4): 665-75.
[33] AMERICAN ACADEMY OF PEDIATRIC DENTISTRY. USE OF LOCAL ANESTHESIA FOR PEDIATRIC DENTAL PATIENTS. THE REFERENCE MANUAL OF PEDIATRIC DENTISTRY. CHICAGO I A A O P D-.
[34] COLLEGE C, FEIGAL R, WANDERA A, et al.Bilateral versus unilateral mandibular block anesthesia in a pediatric population[J]. Pediatric dentistry, 2000, 22(6): 453.
[35] HERSH E V, HERMANN D G, LAMP C J, et al.Assessing the duration of mandibular soft tissue anesthesia[J]. The Journal of the American Dental Association (1939), 1995, 126(11): 1531-6.
[36] SEPTODONT I.Prescribing information for OraVerse[J]. 2015.
[37] HERSH E V, MOORE P A, PAPAS A S, et al.Reversal of Soft-Tissue Local Anesthesia With Phentolamine Mesylate in Adolescents and Adults[J]. The Journal of the American Dental Association (1939), 2008, 139(8): 1080-93.
[38] LAVIOLA M, MCGAVIN S K, FREER G A, et al.Randomized Study of Phentolamine Mesylate for Reversal of Local Anesthesia[J]. Journal of dental research, 2008, 87(7): 635-9.
[39] TAVARES M, GOODSON J M, STUDEN-PAVLOVICH D, et al.Reversal of Soft-Tissue Local Anesthesia With Phentolamine Mesylate in Pediatric Patients[J]. The Journal of the American Dental Association (1939), 2008, 139(8): 1095-104.
[40] HERSH E V, LINDEMEYER R, BERG J H, et al.Phase four, randomized, double-blinded, controlled trial of phentolamine mesylate in two- to five-year-old dental patients[J]. Pediatric dentistry, 2017, 39(1): 39-45.