Professional Documents
Culture Documents
Dibujo de Anestesia
Dibujo de Anestesia
net/publication/14712168
CITATIONS READS
22 549
4 authors, including:
Franklin Garcia-Godoy
The University of Tennessee Health Science Center
666 PUBLICATIONS 13,372 CITATIONS
SEE PROFILE
Some of the authors of this publication are also working on these related projects:
All content following this page was uploaded by Franklin Garcia-Godoy on 23 November 2016.
•c
--
Table 0 CompariJon of the mandibuIar
F-etor evaluated
block 1lfnW
Mean (S.D.)
the 1n6Jtbtion
.......
3.72 {Ul}
3.11 (l."17J
0.525-
.n 0..... .......
~y 'T1TTTTITfIl1~~rrrw- '""'"
In8Ilratioa
p",,~
1.67 (2-00)
1.33 (2.1'9)
0.547-
3.39("-68)
2.44(3.01)
0.101-
~ ><- K K~Arr:.::s"c <~ • Not significant
,.
Satisfactory anesthe§ia is obtainable usm~
the infiltration 'technlque, with fewer risks.
106 MARCH·APRIL 1993
JOURNAL OF DENTISTRY FOR CHILnRtN
The anesthesia obtained in children with the man- filtration technique. the lip is not anesthetized and fewer
dibular infiltration technique could be due to the greater incidences of self-inflicted soft tissue trauma, there.
porosity of the cortical layer of bone in young children fore. should be expected. Because of the localized ef.
pennitting diffusion of the anesthetic solution through feet of the infiltration technique. bilateral dental work
the bone." may be completed in one appointment, reducing the
The infiltration technique described in this study is amount of anesthetic solution, and a decreased risk of
not a mental nerve block. because in small children self-inflicted injuries.
the mental foramen is located near the apex of the
mesial root of the first primary molar and the infiltra- REFERENCES
tion technique injects between the two primary molars 1. McDonald, R.E. and Avery, D.R.: Dent£ltry for ~ child and
and the mesial and distal papillas. The infiltration of adolescent. 5th ed. St. Louis: C.V. Mosby Co., 1985, pp 3OS..
the papillas to the lingual area would anesthetize the 306.
2. Kisby. L.: Pain control in pedodontics. In White, C.E. CUnic4J
lingual nerve filaments. With the mandibular block. oral pedwtrlc8. Chicago: Quintessence Pub. Co., 1981, p 207.
many times the lingual nerve is not anesthetized and 3. Northrop, P.M.: Practical techniques in administration of1ocal
a lingual infiltration is required to supplement the block." anesthetic agents: II. Questions and answers. J Am Dent Assoc,
38;444-448. April 1949.
The infiltration technique could also be considered 4. Shiere, F.R.: Oral anesthesia for children. J Am Dent Assoc.
useful in hemophiliacs without replacement of defi- 41;414-418, October 1950.
cient factor. 6 In these patients. cervical hematomas and 5. Garcia-Godoy, F.M.: A simplified local anesthetic technique for
mandibular primary molars. Acta Odontol Pedtatr, 3:53-56. De-
death have occurred after mandibular block anes- cember 1982.
thesia." 6. Steinle. C.J. and Kisker, C.T.: Pediatric dentistry for the child
One of the most common complications following
mandibular block anesthesia is trauma to the soft tissue
with hemophilia.
1970.
New Eng J Moo. 283:1325-13.26, December
a
F
UPTAKE AND CLEARANCE OF FLUORIDE FROM THE a
BUCCAL MUCOSA u
p
It is well established that the salivary clearance of topically applied fluoride follows f,
a multiexponential curve. The initial rapid decline in fluoride concentration has been o
attributed to swallowing and dilution by freshly secreted saliva [Dawes, 1983; Dawes p
and Weatherell, 1990]. but those factors which influence the other .components of
the curve remain obscure. It has been suggested that one important aspect may be
the existence of some form of intraoral fluoride store [Duckworth et al., 1987; White
and Nancclles, 1990] which is replenished when the fluoride concentration in saliva
is high and depleted as the concentration falls. It has also been postulated that the
relatively high fluoride levels found in plaque may fulfil this function or. alterna-
tively. that CaF2 associated with the dental hard. tissues may release fluoride into
saliva when the conditions are favourable [0gaard. et al .• 1983]. The possibility also
exists. however. that Iluojide Isabsorbed/adsorbed by the oral soft tissues, partic-
ularly the non-keratinized mucosa. and subsequently released over an extended
period.
Jacobson. A.P.M, et al: Fluoride uptake and clearance from the buccal mucosa
following mouthrinsing.
Caries Res, 26:56-58, January-February 1992.