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. 1987 Sep-Oct;34(5):181–186.

A Comparison of the Periodontal Ligament Injection Using 2% Lidocaine with 1:100,000 Epinephrine and Saline in Human Mandibular Premolars

Kerry D Moore, Al Reader, William J Meyers, Mike Beck, Joel Weaver
PMCID: PMC2148545  PMID: 3479918

Abstract

The purpose of this study is to evaluate, with the electric pulp tester, the anesthetic efficacy of the periodontal ligament injection using 2% lidocaine with 1:100,000 epinephrine and saline in human mandibular premolars. The periodontal ligament injection using 2% lidocaine with 1:100,000 epinephrine was found to be an effective technique for anesthetizing mandibular first premolars. However, the duration of profound pulpal anesthesia was approximately 10 minutes. The periodontal ligament injection using sterile saline was not an effective technique for anesthesia. Teeth mesial and distal to the injected tooth may also become anesthetized with this injection technique. The initial needle penetration and injection of the anesthetic solution in clinically healthy teeth were only mildly discomforting. No increase in tooth mobility was observed 45 minutes after the periodontal ligament injection. No clinically observable pulpal or periodontal damage was seen at 3 weeks after the injection.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Birchfield J., Rosenberg P. A. Role of the anesthetic solution in intrapulpal anesthesia. J Endod. 1975 Jan;1(1):26–27. doi: 10.1016/S0099-2399(75)80246-9. [DOI] [PubMed] [Google Scholar]
  2. Birn H. The vascular supply of the periodontal membrane. An investigation of the number and size of perforations in the alveolar wall. J Periodontal Res. 1966;1:51–68. doi: 10.1111/j.1600-0765.1966.tb01846.x. [DOI] [PubMed] [Google Scholar]
  3. Brännström M., Nordenvall K. J., Hedström K. G. Periodontal tissue changes after intraligamentary anesthesia. ASDC J Dent Child. 1982 Nov-Dec;49(6):417–423. [PubMed] [Google Scholar]
  4. Dreven L. J., Reader A., Beck M., Meyers W. J., Weaver J. An evaluation of an electric pulp tester as a measure of analgesia in human vital teeth. J Endod. 1987 May;13(5):233–238. doi: 10.1016/s0099-2399(87)80097-3. [DOI] [PubMed] [Google Scholar]
  5. Dreyer W. P., van Heerden J. D., de V Joubert J. J. The route of periodontal ligament injection of local anesthetic solution. J Endod. 1983 Nov;9(11):471–474. doi: 10.1016/S0099-2399(83)80161-7. [DOI] [PubMed] [Google Scholar]
  6. Faulkner R. K. The high-pressure periodontal ligament injection. Br Dent J. 1983 Feb 19;154(4):103–105. doi: 10.1038/sj.bdj.4805004. [DOI] [PubMed] [Google Scholar]
  7. Fuhs Q. M., Walker W. A., 3rd, Gough R. W., Schindler W. G., Hartman K. S. The periodontal ligament injection: histological effects on the periodontium in dogs. J Endod. 1983 Oct;9(10):411–415. doi: 10.1016/S0099-2399(83)80254-4. [DOI] [PubMed] [Google Scholar]
  8. Grainger J. K. Intraligamentary anaesthesia. Dent Anaesth Sedat. 1982 Aug;11(2):45–49. [PubMed] [Google Scholar]
  9. Kaufman E., Galili D., Garfunkel A. A. Intraligamentary anesthesia: a clinical study. J Prosthet Dent. 1983 Mar;49(3):337–339. doi: 10.1016/0022-3913(83)90273-1. [DOI] [PubMed] [Google Scholar]
  10. Kaufman E., Weinstein P., Milgrom P. Difficulties in achieving local anesthesia. J Am Dent Assoc. 1984 Feb;108(2):205–208. doi: 10.14219/jada.archive.1984.0470. [DOI] [PubMed] [Google Scholar]
  11. Khedari A. J. Alternative to mandibular block injections through intraligamental anesthesia. Quintessence Int Dent Dig. 1982 Feb;13(2):231–237. [PubMed] [Google Scholar]
  12. Lin L., Lapeyrolerie M., Skribner J., Shovlin F. Periodontal ligament injection: effects on pulp tissue. J Endod. 1985 Dec;11(12):529–534. doi: 10.1016/S0099-2399(85)80198-9. [DOI] [PubMed] [Google Scholar]
  13. Littner M. M., Tamse A., Kaffe I. A new technique of selective anesthesia for diagnosing acute pulpitis in the mandible. J Endod. 1983 Mar;9(3):116–119. doi: 10.1016/S0099-2399(83)80109-5. [DOI] [PubMed] [Google Scholar]
  14. Malamed S. F. The periodontal ligament (PDL) injection: an alternative to inferior alveolar nerve block. Oral Surg Oral Med Oral Pathol. 1982 Feb;53(2):117–121. doi: 10.1016/0030-4220(82)90273-0. [DOI] [PubMed] [Google Scholar]
  15. Montagnese T. A., Reader A., Melfi R. A comparative study of the Gow-Gates technique and a standard technique for mandibular anesthesia. J Endod. 1984 Apr;10(4):158–163. doi: 10.1016/S0099-2399(84)80120-X. [DOI] [PubMed] [Google Scholar]
  16. Pashley E. L., Nelson R., Pashley D. H. Pressures created by dental injections. J Dent Res. 1981 Oct;60(10):1742–1748. doi: 10.1177/00220345810600100301. [DOI] [PubMed] [Google Scholar]
  17. Peurach J. C. Pulpal response to intraligamentary injection in the cynomologus monkey. Anesth Prog. 1985 Mar-Apr;32(2):73–75. [PMC free article] [PubMed] [Google Scholar]
  18. Simon D. E., 3rd, Jacobs T. L., Senia E. S., Walker W. A., 3rd Intraligamentary anesthesia as an aid in endodontic diagnosis. Oral Surg Oral Med Oral Pathol. 1982 Jul;54(1):77–78. doi: 10.1016/0030-4220(82)90420-0. [DOI] [PubMed] [Google Scholar]
  19. Smith G. N., Walton R. E., Abbott B. J. Clinical evaluation of periodontal ligament anesthesia using a pressure syringe. J Am Dent Assoc. 1983 Dec;107(6):953–956. doi: 10.14219/jada.archive.1983.0357. [DOI] [PubMed] [Google Scholar]
  20. Smith G. N., Walton R. E. Periodontal ligament injection: distribution of injected solutions. Oral Surg Oral Med Oral Pathol. 1983 Mar;55(3):232–238. doi: 10.1016/0030-4220(83)90319-5. [DOI] [PubMed] [Google Scholar]
  21. Walton R. E., Abbott B. J. Periodontal ligament injection: a clinical evaluation. J Am Dent Assoc. 1981 Oct;103(4):571–575. doi: 10.14219/jada.archive.1981.0307. [DOI] [PubMed] [Google Scholar]
  22. Walton R. E., Garnick J. J. The periodontal ligament injection: histologic effects on the periodontium in monkeys. J Endod. 1982 Jan;8(1):22–26. doi: 10.1016/S0099-2399(82)80312-9. [DOI] [PubMed] [Google Scholar]

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