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Kashtanov A.D.

First Moscow State Medical University named after I.M. Sechenov (Sechenov University)

Daraushe Kh.M.

Dental Clinic «Novodenta» LLC

Vasil’ev Yu.L.

First Moscow State Medical University. I.M. Sechenov of the Ministry of Health of Russia (Sechenov University)

Overview of various devices for mandibular anesthesia

Authors:

Kashtanov A.D., Daraushe Kh.M., Vasil’ev Yu.L.

More about the authors

Journal: Russian Journal of Stomatology. 2021;14(3): 14‑20

DOI: 10.17116/rosstomat20211403114

Read: 1760 times

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Table of contents

OVERVIEW OF VARIOUS DEVICES FOR MANDIBULAR ANESTHESIA
OVERVIEW OF VARIOUS DEVICES FOR MANDIBULAR ANESTHESIA

To cite this article:

Kashtanov AD, Daraushe KhM, Vasil’ev YuL. Overview of various devices for mandibular anesthesia. Russian Journal of Stomatology. 2021;14(3):14‑20. (In Russ.)
https://doi.org/10.17116/rosstomat20211403114

Подписка 2026 Российская стоматология (Russian Journal of Stomatology)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Review of modern devices facilitating mandibular blockade was performed at the Department of Operative Surgery and Topographic Anatomy of the Sechenov First Moscow State Medical University. Today, mandibular blockade is widely used by dentists due to large anesthesia zone ensuring various manipulations. However, this procedure is challenging even for an experienced dentist. In this regard, various devices are currently being developed to facilitate mandibular blockade. The most common devices are applied for «navigation anesthesia» (devices facilitating searching for injection point) and computerized syringe-assisted blockade. Today, the devices for «navigational anesthesia» are being developed and have no significant evidence base. However, computerized syringes have already established themselves as a quality tool for mandibular blockade (in particular, Dentapen device) and have taken a stable position in the market. This review is devoted to effectiveness of various methods and devices for mandibular blockade.

Keywords:

anesthesia
mandibular blockade
navigational anesthesia
computerized syringes

Authors:

Kashtanov A.D.

First Moscow State Medical University named after I.M. Sechenov (Sechenov University)

Daraushe Kh.M.

Dental Clinic «Novodenta» LLC

Vasil’ev Yu.L.

First Moscow State Medical University. I.M. Sechenov of the Ministry of Health of Russia (Sechenov University)

Received:

10.04.2021

Accepted:

13.05.2021

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References:

