How to give dental anesthesia to a patient without pain…..

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Today we are going to talk in the beautiful Iraqi language and some English terminology about a topic despite its simplicity and our knowledge of it, but it is very … very … very important because it is considered the main key to gaining the patient’s trust and trust in you as a pain-relieving doctor. Any pain mentioned to the patient, which is the subject of dental anesthesia….

Of course, let us keep in mind one thing: that the patient came to the clinic in pain most of the time, and we must remove his pain and not add pain to his pain…. Without making you dizzy, let’s see what are the details of this topic….

The topic of dental anesthesia is divided into two main parts:

  1. Upper jaw dental anesthesia (Infiltration)
  2. Lower jaw dental anesthesia (Block + Infiltration)

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How to give dental anesthesia without pain…..
How to give dental anesthesia to a patient without pain…..
Part 1 ( dental anesthesia for upper teeth )
Introduction:

Today we are going to talk in the beautiful Iraqi language and some English terminology about a topic despite its simplicity and our knowledge of it, but it is very … very … very important because it is considered the main key to gaining the patient’s trust and trust in you as a pain-relieving doctor. Any pain mentioned to the patient, which is the subject of dental anesthesia….
Of course, let us keep in mind one thing: that the patient came to the clinic in pain most of the time, and we must remove his pain and not add pain to his pain…. Without making you dizzy, let’s see what are the details of this topic….
Types of dental anesthesia:

The topic of dental anesthesia is divided into two main parts:

  1. Upper jaw dental anesthesia (Infiltration)
  2. Lower jaw dental anesthesia (Block + Infiltration)

Upper dental anesthesia:

Upper jaw dental anesthesia includes two directions:

  1. The lip + cheek side (buccally + labially), which is one way for all the teeth in the upper jaw, by placing the needle in the labial or cheek vestibule and parallel to the longitudinal axis of the tooth and inserting it a few millimeters without touching the bone and then we inject anesthesia, of course for each root that must have anesthesia Its own… For example, tooth No. 6 in the upper jaw has two buccally roots, namely the MB and the DB, and therefore we must inject anesthesia for the MB root and the DB root separately…. I think the point is clear…

. Zayn here, how can I let the patient feel the pain of the needle that she stunned us with and says that there should be no pain during the administration of anesthesia….

. Let us set an example and the examples are multiplied and not measured…. Let me imagine that I have a sheet of rubber dam and I want to pierce it with a needle or a needle. What is the way to make the needle pass more quickly through the sheet??? … Do I string or tighten the sheet if it is loose and not tight??? What will you say???? ….

. Of course, for sure, if I string or tighten the sheet, whether with my hand or fix it on the frame, the needle or needle will penetrate the sheet much faster compared to if the sheet is loose and not tight…. What is our dizziness, our headache, and our understanding of something….

. No, no, no, never, no dizziness, and the matter is very easy…. Let the vestibular tissue of the gums be treated like a sheet of rubber dam, and before the needle penetrates it, let it be slightly annotated and tightened by pulling it with a mirror towards the outside, and thus the needle or needle will penetrate it easily and quickly and without any pain mentioned by the patient …. Inject some anesthesia and remove the needle to numb the place without swelling, then re-enter the needle and inject the specified amount….

. And whoever is going to settle this method and complete the anesthesia, it will be sold to the patient, and the patient will sell it to you, and you both know what the aforementioned is… He tells you, come on, doctor, give me the anesthesia, don’t delay me and stress me out more, and you eat it.

. Abstract Brothers (buccally + labially) the tendon of the vestibular tissue and I pulled it before the needle penetrated it because there was no pain.

  1. The palatally side, which is also one method for all teeth in the upper jaw, by bending the needle or needle 90 degrees with its longitudinal axis or without bending, according to the doctor’s control, and placing the tapered part at an angle of 90 degrees or less with the tissue and close to the height of the root of the tooth to be anesthetized, and then We penetrate a few millimeters to anesthetize the tissue, and then we repeat entering the needle until the bone touch occurs, and we complete the anesthesia with slow injection….. Of course, this anesthesia is if you want a tooth extracted, or it is possible if a root filling is done, in special cases that are highly sensitive to tooth 4, 6, 7, or 8 due to the presence of a palatal root……

. Zayn here, I do not have a vestibule, no tissue that is not taut, or anything else… How can I inject anesthesia now without pain…. Here, it is difficult not to strain the tendon of the tissue… How can you not let him feel pain while you are saying that he must not feel pain… We have given a solution….

. Here, the solution exists, which is that we inform the patient and eat it. Here, the tissue is thick and has some minor pain. It is a simple lump and goes away. We insert the needle a little bit, inject a little bit, and take out the needle without swelling in the tissue. We wait for a few seconds for the initial anesthesia, and here is the idea to not cause pain to the patient. This is repeated by entering the needle until touching the bone, and then injecting slowly so as not to cause swelling and pain in the tissue and to ensure that the anesthesia will penetrate into the spongy bone of the upper jaw and reach the height of the root of the tooth to be anesthetized and anesthetize the nerve inside the tooth through the apical foramen and here it will not happen Pain for the patient and we inject the specified or required amount without any pain.

The summary, my brothers, is that on the palatal side, I must first numb some of the tissue and let it numb, and then continue penetrating the needle until touching the bone occurs because there is no pain for the patient as a result of penetrating the tissue without anaesthetizing the tissue…. In the sense that the needle entered directly from the first time until touching the bone and gave anesthesia because the length of time you penetrated the sick tissue suffers from severe pain because the tissue was not anesthetized at first…

The summary, my brothers, is that on the palatal side, I must first numb some of the tissue and let it numb, and then continue penetrating the needle until touching the bone occurs because there is no pain for the patient as a result of penetrating the tissue without anaesthetizing the tissue…. In the sense that the needle entered directly from the first time until touching the bone and gave anesthesia because the length of time you penetrated the sick tissue suffers from severe pain because the tissue was not anesthetized at first….. . Last but not least, for the upper jaw teeth, after giving anesthesia, we wait one minute and then proceed to work…. . Wait for us well, God willing, to complete the second part of the dental anesthesia of the mandible. Dr. Atheer Bashir Ahmed College of Dentistry / Karbala University