Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
12
pubmed:dateCreated
2008-11-25
pubmed:abstractText
The purpose of this prospective, randomized study was to compare the degree of pulpal anesthesia obtained in vital, asymptomatic teeth using 1.8 mL of 1% diphenhydramine with 1:100,000 epinephrine, 1.8 mL of 2% lidocaine with 1:100,000 epinephrine, and 3.6 mL of 2% lidocaine with 1:100,000 epinephrine combined with 1% diphenhydramine with 1:100,000 epinephrine in inferior alveolar nerve blocks. We also studied injection and postinjection pain. An electric pulp tester was used to test for anesthesia, in 4-minute cycles for 60 minutes, of the second molars through the central incisor. Anesthesia was considered successful when two consecutive 80 readings were obtained within 15 minutes and the 80 reading was continuously sustained through the 60th minute. Using the lidocaine solution, successful pulpal anesthesia ranged from 12% to 84%. For the combined lidocaine/diphenhydramine solution, successful pulpal anesthesia ranged from 4% to 60%. The diphenhydramine solution was irritating on injection and postinjection and resulted in a very low level of anesthetic success. We concluded that a 1% diphenhydramine solution should be used cautiously for the inferior alveolar nerve block. The combination lidocaine/diphenhydramine solution was irritating postinjection and was not as effective as a lidocaine solution for pulpal anesthesia.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
D
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Dec
pubmed:issn
1878-3554
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
34
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1446-50
pubmed:dateRevised
2009-5-21
pubmed:meshHeading
pubmed-meshheading:19026871-Adult, pubmed-meshheading:19026871-Anesthesia, Dental, pubmed-meshheading:19026871-Anesthetics, Combined, pubmed-meshheading:19026871-Anesthetics, Local, pubmed-meshheading:19026871-Bicuspid, pubmed-meshheading:19026871-Cross-Over Studies, pubmed-meshheading:19026871-Dental Pulp, pubmed-meshheading:19026871-Dental Pulp Test, pubmed-meshheading:19026871-Diphenhydramine, pubmed-meshheading:19026871-Epinephrine, pubmed-meshheading:19026871-Female, pubmed-meshheading:19026871-Humans, pubmed-meshheading:19026871-Incisor, pubmed-meshheading:19026871-Injections, pubmed-meshheading:19026871-Lidocaine, pubmed-meshheading:19026871-Lip, pubmed-meshheading:19026871-Male, pubmed-meshheading:19026871-Mandibular Nerve, pubmed-meshheading:19026871-Molar, pubmed-meshheading:19026871-Nerve Block, pubmed-meshheading:19026871-Pain, pubmed-meshheading:19026871-Prospective Studies, pubmed-meshheading:19026871-Time Factors, pubmed-meshheading:19026871-Treatment Outcome, pubmed-meshheading:19026871-Vasoconstrictor Agents, pubmed-meshheading:19026871-Young Adult
pubmed:year
2008
pubmed:articleTitle
The anesthetic efficacy of diphenhydramine and the combination diphenhydramine/lidocaine for the inferior alveolar nerve block.
pubmed:affiliation
Division of Endodontics, The Ohio State University, Columbus, Ohio 43210, USA.
pubmed:publicationType
Journal Article, Comparative Study, Randomized Controlled Trial