15Oct 2019

RECENT ADVANCES IN LOCAL ANESTHESIA.

  • Post graduate student, Department of pediatric and preventive dentistry, Divya jyoti college of dental sciences and research centre, Ghaziabad, Uttar Pradesh, India.
  • Professor, Department of Pediatric and Preventive dentistry, Divya jyoti college of dental sciences and research centre, Ghaziabad, Uttar Pradesh, India.
  • Professor and Head of the department, Department of Pediatric and Preventive dentistry, Divya jyoti college of dental sciences and research centre, Ghaziabad, Uttar Pradesh, India.
  • Reader, Department of Conservative Dentistry and Endodontics, Hazaribagh college of dental sciences & Hospital, Jharkand, India.
  • Associate director, Max lab, Max Super speciality Hospital, Saket, New Delhi-India.
  • Reader, K. D Dental College, Mathura, Uttar Pradesh, India.
Crossref Cited-by Linking logo
  • Abstract
  • Keywords
  • References
  • Cite This Article as
  • Corresponding Author

Pain and anxiety are the two main reasons that contribute to the avoidance of dental care. Treating of such patients is stressful for the dentist which might ultimately results in the failure of the treatment, as regardless of practioner?s clinical skills, the dental treatment might become compromised without effective pain control system. The ability to provide excellent, high quality pain control in dentistry is required which is based on the practical knowledge of the clinically relevant aspects and updates about the recent advances in the field of topical and local anaesthesia. Knowledge of the local and topical anaesthetic agents and the ability of the clinicians to choose the best delivery methods has become a most important thing in today?s dentistry. Therefore, an attempt to compile the literature studies available on recent updates of local anaesthesia in general as well as pediatric dentistry is made for better understanding the procedure and its practical implications.


  1. Shahidi Bonjar. Syringe micro vibrator (SMV) a new device being introduced in dentistry to alleviate pain and anxiety of intraoral injections, and a comparative study with a similar device. Annals of Surgical Innovation and Research 2011;5(1):1-5
  2. Recent advances in topical anaesthesia. Journal of Dental anaethesia Pain medicine 2016 Dec; 16 (4): 237-244
  3. Stanley F Malamed; Handbook of Local Anaesthesia by Malamed.6th edition St.Louis (MO): Elsevier;2013.
  4. Dubey A, Singh BD, Pagaria S, Avinash A. The Wand: A mini review of an advanced technique for local anaesthesia delivery in dentistry. American Journal of Advanced Drug delivery. 2014; 001-006
  5. Richard Benett. Monheim?s Local anaesthesia and pain control in dental practice 7th edition .
  6. Mritunjay Kumar, Rajiv Chawla, Manish Goyal. Topical anesthesia. Journal of Anaesthesiology Clinical Pharmacology;2015 October-December;31( 4):450-456
  7. Boyce R, Kripalani T, Mohan N. Updates of topical and local anaesthesia gaents. Dent Clin N Am 2016 April 1; 60(2) : 445-471
  8. Sujatha Tadicherla, Brian Berman. Percutaneous dermal drug delivery for local pain control. Therapeutics and Clinical Risk Management 2006;2(1): 99?113.
  9. Alireza Daneshkazemi, Seyyed Mohammed, Pedram Daneshkazemi. Efficacy of eutectic mixture of local anaesthesia as a topical anaesthetic agent used for? dental procedure:A brief review.Anesth essays Res 2016 Sep-Dec; 10(3): 383-387.
  10. Friedman PM, Mafong EA, Friedman ES, Geronemus RG. Topical anesthetics update: EMLA and beyond. Dermatol Surg 2001Dec; 27(12):1019-1026.
  11. Kwong TS, Kusnoto B, Viana G, Evans CA, Watanabe K. The effectiveness of Oraqix versus TAC(a) for placement of orthodontic temporary anchorage devices. Angle Orthod 2011May 12; 81(5): 754-759.
  12. Garima Lathwal, Inder Kumar Pandit, Neeraj Gugnani, Monika Gupta. Efficacy of Different Precooling Agents and Topical Anesthetics on the Pain Perception during Intraoral Injection: A Comparative Clinical Study International Journal of Clinical Pediatric Dentistry, May-August 2015;8(2):119-122
  13. Iqra Mohiuddin, Jyothsna V. Setty , Ila Srinivasan, Junaid Ahmed Desai. Topical application of local anaesthetic gel vs ice in pediatric patients for infiltration anaesthesia. J of evolution of Med & Dent Sci 2015 Sep;4(74 ):12934-12940
  14. Nithasha N Hameed, Sharan S Sargod, Sham S Bhat, Sundeep K Hegde, Muhsin Mohammed Bava. Effectiveness of precooling the injection site using tetrafluorethane on pain perception in children. Journal of Indian Society of Pedodontics and Preventive Dentistry2018 July-September; 36( 3): 296-300
  15. Naser Asl Aminabadi. The Effect of Pre-cooling the Injection Site on Pediatric Pain Perception during the Administration of Local Anesthesia The Journal of Contemporary Dental Practice 2009 May;10(3):043-050
  16. Priyatham S, Nuvvula S. Intraoral Topical anaesthesia in pediatric dentistry;Review. Int J Pharm Bio Sci 2016 Oct; 7(4):346-353
  17. Dr Sharma S, Dr Sharma A, Dr Saravanan C, Dr Satyabhama. Newer local anaesthetic drugs and delivery systems in dentistry-An update. Journal of Dental and Medical Scieences. 2012 Sep-Oct; 1( 4):10-16
  18. Ghose S, Biswas NR, Das GK, Sethi A, Verma B, Jhingan S, Pandey RM ? A prospective Randomised double masked controlled clinical trial to determine the efficacy of multiple drop Centbucridine as an ocular surface anaesthetic. Indian J Physiol Pharmacol 2004 Oct;48(4):466-470
  19. Vacharajani GN, Parikh N, Paul T, Satoskar RS ? A comparative study of Centbucridine and lidocaine in Dental Extraction. Int J ClinPharmacol Res 1983;3(4):251-255
  20. Ogle O, Mahjoubi G. Advances in local anesthesia in dentistry. Dent Clin N Am 2011July 1; 55(3):481-499
  21. Tavares M, Max Goodson J, Studen Pavlovich D. Reversal of soft tissue local anaesthesia with phentolamine mesylate in pediatric patients. J Am Dent Assoc 2008; 139(8):1095- 1104
  22. Logithetis D. Anaesthetic Buffering: New Advances for use in dentistry RDH 2013 Jan;62-66
  23. http://www.onpharma.com. Accessed on 2018
  24. Quarnstorm F. Electronic Dental Anaesthesia. Anesth Prog 1992 39(4-5): 162-177
  25. Kasat V, Gupta A, Ruchi L, Kathariya M, Saluja H, Farooqi A. J Clin Exp Dent.2014; 6(15):562-568
  26. Munshi AK, Hegde AM, Girdhar D. Clinical evaluation of electronic dental anesthesia for various procedures in pediatric dentistry. J Clin Pediatr Dent. 2000; 24(3):199-204
  27. Dhindsa A, Pandit IK, Srivastav N, Gugnani N. Comparative evaluation of the effectiveness of electronic dental anaesthesia with 2% lignocaine in various minor pediatric dental procedures: a clinical study. Contemp Clin Dent. 2011Jan;2(1):27-30.
