دورية أكاديمية
أعرض في EDS

The bevel effect: a prospective, randomized investigation into needle design in dental intraligamentary anesthesia.

التفاصيل البيبلوغرافية
العنوان: The bevel effect: a prospective, randomized investigation into needle design in dental intraligamentary anesthesia.
المؤلفون: Kämmerer PW; Department of Oral, Maxillofacial and Plastic Surgery, University Medical Center Rostock, Rostock, Germany. peer.kaemmerer@unimedizin-mainz.de.; Department of Oral- and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131, Mainz, Germany. peer.kaemmerer@unimedizin-mainz.de., Staedt H; Department of Prosthodontics and Materials Science, University of Rostock, Rostock, Germany.; Esslingen, Germany., Wesslau K; Department of Oral, Maxillofacial and Plastic Surgery, University Medical Center Rostock, Rostock, Germany., Buttchereit I; Department of Oral, Maxillofacial and Plastic Surgery, University Medical Center Rostock, Rostock, Germany., Stiller HL; Department of Oral- and Maxillofacial Surgery, University Medical Center Mainz, Augustusplatz 2, 55131, Mainz, Germany., Frankenberger T; Institute of Physics, Rostock University, Rostock, Germany., Dau M; Department of Oral, Maxillofacial and Plastic Surgery, University Medical Center Rostock, Rostock, Germany.
المصدر: Clinical oral investigations [Clin Oral Investig] 2024 Feb 24; Vol. 28 (3), pp. 170. Date of Electronic Publication: 2024 Feb 24.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 9707115 Publication Model: Electronic Cited Medium: Internet ISSN: 1436-3771 (Electronic) Linking ISSN: 14326981 NLM ISO Abbreviation: Clin Oral Investig
أسماء مطبوعة: Publication: Berlin : Springer-Verlag
Original Publication: Berlin : Springer, c1997-
مواضيع طبية MeSH: Anesthesia, Dental* , Anesthetics*, Humans ; Anesthesia ; Needles ; Pain ; Prospective Studies ; Single-Blind Method
مستخلص: Objectives: This in vivo study aimed to assess the impact of needle bevel design on puncture pain, anesthetic success, and mechanical deformations in intraligamentary injection (ILA) cases, comparing a short triple facet cut (STF) to a triple lancet cut (TL) after single or repetitive use.
Materials and Methods: In a prospective single-blind trial, 200 ILA needles (STF, n = 100; TL, n = 100) were randomly assigned for dental procedures. Patients received ILA either with STF or TL needles, used once (group A; n = 50 each) or repeatedly (group B; n = 50). Puncture pain was assessed using a numerical rating scale (NRS). Anesthetic success was determined via cold spray (yes/no), and scanning electron microscopy (SEM) analyzed needle tip deformations.
Results: Puncture pain did not significantly differ between STF and TL, regardless of needle use or injection area. Success rates were comparable in single use (82% STF vs. 79% TL; p > 0.05). For repetitive use, STF exhibited a significantly higher success rate (80% vs. 69%; p = 0.012). Mechanical deformations were prevalent in 97.5% of needles, with TL showing greater deformations than STF after single and repeated uses. Barbs were more common in TL (90/100) than STF (84/100), with a higher relative risk for barbed-like deformation in TL (RR single use: 1.26; p < 0.001; multiple use: 7.87, p < 0.001).
Conclusions: The short triple facet-designed bevel demonstrated significantly less mechanical deformation, suggesting potential advantages in maintaining needle lumen patency.
Clinical Relevance: The intraligamentary needle bevel design is linked to mechanical deformation and anesthetic success after repetitive use, but not to puncture pain.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
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فهرسة مساهمة: Keywords: Clinical study; Dental anesthesia; Intraligamentary anesthesia; Needle bevel design; Needle deflection; Periodontal ligament injection; Puncture pain
المشرفين على المادة: 0 (Anesthetics)
تواريخ الأحداث: Date Created: 20240223 Date Completed: 20240226 Latest Revision: 20240320
رمز التحديث: 20240320
DOI: 10.1007/s00784-024-05546-0
PMID: 38396049
قاعدة البيانات: MEDLINE
الوصف
تدمد:1436-3771
DOI:10.1007/s00784-024-05546-0