Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Intrapulpal anesthesia in endodontics: an updated literature review

  • Raghavendra Penukonda (Dental Research Unit, Center for Global Health Research, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences) ;
  • Saloni Choudhary (Department of Conservative Dentistry and Endodontics, Krishnadevaraya College of Dental Sciences and Hospital) ;
  • Kapilesh Singh (Department of Conservative Dentistry and Endodontics, SMBT Dental College and Hospital) ;
  • Amil Sharma (Department of Conservative Dentistry and Endodontics. Modern Dental College and Hospital) ;
  • Harshada Pattar (Department of Oral Pathology, Pandit Deendayal Upadhyay Dental College)
  • Received : 2024.03.20
  • Accepted : 2024.07.08
  • Published : 2024.08.01
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Abstract

Effective pain management is crucial for the successful performance of various endodontic procedures. Painless treatments are made possible by anesthetizing the tooth to be treated using various nerve-block techniques. However, certain circumstances necessitate supplemental anesthetic techniques to achieve profound anesthesia, especially in situations involving a "hot tooth" in which intrapulpal anesthesia (IPA) is employed. IPA is a technique that involves the injection of an anesthetic solution directly into the pulp tissue and is often utilized as the last resort when all other anesthetic techniques have been unsuccessful in achieving complete pulpal anesthesia. This review focuses on the IPA procedure and the factors that influence its success. Additionally, the advantages, limitations, disadvantages, and future directions of IPA are discussed.

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References

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