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Control of pain and anxiety 

Control of pain and anxiety
Chapter:
Control of pain and anxiety
DOI:
10.1093/med/9780199235902.003.0018
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date: 18 May 2021

Local anaesthesia 366

Using local anaesthesia in dentistry 368

Conscious sedation 370

General anaesthesia 374

Alternative methods of controlling anxiety 376

A local anaesthetic (LA) is a drug administered to a patient to numb an area being operated on so that a dental procedure can be carried out without pain. It is generally given as an injection of a solution of LA into the tissues of the mouth. Injections can be made into the buccal fold of the mucosa, the palate (infiltration), or the region of a specific nerve (nerve block). Following an infiltration injection, only a small area (1 or 2 teeth) is affected, but following a nerve block all the tissues or structures supplied by that nerve are affected. Hence, an inferior dental (ID; sometimes called ‘inferior alveolar’) block will anaesthetize all the lower teeth, in addition to the buccal gum, on 1 side....

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