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The effectiveness of articaine in mandibular facial infiltrations

Authors Flanagan D

Received 18 August 2015

Accepted for publication 14 October 2015

Published 18 December 2015 Volume 2016:9 Pages 1—6

DOI https://doi.org/10.2147/LRA.S94647

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Stefan Wirz


Video abstract presented by Dennis Flanagan

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Dennis F Flanagan

Windham Dental Group, Willimantic, CT, USA

Abstract: Four percent articaine local anesthetic has been successfully used to attain local anesthesia for dental procedures. Mandibular block anesthesia may consume longer time to attain and have a higher failure of local anesthesia compared to infiltration. Mandibular facial infiltration has been reported to successfully attain effective local anesthesia for dental procedures. This study involved only several tooth sites and found that 1.8 cc of 4% articaine facial infiltration in the mandible may be effective when the facial mandibular cortex is <2.0–3.0 mm. A waiting time of 5–10 minutes may be required for effective anesthesia. An additional 1.8 cc of dose may be required to attain anesthesia if an initial 1.8 cc of dose fails. The need for additional anesthetic may be predicted by a measurement of the facial cortex using cone beam computerized tomography. A study of mandibular sites is needed to delineate the anatomical dimensions, density of cortical bone, and apical neural location for ensuring successful local anesthetic infiltration.

Keywords: articaine, local anesthesia, infiltration, dental implant, dental restoration

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