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Introduction: Mylohyoid mandibular
anesthesia is not a standard and independent primary anesthesia for
performing surgery on mandibular teeth.
Objective: The objective was to examine the success of achieved
mylohyoid anesthesia for mandibular molar surgery, by injecting an
anesthetic that could penetrate the bone in the lingual region of the
mandible, using the technique for modified mylohyoid mandibular
anesthesia.
Materials and methods: In the pilot study, 10 patients were
divided into 2 equal groups (of 5 patients each), of both sexes and aged
18–75, who required mandibular anesthesia owing to mandibular molar
surgery. In group I, 3.5 ml of 4% articaine with 1:100000 adrenaline,
and the addition of 0.5 ml/4 mg of dexamethasone, was injected into the
sublingual region of the corner of the mandible using a modified
mylohyoid approach; in group II, 4 ml of 2% lidocaine with 1:100000
adrenaline was injected into the region of the mandibular foramen using
the approach for standard mandibular conduction direct anesthesia. A
visual analogue scale (VAS) was used for the subjective assessment of
the pain during surgery in patients, the recorded duration of the
realized mandibular anesthesia, as well as the total effectiveness of
the achieved anesthesia, expressed in percentages.
Results: A successful intervention was achieved in all patients,
with different VAS scores, but within the values indicating successful
anesthesia (group I: 17.40±11.10mm; group II: 12.80±4.55mm). A longer
duration of anesthesia was achieved in the first group—205.2 min (3h 25
min), compared to the second group—182 min (3h 2 min).
Conclusion: Mylohyoid mandibular anesthesia with 4% articaine and
with adrenaline and dexamethasone could be applied as primary anesthesia
for the purpose of successfully achieving standard mandibular
anesthesia.
Key words:
modified, mylohyoid mandibular anesthesia, articaine, mandibular molars,
surgery
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Address of correspondence:
Kristina Kristina Burić,
DMD, PhD student
Unuversity of Nis, Faculty of Medicine,
Dr Zoran Djindjić Blvd 81,18000 Niš, Serbia
E-mail:kristinaburic@yahoo.com
Phone: +381693392125
Copyright © 2023 by The Editorial Council of The Acta
Stomatologica Naissi
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