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ISSN 0001-0944 (Impreso)
Órgano Oficial de la Asociación Dental Mexicana

2015, Número 6

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Rev ADM 2015; 72 (6)


Comprendiendo y combatiendo el fracaso anestésico en odontología

Chavarría BD, Rodríguez WL, Pozos GAJ

Idioma: Español
Referencias bibliográficas: 77
Paginas: 290-298
Archivo PDF: 221.28 Kb.


RESUMEN

El fracaso anestésico en odontología es un tema de constante investigación, ya que se presenta con frecuencia a la hora de realizar bloqueos del nervio alveolar inferior (BNAI) y en pacientes con pulpitis irreversible o procesos infecciosos. Son múltiples las causas que se han asociado al fracaso, entre las que destacan: factores anatómicos, bioquímicos, fisiológicos, patológicos, psicológicos, operatorios y aquellos relacionados con la solución anestésica per se. Una buena anestesia es un punto crítico a lograr en cualquier tratamiento dental y por eso se han propuesto diversas estrategias clínicas y farmacológicas como uso de técnicas suplementarias, utilización de dispositivos y coadyuvantes anestésicos, empleo de soluciones anestésicas distintas, modificación de los anestésicos, utilización de premedicación analgésica e incluso la aplicación local de analgésicos y otro tipo de fármacos; todo con el fin de compensar y tratar de disminuir el fracaso anestésico.


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