  1. Ushnitsky ID, Chahov AA, Vinokurov MM, Yurkevich AV, Savvina IL, Nikitin YaG. Modern concept of pain syndrome and dental anxiety pathophysiology and prevention. Stomatologia. 2018;97(6):67-71. (In Russ.). https://doi.org/10.17116/stomat20189706167
  2. Babikov AS, Rabinovich SA, Moskovec ON, Antonenkov RV, Chernikov DN, Sherstkin IS. The improvement of the injection techniques — the new approach to the enhancement of the effectiveness and safety of local anesthesia. Rossiiskaya stomatologiya. 2014;7(4):4-8. (In Russ.). https://doi.org/10.17116/rosstomat2014744-8
  3. Ahmad M. The Anatomical Nature of Dental Paresthesia: A Quick Review. Open Dent J. 2018;12(1):155-159.  https://doi.org/10.2174/1874210601812010155
  4. Volkov SI, Lebedev SN, Hodnenko OV. Clinical case of complications during local anesthesia in dentistry. Tverskoj medicinskij zhurnal. 2017;2:51-52. Accessed April 6, 2021. (In Russ.).
  5. Malamed SF. Handbook of local anesthesia. 7th edition. Elsevier, 2019.
  6. Sohov ST, Afanas’ev VI. Anesthesia and emergency care in outpatient dental practice. M.: GJeOTAR-Media; 2019. (In Russ.). https://doi.org/10.17513/np.380
  7. Rajvanshi H, Ernest S, Effendi H, Afridi S, Chhabra M, Kaur N. Failure of inferior alveolar nerve block (IANB) and techniques to avoid it. 2016;9(3):207-210.  file:///C:/Users/kasht/Downloads/article_ejbps_volume_3_september_issue_9-1472626696.pdf
  8. Howait M, Basunbul GI. Prevalence of Failed Inferior Alveolar Nerve Block (IANB) in Achieving Pulpal Anaesthesia in Mandibular Molars with Symptomatic Irreversible Pulpitis, Egyptian Dental Journal. 2019;1(65):771-776.  https://doi.org/10.21608/edj.2019.72859
  9. Petrikas AZh, Chestnyh EV, Kulikova KV, Larichkin IO. Topographic and anatomical justification of conduction anesthesia for inferior alveolar nerve block. Tverskoj medicinskij zhurnal. 2020;3:69-78. (In Russ.).
  10. Vasil’ev JuL, Rabinovich SA, Bajrikov IM, Velichko JeV, Stoljarenko PJu, Kashtanov AD, Darawsheh HM. Modern methods of mastering theoretical and practical skills of local anesthesia in dentistry. Klinicheskaja stomatologija. 2020;96(4):37-42. (In Russ.). https://eport.fesmu.ru/elib/Article.aspx?id=407301
  11. Caillieux N. Device for guiding the syringe of a user so as to enable the injection of the analgesic solution of the former as close to the mandibular foramen as possible, EU Patent EP2429618B1, 2009.
  12. Caillieux N. Guiding Device for Dental Anesthesia, US Patent 0028143 A1, 2017.
  13. Caillieux N, Robert C. Utilisation d ‘ un angulateur pour analgésie au foramen mandibulaire. Étude préliminaire comparative avec une technique « à main levée . 2016;45:106-117.  https://www.sop.asso.fr/admin/documents/ros/ROS0000406/Rev_Odont_Stomat_2016_45_p106-117.pdf?v1.1
  14. Ushnickij ID, Chahov AA. Sposob mandibuljarnoj anestezii. RU 2727580 C1, 2020. (In Russ.).
  15. Técnica TA. Innovadora Para El Bloqueo Regional Mandibular Con El Uso De Una Guía Metálica, Pract. odontológica. 2001;6(22):7-14. 
  16. Won YJ, Kang SH. Application of augmented reality for inferior alveolar nerve block anesthesia: A technical note. J Dent Anesth Pain Med. 2017;2(17):129.  https://doi.org/10.17245/jdapm.2017.17.2.129
  17. Jundt JS, Chow CC, Coue M. Computed tomography-guided 3D printed patient-specific regional anesthesia. J Dent Anesth Pain Med. 2020;5(20):325.  https://doi.org/10.17245/jdapm.2020.20.5.325
  18. Rabinovich SA, Vasil’ev YuL. The individualized approach to the treatment in stomatology as a component of personalized medicine. Rossijskaja stomatologi. 2014;7(3):12-14. (In Russ.). https://www.mediasphera.ru/issues/rossijskaya-stomatologiya/2014/3/352072-64062015033
