斯康杜尼局部浸润麻醉在下颌磨牙急性牙髓炎治疗中的临床应用

摘要

Objective To explore the scandonest infiltration anesthesia in the treatment of the acute mandibular molar. Methods 100 mandibular molar acute pulpitis patients were randomly divided into two groups (group A, B), 50 cases in each group (50 teeth). Sscandonest partial buccal and lingual bilateral submucous infiltration anesthesia,was employed in group A, while containing 1/100 000 epinephrine lidocaine hydrochloride 2% traditional inferior alveolar nerve block anesthesia,was employed in group B. The efficacies of anesthesia, in two groups were compared. Results There was no significant difference of anesthesia effect between Group A and group B. But injection pain levels in group A were lower than those in group B (P<0.01). Conclusion Mandibular molars in the treatment of acute pulpitis by scandonest local buccolingual bilateral submucous infiltration anesthesia, can obtain good anesthetic effect, reducing injection pain, increased patient comfort, reduce the patient's fear.%目的 探讨斯康杜尼局部浸润麻醉在下颌磨牙急性牙髓炎治疗中的临床应用.方法 选取在我 科就诊的下颌磨牙急性牙髓炎患者100 例(100 颗)随机分成两组(A、B组),每组50 例(50 颗).A组采用斯康杜尼 行局部颊舌双侧黏膜下浸润麻醉,B组用含十万分之一肾上腺素的2%盐酸利多卡因行传统的下牙槽神经阻滞麻 醉,麻醉起效后按常规行牙髓治疗,比较两组麻药注射疼痛程度及牙髓麻醉效果.结果 A组与B组牙髓麻醉效 果差异无统计学意义(χ2=0.61,P>0.05),A组麻药注射疼痛程度明显低于B组(χ2=13.66,P<0.01).结论 下颌磨 牙急性牙髓炎治疗中应用斯康杜尼局部颊舌双侧黏膜下浸润麻醉,能获得较好的麻醉效果,减少注射疼痛,增加 患者就诊的舒适感,降低了患者的恐惧心理,值得在临床上推广使用.