  28. Makade C, Shenoi P, Gunwal M. Comparison of acceptance, preference and efficacy between pressure pressure anaesthesia and classical needle infiltration anaesthesia for dental restorative procedures in adult patients. Journal of Conservative dentistry. 2014Mar-April;17( 2):169-174
  29. Kale TR, Momin M. Needle free injection technology-An overview. Innovations in pharmacy. 2014 Jan 1;5(1).
  30. Arapostathis K, Dabarakis N, Coolidge T, Tsirlis A, Kotsanos N. Comparison of acceptance, preference and efficacy between jet injection INJEX and local infiltration anesthesia in 6-11 year old dental patients.American Dental Society of Aneasthesiology 2010 March;57(1):3-12
  31. Ram D, Peretz B. Administering local anaesthesia to pediatric dental patients- current status and prospectus for the future. International Journal of Pediatric Dentistry 2002 March; 12(2):80-89
  32. Clark T, Yagiela J. Advanced techniques and armamentarium for dental local anesthesia. Dent Clin N Am 2010 Oct; 54(4): 757-768
  33. Kumar S. Newer delivery systems for local anaesthesia in dentistry. J. Pharm.Sci & Res.2015; 7(5):252-255
  34. http://www.dentalhitec.com. Dental Hitec .User manual and clinical guideline. Cholet. France. Accessed on 2018
  35. Tom K, Aps J. Intraosseous anaesthesia as a primary technique for local anaesthesia in dentistry. Clin Res Infect Dis 2015; 2(1):1012-1019
  36. Sixon JL, Marie Cousin. Pain assessment y children and adolescent during intraosseous anaesthesia using computerized system (Quick sleeper). Int. J. Pediatric Dent 2009 Sep; 19(5):360-366
  37. Krochak M, Friedman N. Using a precision metered injection system to minimize dental injection anxiety. Compendium 1998 Feb; 19(2):137-148
  38. Versloot J, Veerkamp JS, Hougstraton J. Computerised anaesthesia delivery system versus traditional syringe: comparing pain and pain related behavior in children. Eur J Oral Sci. 2005; 113(6): 488-493
  39. Salgotra V, Agrawal R, Mandal S, Kohli S. New gadgets in local anaesthesia: A review. Journal of Dental and Medical sciences. 2014 Mar;13(3):62-66
  40. Aminabadi NA, Farahani RM, Balayi Gajan E. The efficacy of distraction and counterstimulation in the reduction of pain reaction to intraoral injection by pediatric patients. Journal of Contemporary Dental Practice. 2008;9(6):33-40
  41. http://www.dentalvibe.com. Accessed on 2018
  42. Mangalampally Shilpapriya, Mungara Jayanthi, Venumbaka Nilaya Reddy, Rajendra Sakthivel. Effectiveness of new vibration delivery system on pain associated with injection of local anaesthesia in children. Jrnl of Indian Society of Pedodontics and Preventive dentistry 2015; 33( 3):173-76
  43. http://www.accupaldental.com. Accessed on 2018
  44. Yoshikawa F, Ushito D, Ohe D. Vibrating dental local anaesthesia attachment to reduce injection pain. J. Jpn Dent Soc Anesthesiol 2003; 31:194-95
  45. Saijo M, Ito E, Ichinohe J . lack of pain reduction by a vibrating localanaesthetic attachment: A pilot study. Anesth Prog 2005; 52(2):62-64
  46. Naintsos E, Vartuli A, Forte A. The effect of vibration on pain during local anaesthesia injection.Aust Dent J 2009; 54(2): 94-100
  47. Guglielmo A, Reader A, Nist R et al. Anaesthetic efficacy and heart rate effects of the supplemental intraosseous injection of 2% mepivacaine with 1:20,000 levonordefrin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87(3):284-293
  48. http://www.pro-dex.com./media/IntraFlow_manual_English.pdf .Accessed on 2018
  49. John Nusstein, Shawn Kennedy, Mike Beck, Joelweaver. Anaesthetic efficacy of supplemental X-tip intraosseous injection in patients with irreversible pulpitis. Journal of Endodontics.2003Nov;29(11):724-728
  50. Juliana Gallatin, Mika Beck. A comparison of two intraosseous techniques in mandibular posterior teeth. Journal of American Dental Association 2003 Nov; 34?? ( 11):1476-1484
  51. Todd Remmers, Gerald Glickman, Robert Spears, Jianing He. The efficacy of IntraFlow Intraosseous injection as a primary anaesthetic technique. Journal of Endodontics.2008 March; 34( 3):280-283.

[Hridya M Menon, Shipra Jaidka, Rani Somani, Deepak Kurup, Dilip Kumar and Rishi Jaidka. (2019); RECENT ADVANCES IN LOCAL ANESTHESIA. Int. J. of Adv. Res. 7 (Oct). 734-760] (ISSN 2320-5407). www.journalijar.com


Dr Rani Somani
Professor & Head of the Department of Pediatric and Preventive dentistry, Divya jyoti College of Dental science ,Ghaziabad, Uttar Pradesh

DOI:


Article DOI: 10.21474/IJAR01/9887      
DOI URL: http://dx.doi.org/10.21474/IJAR01/9887