electronic anesthesia / orthodontic courses by indian dental academy

Presentation on Electronic Anesthesia

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INDIAN DENTAL ACADEMY

Leader in continuing dental education www.indiandentalacademy.com

Remember the saying,“No pain,no gain”

It does not apply to dentistry anymore!!!!!!!!!!!!!


What is electronic anesthesia?


Gate Control Theory Of Pain

Transcutaneous Electrical Nerve Stimulation.


With the proposal of the Gate-Control Theory by Melzack and Wall in 1965, a rational basis for electroanalgesia was elucidated.

dull, slow, diffuse,burning pain is carried from the periphery by small unmyelinated fibres,

while the sensation of light touch is carriedby large myelinated fibers.

Sensations of touch, vibration,and heat could block the pain signals.


TENS signals create impulses that reach pain centers before the body's pain signals do, closing the "gate" to the transmission of pain - like a busy signal on a telephone.


1) ELECTRIC HANDPIECE

2) ELECTRODES Cotton roll electrodes Adhesive electrodes Clamp electrodes


Electrodes available in 1786.


Electronic anesthesia: is delivered via two small sponges attached to a battery-operated control box. The sponges are placed in the patient’s mouth or on the patient’s face. The patient uses the controls on the box to choose and maintain the depth of the anesthesia delivered.

Procedure for treatment


Mechanism of action?

Acts by elevating levels of l-trytophan;serotonin;

b-endomorphins and enkephalins.

All these are analgesicswww.indiandentalacademy.com

SO HOW DOES THE SO HOW DOES THE PATIENT PATIENT FEEL??????FEEL??????


BASED UPON OHM’S LAW I=V/R where, I=CURRENT V=POTENTIAL PROVIDED

BY MACHINE R=RESISTANCE PROVIDED

BY TISSUES AND CONNECTORS


a. BODY CIRCUITRY SYSTEM: Low Resistance: MUSCLE BLOOD AND NERVE High Resistance: BONE AND FASCIAb. POLARITYc. WAVE FORMSd. FREQUENCYe. POWER SOURCEf. CONTROLS


ON PEDIATRIC PATIENTS

Objective:- The purpose of this study was to determine the effectiveness and acceptance of electronic dental anesthesia in comparison with local anesthesia in restorative procedures in children.

Results:-Although the success rate of electronic dental anesthesia was less than that of local anesthesia, there was no significant difference between the two methods. On the other hand, 53.6% of the patients preferred electronic dental anesthesia, whereas 35.7% preferred local anesthesia.

Conclusions:- In restorative dental care in children, electronic dental anesthesia appears to be beneficial in reducing discomfort, as judged from behavioral observations and self-reports.

Oral Surgery, Oral Medicine, Oral Pathology, Oral

Radiology, & Endodontics. 88(4):418-423, October 1999.

Baghdadi, Ziad D. DDS, MS


ON ADULTS

A total of 12 patients used the device to see how its ability as an anesthetic compared to that of an injection.

Eleven of the 12 patients found the procedure acceptable.

"One patient did not like having to control the level of current and would have preferred to rely on the dentist," she said.

"The main reason people would choose this method is that they are needle phobic," Ms Fleck said.

ATLANTA,GA –OCT21,2001


ELECTRONIC AND LOCAL ANESTHESIA:-A CLINICAL COMPARISON FOR OPERATIVE PROCEDURESThirty patients, who required restorations on

similar teeth bilaterally, and 10 clinicians were involved in the study. The two teeth in each patient were randomly restored under either electronic or local anesthesia.

Minor after effects in some patients included redness of skin and briefly lingering sensation.

All patients found electronic anesthesia easy to use, and most of the patients (93.3%) thought that the system was good to excellent.


INDICATIONS:-Patients Who Cannot or Will Not Have Local

Anesthesia.Using TENS on Children.Periodontal TreatmentCrown and Bridge.ProstheticsLocal Injections.Tissue Repair.OcclusalAdjustment. Myofascial Pain Dysfunction.Operative DentistryIneffective local anesthesiawww.indiandentalacademy.com

PREGNANCYTRANSTHORACIC AND TRANSABDOMINAL ELECTRODESEPILEPSYCEREBROVASCULAR PROBLEMSCARDIAC PLEXUS AND CAROTID BODYANY PAIN OF UNKNOWN EITIOLOGYVERY YOUNG PEDIATRIC PATIENTOLDER PATIENT IN SENILE DEMNTIALANGUAGE COMMUNICATION DIFFICULTIESCARDIAC PACEMAKERSEYES


We may not have the ultimate machine or wave form today, and we certainly can expect to see electrode

systems improve in the future. A pain model is needed that simulates the pain of operative procedures to more easily evaluate different electrodes, electrode placements, waveforms, frequencies, and combinations with other pain control modalities.

However, the equipment that exists is a viable, preferred alternative to local anesthesia in

many operative and periodontal procedures. When it fails,

electronic anesthesia still allows one to administer local anesthesia without pain.www.indiandentalacademy.com

For more details please visit www.indiandentalacademy.com


electronic anesthesia / orthodontic courses by indian dental academy

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