As a more reliable and safe technique of the inferior alveolar nerve block for young children, a new presumption method of the position of the mandibular foramen was made to attempt clinically. Felling the top of the condyle, the Gonion, the coronoid notch, and the posterior border of the ramus, the goal of the needle point was estimated at "a half of the height, a half of the width of the mandibular ramus". Under this technique of the block, one hundreds and thirty one children, aged from two years to twelve years, were treated, and anesthetic effect, duration and complications were clinically evaluated. The results are as follows: 1. Almost always, satisfactory anesthetic effects were obtained. Only two cases required an additional injection, and in all cases the scheduled dental procedures were completed. 2. The average number of treated teeth was 2.4 in one appointment. Varies dental procedure were completed under the block, such as restorations, pulpotomies, pulpectomies, extractions and combinations of these. 3. In spite of the short action anesthetics, 3% Citanest with 1 : 300,000 epinephrine, the duration of the soft tissue's anesthesia was estimated at 123 ± 40min.(mean±s.d.) 4. No complications or aversive reations were observed during the treatments. After the treatments, three young children chewed their lips or tongues, no other remarkable complications were observed.
小児患者に対する局所麻酔の臨床的研究第1報 下歯槽神経ブロック
matsumoto_shigaku_05-01-08.pdf
(1.89MB)
