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A Computerized Injection System for Local Pain Control

1 CE Credit

You will receive 1 unit of continuing education credit upon successful completion of this course.

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ADA Member: $28.00
Nonmember: $42.00
Dental Team Member: $15.00

Author:

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Mark Frieman, Mark Hochman

Learning Objectives:

Upon completion of this course, participants should be able to do the following:

  1. Discuss the overall history of local anesthesia.
  2. Describe the tactile difference between a computer-controlled injection and a traditional syringe injection.
  3. Explain the new anterior middle superior alveolar injection.
  4. Administer a predictable, modified wand-assisted periodontal ligament injection in lieu of an inferior alveolar block.

Abstract:

This course describes a new computerized local anesthetic injection system for pain control. The core technology of this system is the microprocessor-controlled delivery of anesthetic solution at a constant pressure and controlled volume, regardless of encountered variations in tissue resistance. This fine-tuned, high suffusion flow rate of anesthetic provides a rapid onset of anesthesia for most patients. Traditional block injections and infiltrations as well as palatal injections and periodontal ligament injections are administered with precision, ease, and patient comfort.

Outline:

COURSE OUTLINE

  1. Introduction

  2. Computer-Controlled Injection

    1. Traditional maxillary anesthesia

    2. AMSA block

      1. Wand-assisted AMSA technique

        1. Case study

    3. Traditional mandibular anesthesia

      1. Wand-assisted techniques

  3. Summary

References:

  1. Milgram P. Four dimensions of fear of dental injections. J Am Dent Assoc. 1997; 128:756-762.
  2. Hall R. Hydrochlorate of cocaine. Corresp NY Med J. 1884; 40:643.
  3. Malamed SF. Local anesthetics: dentistry's most important drugs. J Am Dent Assoc. 1994; 125:1571-1576.
  4. Covino BG, Vassallo HG. Local Anesthetics: Mechanisms of Action and Clinical Use. New York, Grune & Stratton, Inc; 1976: p 2.
  5. Jastak JT, Yagiela JA, Donaldson D. Local Anesthesia of the Oral Cavity. Philadelphia, WB Saunders Company; 1995: pp 202-203, 214-219.
  6. Malamed SF. Handbook of Local Anesthesia, ed 4. St. Louis, Mosby; 1997: pp168-170, 174-180,193, 193-212.
  7. Walton RE, Abbott BJ. Periodontal ligament injection: a clinical evaluation. J Am Dent Assoc. 1981; 103:571-575.
  8. Frazer M. Contributing factors and symptoms of stress in dental practice. Br Dent J. 1992; 173(3):111.
  9. Hochman M, Chiarello D, Bozzi-Hochman C, et al. Computerized local anesthesia delivery vs traditional syringe. N Y State Dent J. 1997; 63(7):24-29.
  10. Meechan JG. Intraligamentary anesthesia. J Dent. 1992; 20:325-332.
  11. Herod EL. Periodontal ligament injection: review of the literature. Quintessence Int. 1989; 20(3):219-223.
  12. Kaufman E. Transligamentary anesthesia: a review. Anesth Pain Control Dent. 1992; 1(3):133-141.
  13. Ricciardi A. Intraligamentary anesthesia. Amer Endod Soc. 1980; Newsltr 32.

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