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An update on local anaesthesia in orthodontics
From Volume 11, Issue 3, July 2018 | Pages 86-92
Article
Until relatively recently, the administration and use of local anaesthesia (LA) could not be counted as part of an orthodontist's routine clinical practice, particularly as procedures such as pericision and fraenectomy are relatively infrequently performed in contemporary orthodontics. With the advent of temporary anchorage devices, an orthodontist is now faced with the need to achieve adequate anaesthesia to enable their placement. Temporary Anchorage Devices (TADs) are the most common orthodontic surgically placed implants and are placed buccally between the roots of teeth in both the mandible and maxilla and also palatally in the maxilla. Less commonly, mid-palatal osseointegrated implants can be placed and are used in combination with appliances such as a palatal arch1 (Figure 1).
This article gives an overview of pain pathways and the mode of action of topical and local anaesthetics, along with providing some practical tips on their use.
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