  19. Ogle OE, Mahjoubi G. Local anesthesia: agents, techniques, and complications. Dent Clin North Am. 2012;56:133-148.  https://doi.org/10.1016/j.cden.2011.08.003
  20. Libonati A, Nardi R, Gallusi G, Angotti V, Caruso S, Coniglione F, Marzo G, Mattei A, Tecco S, Paglia L. Pain and anxiety associated with Computer-Controlled Local Anaesthesia: systematic review and meta-analysis of cross-over studies. Eur J Paediatr Dent. 2018;19(4):324-332.  https://doi.org/10.23804/ejpd.2018.19.04.14.
  21. Goodell GG, Gallagher FJ, Nicol BK. Comparison of a controlled injection pressure system with a conventional technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(1):88-94. PMID: 10884642. https://doi.org/10.1067/moe.2000.107365
  22. Berrendero S, Hriptulova O, Salido MP, Martínez-Rus F, Pradíes G. Comparative study of conventional anesthesia technique versus computerized system anesthesia: a randomized clinical trial. Clinical Oral Investigations. 2021;25(4):2307-2315. https://doi.org/10.1007/s00784-020-03553-5
  23. Yenisey M. Comparison of the Pain Levels of Computer- Controlled and Conventional Anesthesia. J Appl Oral Sci. 2009;17(5):414-420.  https://doi.org/0.1590/s1678-77572009000500012
  24. Yesilyurt C, Bulut G, Tasdemir T. Pain perception during inferior alveolar injection administered with the Wand or conventional syringe. British Dental Journal. 2008;205(5):1-4.  https://doi.org/10.1038/sj.bdj.2008.757
  25. Patini R, Staderini E, Cantiani M, Camodeca A, Guglielmi F, Gallenzi P. Dental anaesthesia for children — effects of a computer-controlled delivery system on pain and heart rate: a randomised clinical trial. Br J Oral Maxillofac Surg. 2018;56(8):744-749.  https://doi.org/10.1016/j.bjoms.2018.08.006
  26. Aggarwal K, Lamba AK, Faraz F, Tandon S, Makker K. Comparison of anxiety and pain perceived with conventional and computerized local anesthesia delivery systems for different stages of anesthesia delivery in maxillary and mandibular nerve blocks. Journal of Dental Anesthesia and Pain Medicine. 2018;18(6):367.  https://doi.org/10.17245/jdapm.2018.18.6.367
  27. Hachem CEl, Kaloustian MK, Cerutti F, Chedid NR. Metallic syringe versus electronically assisted injection system: a comparative clinical study in children. Eur J Paediatr Dent. 2019;20(4):320-324.  https://doi.org/10.23804/ejpd.2019.20.04.12
  28. Mittal M, Chopra R, Kumar A, Srivastava D. Comparison of pain perception using conventional versus computer-controlled intraligamentary local anesthetic injection for extraction of primary molars. Anesth Prog. 2019;66(2):69-76.  https://doi.org/10.2344/anpr-66-01-09
  29. Ravi Kiran BS, Kashyap VM, Uppada UK, Tiwari P, Mishra A, Sachdeva A. Comparison of Efficacy of Halstead, Vazirani Akinosi and Gow Gates Techniques for Mandibular Anesthesia. Journal of Maxillofacial and Oral Surgery. 2018;17(4):570-575.  https://doi.org/10.1007/s12663-018-1092-5
  30. Goldberg S, Reader A, Drum M, Nusstein J, Beck M. Comparison of the Anesthetic Efficacy of the Conventional Inferior Alveolar, Gow-Gates, and Vazirani-Akinosi Techniques. Journal of Endodontics. 2008;34(11):1306-1311. https://doi.org/10.1016/j.joen.2008.07.025
  31. Aggarwal V, Singla M, Kabi D. Comparative evaluation of anesthetic efficacy of Gow-Gates mandibular conduction anesthesia, Vazirani-Akinosi technique, buccal-plus-lingual infiltrations, and conventional inferior alveolar nerve anesthesia in patients with irreversible pulpitis. Oral Surgery. Oral Med. Oral Pathol. Oral Radiol. Endodontology. 2010;109(2):303-308.  https://doi.org/10.1016/j.tripleo.2009.09.016
