Effets de la prémédication orale sur l'efficacité de l'anesthésie au nerf alvéolaire inférieur dans les situations de pulpite irréversible

Abstract : Irreversible pulpitis is an inflammatory state of the pulp leading to characteristics symptoms and most often triggering emergency consultations for patients. Since this situation cannot be managed with medication, a local gesture is necessary to relieve patients from pain for which efficient anesthesia is necessary. However, in case of an irreversible pulpitis, achieving profound anesthesia can be challenging. Inferior alveolar nerve block (IANB) is indicated when dealing with irreversible pulpitis in mandibular molars, however its clinical success drastically decreases in this inflammatory context. Despite this, IANB still remains an anesthetic technique of choice and oral premedication has been considered to increase its efficacy. This work aimed to identify the clinical studies addressing the impact of oral premedication on the clinical success of IANB in case of irreversible pulpitis and to synthetize the results in order to determine if clinical practice recommendations based on scientific evidence could be highlighted.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02051407
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Submitted on : Wednesday, February 27, 2019 - 5:11:01 PM
Last modification on : Thursday, April 18, 2019 - 11:42:04 PM

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Camille Nouaille. Effets de la prémédication orale sur l'efficacité de l'anesthésie au nerf alvéolaire inférieur dans les situations de pulpite irréversible. Chirurgie. 2019. ⟨dumas-02051407⟩

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