Computer-assisted intraosseous anaesthesia for molar and incisor hypomineralisation teeth. A preliminary study

Anesthetizing MIH (Molar and Incisor Hypomineralisation) teeth is one of the major challenges in paediatric dentistry. Computer-assisted IO injection (CAIO) of 4% articaine with 1:200,000 epinephrine (Alphacaine, Septodont) has been shown to be an efficient way to anesthetize teeth in children. The...

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Bibliographic Details
Published inOdonto-stomatologie tropicale Vol. 38; no. 149; p. 5
Main Authors Cabasse, C, Marie-Cousin, A, Huet, A, Sixou, J L
Format Journal Article
LanguageEnglish
Published Senegal 01.03.2015
Subjects
Anesthesia, Dental - methods
Anesthesia, Local - methods
Anesthetics, Local - administration & dosage
Carticaine - administration & dosage
Child
Dental Enamel Hypoplasia - therapy
Epinephrine - administration & dosage
Female
Humans
Injections - instrumentation
Injections - methods
Male
Mandible - drug effects
Prospective Studies
Retrospective Studies
Rotation
Therapy, Computer-Assisted - methods
Treatment Outcome
Vasoconstrictor Agents - administration & dosage
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Summary:Anesthetizing MIH (Molar and Incisor Hypomineralisation) teeth is one of the major challenges in paediatric dentistry. Computer-assisted IO injection (CAIO) of 4% articaine with 1:200,000 epinephrine (Alphacaine, Septodont) has been shown to be an efficient way to anesthetize teeth in children. The aim of this study was to assess the efficacy of this method with MIH teeth. This preliminary study was performed using the Quick Sleeper system (Dental Hi Tec, Cholet, France) that allows computer-controlled rotation of the needle to penetrate the bone and computer-controlled injection of the anaesthetic solution. Patients (39) of the department of Paediatric Dentistry were included allowing 46 sessions (including 32 mandibular first permanent molars) to be assessed. CAIO showed efficacy in 93.5% (43/46) of cases. Failures (3) were due to impossibility to reach the spongy bone (1) and to achieve anaesthesia (2). This prospective study confirms that CAIO anaesthesia is a promising method to anesthetize teeth with MIH that could therefore be routinely used by trained practitioners.
ISSN:0251-172X