  32. Martínez González JM, Benito Peña B, Fernández Cáliz F, San Hipólito Marín L, Peñarrocha Diago M. A comparative study of direct mandibular nerve block and the Akinosi technique., Medicina oral: organo oficial de la Sociedad Espanola de Medicina Oral y de la Academia Iberoamericana de Patologia y Medicina Bucal. 2019;8(2):143. [Online]. https://www.ncbi.nlm.nih.gov/pubmed/12618675
  33. Saatchi M, Shafiee M, Khademi A, Memarzadeh B. Anesthetic Efficacy of Gow-Gates Nerve Block, Inferior Alveolar Nerve Block, and Their Combination in Mandibular Molars with Symptomatic Irreversible Pulpitis: A Prospective, Randomized Clinical Trial. J Endod. 2018;44(3):384-388.  https://doi.org/10.1016/j.joen.2017.10.008
  34. Mishra S, Tripathy R, Sabhlok S, Panda PK, Patnaik S. Comparative analysis between direct Conventional Mandibular nerve block and Vazirani-Akinosi closed mouth Mandibular nerve block technique. Int J Adv Res Technol. 2012;1(6):1-7. [Online]. file:///C:/Users/kasht/Downloads/Comparative_analysis_between_direct_Conventional_M.pdf
  35. Sokhov ST, Rabinovich SA, Bogaevskaya OYu. Comparative evaluation of P.M. Egorov and modified G. Gow-Gates mandibular block efficacy. Stomatologiya. 2019;98(5):46. (In Russ.). https://doi.org/10.17116/stomat20199805146
  36. Dubey M, Ali I, Passi D, Yadav A, Tiwari D, Saha G, Ch L, Ra Srivastava A. Comparative Evaluation of Classical Inferior Dental Nerve Block and Gow-Gates Mandibular Nerve Block for Posterior Dentoalveolar Surgery: A prospective study and literature review. Ann Med Health Sci Res. 2017;7(1):92-96. [Online]. https://www.amhsr.org/articles/comparative-evaluation-of-classical-inferior-dental-nerve-block-and-gowgates-mandibular-nerve-block-for-posterior-dentoalveolar-su-3898.html
  37. Arrow P. A comparison of articaine 4% and lignocaine 2% in block and infiltration analgesia in children. Aust Dent J. 2012;57(3):325-333.  https://doi.org/10.1111/j.1834-7819.2012.01699.x
  38. Klingberg G, Ridell K, Brogårdh-Roth S, Vall M, Berlin H. Local analgesia in paediatric dentistry: a systematic review of techniques and pharmacologic agents. Eur Arch Paediatr Dent. 2017;18(5):323-329.  https://doi.org/10.1007/s40368-017-0302-z
  39. Saoji H, Thomas Nainan M, Nanjappa N, Khairnar MR, Hishikar M, Jadhav V. Assessment of computer-controlled local anesthetic delivery system for pain control during restorative procedures: A randomized controlled trial. J Dent Res Dent Clin Dent Prospects. 2019;13(4):298-304.  https://doi.org/10.15171/joddd.2019.045
  40. Riba-Roca A, Figueiredo R, Malamed SF, Arnabat-Dominguez J. A randomized split-mouth clinical trial comparing pain experienced during palatal injections with two different computer-controlled local anesthetic delivery systems. Journal of Clinical and Experimental Dentistry. 2020;12(12):1139-1144. https://doi.org/10.4317/jced.57506
  41. Clark TM, Yagiela JA. Advanced Techniques and Armamentarium for Dental Local Anesthesia. Dental Clinics of North America. 2010;54(4):757-768.  https://doi.org/10.1016/j.cden.2010.06.017
  42. Reutter M. Perceived Pain During the Injections of Maxillary Lateral Incisors Using the Dentapen Electronic Syringe. J Dent Hyg. 2020;94(5):61-22. [Online]. https://web.b.ebscohost.com/abstract?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=1043254X&AN=146383945&h=STWp2zA3j%2FB2YPKljXXaTkIBZDmqPulfB2mWLdXpBEMEN8sX1A4hOSBtlc2uCB6giUuFZYxVasPwGAvF9ZQWvw%3D%3D&crl=c&resultNs=AdminWebAuth&resultLocal=ErrCrlNotAuth&crlhashurl=login.aspx%3Fdirect%3Dtrue%26profile%3Dehost%26scope%3Dsite%26authtype%3Dcrawler%26jrnl%3D1043254X%26AN%3D146383945
  43. Partido BB, Nusstein JM, Miller K, Lally M. Maxillary Lateral Incisor Injection Pain Using the Dentapen Electronic Syringe. Journal of Endodontics. 2020;46(11):1592-1596. https://doi.org/10.1016/j.joen.2020.07.029
