INTRAOSSEOUS ANESTHESIA: ENTER THE COMFORT ZONE FOR LOCAL ANESTHESIA IN DENTISTRY
Intraosseous Anesthesia (IOA) with Computer-Controlled Local Anesthetic Delivery (C-CLAD) confers many advantages and benefits. It is a highly effective, fast onset, comfortable, preferred by most patients (children and adults) and lasting long enough for limited treatments.The technique involves three simple steps and the target remains to place local anesthetic solutions directly into the cancellous bone adjacent to the tooth to be anesthetized. Because the anesthesia is restricted to the tooth, the surrounding soft tissue remains unaffected which results in less complications like lip or tongue biting. Combined with reduced pain from computer-controlled delivery speeds intraosseous injection has earned high preference from patients (58.9-69.7%) over conventional techniques.
The fast onset and short duration allows the operator to start treatment immediately and work even bilaterally in the same appointment. Moreover there in no need for complementary anesthesia -even palatal injection for the clamp- because IOAanesthetizes the periodontal ligament, the pulp and the attached gingiva around the tooth.
This presentation will focus on the main steps of the technique and the practical aspects of it’s administration; as well as the advantages and patient perception even in difficult situations, such as Molar Incisor Hypomineralization (MIH) or Irreversible Pulpitis.