Gow-Gates 하악신경 전달마취 - 잊혀진 옛날 기법인가?

Title
Gow-Gates 하악신경 전달마취 - 잊혀진 옛날 기법인가?
Other Titles
Gow-Gates Mandibular Nerve Block Anesthesia - Is It an Old Forgotten Technique?
Author
한지영
Keywords
Anesthesia; Local; Gow-Gates Mandibular Nerve Block; Molar; Third; Surgery; Oral
Issue Date
2011-06
Publisher
대한치과마취과학회
Citation
대한치과마취과학회지, 2011, 11(1), P.16-21(6)
Abstract
Background: Since introduced by Gow-Gates GA in 1973, Gow-Gates mandibular nerve block (GMNB) has played an important role in the area of dental local anesthesia. However, compared to the conventional inferior alveolar nerve block (IANB), this technique seems to fail to attract the attentions of general practitioners in South Korea. The aim of this study was to prove the clinical real value, mainly the anesthetic efficacy, of GMNB in minor oral surgery. Methods: The study group comprised 40 patients (15 males and 25 females) who were randomly allocated to receive GMNB or IANB for extraction of third molars. Both techniques utilized two 1.8 ml dental cartridges of 2% lidocaine including 1:100,000 epinephrine for each patient. Pulpal and gingival tissue anesthesia of mandibular premolars and molars were recorded at 0, 15 and 40 minutes after administration of local anesthetics using both an electric pulp tester and a sharp dental explorer. Results: The success rates of pulpal and gingival tissue anesthesia in the IANB group were not significantly different from the GMNB group in overall efficacy. Patient's and operator's satisfaction ratings were also not significantly different between two groups. Interestingly, the injection pain of GMNB group was significantly lower than that of IANB group. Conclusion: This study demonstrated that the anesthetic efficacy of pulpal and gingival tissue of GMNB was not inferior to that of IANB. The GMNB could be a good alternative of the IANB in most of minor oral surgical procedures.
URI
https://synapse.koreamed.org/DOIx.php?id=10.17245/jkdsa.2011.11.1.16
ISSN
1598-4044; 2383-7039
DOI
10.17245/jkdsa.2011.11.1.16
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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