  44. Inui K, Tsuji T, Kakigi R. Temporal analysis of cortical mechanisms for pain relief by tactile stimuli in humans. Cereb Cortex. 2006;16(3):355-365.  https://doi.org/10.1093/cercor/bhi114
  45. Nanitsos E, Vartuli R, Forte A, Dennison PJ, Peck CC. The effect of vibration on pain during local anaesthesia injections. Aust Dent J. 2009;54(2):94-100.  https://doi.org/10.1111/j.1834-7819.2009.01100.x
  46. Dak-Albab R, Al-Monaqel MB, Koshha R, Shakhashero H, Soudan R. A comparison between the effectiveness of vibration with Dentalvibe and benzocaine gel in relieving pain associated with mandibular injection: A randomized clinical trial. Anaesthesia, Pain and Intensive Care. 2016;2(1):43-49. [Online]. https://www.researchgate.net/publication/308371701_A_comparison_between_the_effectiveness_of_vibration_with_Dentalvibe_and_benzocaine_gel_in_relieving_pain_associated_with_mandibular_injection_A_randomized_clinical_trial
  47. Elbay M, Sermet Elbay Ü, Yildirim S, Uğurluel C, Kaya C, Baydemir C. Comparision of injection pain caused by the DentalVibe Injection System versus a traditional syringe for inferior alveolar nerve block anaesthesia in paediatric patients. European Journal of Paediatric Dentistry. 2015;16(2):123-128. [Online]. https://pubmed.ncbi.nlm.nih.gov/26147818/
  48. Veneva E, Cholakova R, Raycheva R, Belcheva A. Efficacy of vibrotactile device DentalVibe in reducing injection pain and anxiety during local anaesthesia in paediatric dental patients: A study protocol for a randomised controlled clinical trial. BMJ Open. 2019;9(7):17-1.  https://doi.org/10.1136/bmjopen-2019-029460
  49. Shaefer JR, Lee SJ, Anderson NK. A Vibration Device to Control Injection Discomfort. Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995). 2017;38(6):55-58. [Online]. https://www.aegisdentalnetwork.com/cced/2017/06/a-vibration-device-to-control-injection-discomfort
  50. Do Couto RO, Cubayachi C, Calefi PL, Lopez RFV, Pedrazzi V, Gaitani CM De, Freitas O de. Combining amino amide salts in mucoadhesive films enhances needle-free buccal anesthesia in adults. J Control Release. 2017;266(8):205-208.  https://doi.org/10.1016/j.jconrel.2017.09.039
  51. Yıldırım S, Tokuç M, Aydın MN. The effect of pre-anesthesia with a needle-free system versus topical anesthesia on injection pain of the inferior alveolar nerve block: a randomized clinical trial. Clinical Oral Investigations. 2020;24(12):4355-4361. https://doi.org/10.1007/s00784-020-03301-9
  52. Shirani G, Arshad M, Vaziri N, Mehdifar R. Conventional method versus automatic injection for infiltration anesthesia in the premolar region. 2018;5(1):479-486. [Online]. file:///C:/Users/kasht/Downloads/jofcraniomaxillofacialresearcictjet%20(1).pdf
  53. Takker BL, Koujen KP, Uber AI, Rajnhart JeDzh. Self-orienting syringe and syringe interface. Patent RF №2 705 609 C2/, 2019. (In Russ.). https://findpatent.ru/patent/270/2705609.html
  54. Xie X, Pascual C, Lieu C, Oh S, Wang J, Zou B, Xie J, Li Z, Xie J, Yeomans DC, Wu MX, Xie XS. Analgesic Microneedle Patch for Neuropathic Pain Therapy, ACS Nano. 2017;11(1):395-406.  https://doi.org/10.1021/acsnano.6b06104
  55. Batra P, Dawar A, Miglani S. Microneedles and Nanopatches-Based Delivery Devices in Dentistry. Discoveries. 2020;8(3):116.  https://doi.org/10.15190/d.2020.13
  56. Wilson JR, Kehl LJ, Beiraghi S. Enhanced topical anesthesia of 4% lidocaine with microneedle pretreatment and iontophoresis. Northwest Dent. 2008;87(3):40-41. [Online]. https://pubmed.ncbi.nlm.nih.gov/18663870/
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