A Comparison of the Traditional Injection and a New Anesthesia Technique (The Wand) for Non-surgical Periodontal Therapy

Sculean, Anton; Kasaj, Adrian; Berakdar, Mohammad; Willershausen, Brita
September 2004
Periodontal Practice Today;2004, Vol. 1 Issue 4, p363
Academic Journal
The purpose of this study was to compare conventional local anesthesia with a newly developed anesthesia technique, called anterior middle superior alveolar nerve block (AMSA) for non-surgical periodontal therapy (scaling, root planing). Twenty patients with chronic periodontitis (8 females, 12 males; mean age: 45 ± 8.5 years) with good general health received non-surgical periodontal therapy in the upper jaw under local anesthesia. The local anesthesia was performed according to a split-mouth design with either AMSA or with the conventional palatal infiltration technique. Pain response was recorded and evaluated with a standardized visual analogue scale (VAS) ranging from 0-10. The results of the present study showed a statistically significant lower level of pain (p< 0.001) for local anesthesia with the AMSA-technique, compared to conventional palatal anesthesia. Moreover, the AMSA-technique resulted in a complete anesthesia of the vestibular gingiva in the area delineated by the upper first incisors and first molars. Patient acceptance was significantly higher with the AMSA-technique than with conventional local anesthesia. No adverse side effects such as necrosis, swelling or wound-healing complications, which could be related to the local anesthesia, were observed.


Related Articles

  • Use of a Copper Band to Enhance the Retention of Periodontal Dressing on Solitary Teeth. Eslami, Ahmad; Van Swol, Ronald L. // International Journal of Periodontics & Restorative Dentistry;1989, Vol. 9 Issue 5, p376 

    The article presents the study of a technique of using a copper band to enhance the retention of periodontal dressing on solitary teeth. A periodontal dressing is hypothesized of having several benefits in postoperative tooth immobilization, prevention of further damage and also some degree of...

  • Intermittent Loading of Teeth Restored Using Prefabricated Carbon Fiber Posts. Isidor, Flemming; Ödman, Per; Brøndum, Knud // International Journal of Prosthodontics;Mar/Apr1996, Vol. 9 Issue 2, p131 

    This in vivo study evaluated the fracture resistance of bovine teeth with prefabricated carbon fiber posts. Fourteen bovine teeth having similar lengths and dimensions were mounted in an acrylic resin block having a simulated periodontal ligament. The post space was prepared using two calibrated...

  • Treatment Strategies in the Case of Advanced Attachment Loss: Part 2: Extraction of Critical Teeth and Dental Restorations on Movable Abutments. Rühling, Andreas // Periodontal Practice Today;2004, Vol. 1 Issue 3, p213 

    In patients with advanced bone loss, it is desirable to use a treatment strategy that conserves critical teeth, to avoid complications during prosthetic restoration. Part 1 discussed treatment options for teeth with horizontal bone loss down to the apical third of the root, vertical bone defects...

  • Mecânicas para intrusão dos dentes anteriores. de Oliveira, Caio Sergio Botta Martins; Yamazaki, Marcos Shinao; de Carvaiho Melo Júnior, Djalmir Brandao; Meros, Gladistone Cadete; Paranhos, Luiz Renaw // Revista Clínica de Ortodontia Dental Press;ago/set2010, Vol. 9 Issue 4, p72 

    Correcting deep overbite by intrusion of anterior teeth is a therapeutic goat in many orthodontic treatment plans. This paper presents some mechanical techniques used for the intrusion of anterior teeth, such as the Ricketts utility arch, Burstone continuous intrusion arch three-piece intrusion...

  • Evaluation of Guided Tissue Regeneration Following Third Molar Extraction by Bone Scintigraphy Using Tc99m-MDP. Oettinger-Barak, Orit; Machtei, Eli E.; Keidar, Zohar; Mahler, Dan; Abu El-Naaj, Imad; Peled, Micha // Periodontal Practice Today;2004, Vol. 1 Issue 2, p165 

    Extraction of impacted third molars is a well-established and documented procedure. Guided tissue regeneration can be used to aid in wound healing and increase osseous tissue formation. To assess the regenerative treatment outcome, several variables are routinely used; these include primarily...

  • Management Of Accidental and Iatrogenic Injuries To the Dentition. Stockton, Lawrence W.; Suzuki, Mike // Journal of the Canadian Dental Association;May1998, Vol. 64 Issue 5, p378 

    This article discusses the restoration of teeth with extensive fractures extending beyond the attachment of the periodontal ligament, as well as the treatment of iatrogenic perforations observed during post space preparation. Various treatment procedures and their limitations are described,...

  • Papilla Preservation Technique with Enamel Matrix Derivative (EMD) in the Treatment of Periodontitis - a Case Report. Meyle, Joerg // Periodontal Practice Today;2004, Vol. 1 Issue 2, p123 

    This case report demonstrates minimal invasive regenerative therapy using enamel matrix derivative in a patient with chronic periodontitis. The microsurgical approach using a modified and simplified papilla preservation technique in an intraalveolar 2-wall bony defect was effective in the...

  • Single-Tooth Implant Rehabilitation: A Retrospective Study of 67 Implants. Cordioli, Gianpietro; Castanga, Stefano; Consolati, Emanuela // International Journal of Prosthodontics;Nov/Dec1994, Vol. 7 Issue 6, p525 

    The use of osseointegrated implants is an accepted procedure for the treatment of total and partial edentulism and offers good predictability of long-term success. For the last several years, this procedure has also been used for single-tooth replacement following loss of teeth for traumatic,...

  • Identification and Management of Tooth Wear. Johansson, Anders; Omar, Ridwaan // International Journal of Prosthodontics;Nov/Dec1994, Vol. 7 Issue 6, p506 

    The etiology and treatment of occlusal tooth wear remain controversial. Longer tooth retention by the aging population increases the likelihood that clinicians will be treating patients with worn dentitions. A careful approach to interventional clinical procedures is advocated but should not...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics