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Systemic Reactions of Intraosseous (Vascular, Spongy) Anesthesia

Dr. A.Z.Petrikas, Dr. D.V.Medvedev, Dr. O.E.Efimova, Dr. L.A.Yakupova, Dr. E.V.Chestnyh, Dr. E.B.Olkhovskya

Separation of the methods of local anesthesia on diffuse and vascular that we proposed [Petrikas et al], is related to the safety of dental spongy anesthesia.

PURPOSE: To evaluate the systemic complications of dental spongy vascular injection based on publications and our records. Spongy anesthesia containing epinephrine, in each subject causes systemic reactions of the sympathetic or parasympathetic type, usually the first. There are significant changes in heart rate and systolic blood pressure. They do develop in the first minute, falling to fourth. They are not typical to classical anesthesia. Headache and tachycardia are specific symptoms of severe systemic reactions to spongy injection. Chest pain is another terrible symptom. After classic (293) and spongy (431) anesthesia it was analyzed 17/56 systemic complications, properly. Quantitatively, the complication to vascular (spongy) injection was more common. It is essential that the vegetative (sympathetic and parasympathetic) reactions were observed only after a spongy injection. All reactions - complications were mild, transient and reversible. However, the transformation of reactions in severe complications are possible, as was the case in the 70s.