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NERVUS ALVEOLARİS İNFERİOR BLOKAJINDA KLASİK, GOW-GATES VE AKİNOSİ TEKNİKLERİNİN KARŞILAŞTIRILMALI OLARAK DEĞERLENDİRİLMESİ

COMPARATIVE EVALUATION OF, TIIE CONVENTIONAL, GOW-GATES AND AKİNOSİ TECHNIQUES IN INFERIOR AL VEOLAR NERVE BLOCK

Journal Name:

  • İstanbul Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 1996

Key Words:

Keywords (Original Language):

Author NameFaculty of Author
Abstract (2. Language): 
Tliis double-blind, randomised study compared the effectiveness of the Conventional, Gow-Gatesand Akinosi, madi-bularblocli injection tediniques in 192 requiring anesthesia for took extraction. Criteria for evaluation were as follows: pain experienced during injection (determined by using verbal and visual analogue scalas), the frequency of positive aspiration, nerves anesthetised with a single injection witJiin 5 and 10 minutes, and pain exerienced during tooth extraction (determined by using verbal and visual analogue scalas). Results showed the conventional block technique was Hie mostpainfid method when the pain experienced during injection was considered. Conventional, Gow-Gates and AJiinosi techniques, respectively, yielded 17.18%, 3.12%, and 937% positive aspirations. Onset of anesthesia was sligthly faster with conventional than with die Gow-Gates and Akinosi injection, but there were no significant differences among the techniques at 10 minutes. Tlie overall success rate of inferior alveolar nerve anethesia with a single injection to be 87.5% in theconventional, 95.3%) ini the Gow-Gates and 90.6% in the Akinosi groups. Tliese values were not found to be significant statistically. It was concluded that tlie Gow-Gaies tGcfuiicfitc was move effective in blocking not only die inferior alveolar nerve but also oilier related nerves such as long buccal, auriculotemporal and mylohyoid nerves which may be played a role in the innervation of the lower morals. Althoung, conventional teclinique was faster and equally effective in bloc-kins of the inferior alveolar nerve it vielded more positive aspirations than others.
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Abstract (Original Language): 
Sunulan çalışmada Nervus alveolaris inferior blokajı amacıyla uygulanan Klasik, Gow-Gates ve Akinosi man-dibüler anestezi teknikleri, alt birinci ve ikinci molar dişlerine çekim endİkasyonu konulan 192 hastada karşılaştırmalı olarak incelendi. Çift-kör ve rastgele (randomize) olarak yürütülen çalışmada enjeksiyonun verdiği ağrı, pozitif aspirasyon, bloke olan sinirler ve diş çekiminin verdiği ağrı kriterleri değerlendirildi. Enjeksiyonun verdiği ağrının klasik yöntemde en fazla olduğu, Akinosi tekniğinin bunu takip ettiği, Gow-Gates tekniğinde ise en az olduğu gözlendi. Pozitif aspirasyon değerleri klasik teknikte %17.18, Gow-Gates tekniğinde %3.12 ve Akinosi tekniğinde %9.37 olarak bulundu. Nervus alveolaris inferiorun on dakika içerisindeki blokaj oranı, klasik teknikteki %87.5, Gow-Gates tekniğinde %95.3, Akinosi tekniğinde ise %90.6 olarak tespit edildi. Diş çekimi esnasında duyulan ağrı incelendiğinde, Gow-Gates tekniğinin en derin anesteziyi sağladığı, Akinosi tekniğinde ise en fazla ağrı duyulduğu izlendi.
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  • Turkish

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