Local Anaesthesia in Dentistry 2nd Edition by Jacques Baart, Henk Brand ISBN 9783319437057

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ISBN 10: 
ISBN 13: 9783319437057
Author: Jacques Baart, Henk Brand

This book, richly illustrated in full colour, is a comprehensive guide to the use of local anaesthesia in dentistry that will meet the needs of both students and dental practitioners. It provides the reader with ample background information on the origin of pain and the pharmacology of anaesthetics, and describes the anatomy of the trigeminal nerve in detail. Subsequent chapters cover key are as such as general practical aspects, local anesthaesia in the upper and the lower jaw, the use of local anaesthetics in children, local and systematic complications, and the prevention of side effects. Patients at particular risk of adverse effects are identified and attention drawn to significant legal aspects. This second edition has been completely revised, with more attention to safety, environment, and sterility. Additional injection techniques have been included, and a new chapter is devoted to microprocessor-assisted administration of anaesthetics. Throughout, care has been taken to ensure that the information is clearly presented and the text is easy to read. 

Local Anaesthesia in Dentistry 2nd Table of contents:

Chapter 1: Introduction to Local Anaesthesia

• Definition and Importance in Dentistry
• Historical Development of Local Anaesthesia
• Basic Principles of Local Anaesthesia
• Mechanisms of Action
• Role of Local Anaesthesia in Pain Management

Chapter 2: Pharmacology of Local Anaesthetic Agents

• Chemical Structure and Classification
• Mechanisms of Action of Local Anaesthetics
• Absorption, Distribution, Metabolism, and Excretion
• Factors Influencing the Effectiveness of Local Anaesthesia
• Commonly Used Local Anaesthetic Agents in Dentistry
  • Lidocaine
  • Articaine
  • Bupivacaine
  • Mepivacaine
  • Prilocaine
• Adjuncts and Vasoconstrictors (e.g., Epinephrine)

Chapter 3: Anatomical and Physiological Considerations

• Basic Anatomy of the Oral Cavity and Surrounding Structures
• Nerve Anatomy and Pathways in the Head and Neck
• Key Nerve Blocks in Dentistry
  • Inferior Alveolar Nerve Block
  • Posterior Superior Alveolar Block
  • Anterior and Middle Superior Alveolar Blocks
  • Mental Nerve Block
• Understanding Variation in Anatomy and Implications for Anesthesia

Chapter 4: Techniques for Local Anaesthesia in Dentistry

• Techniques for Infiltration Anaesthesia
• Nerve Blocks: Indications, Techniques, and Applications
• Topical Anesthesia Techniques
• Success Factors for Effective Anaesthesia
• Patient Positioning and Needle Placement
• Pain Minimization During Injection
• Troubleshooting Common Problems (e.g., Failed Blocks)

Chapter 5: Regional Anaesthesia Techniques

• Mandibular Nerve Blocks
  • Inferior Alveolar Block
  • Gow-Gates Block
  • Vazirani-Akinosi Block
• Maxillary Nerve Blocks
  • Posterior Superior Alveolar Block
  • Anterior and Middle Superior Alveolar Blocks
• Pterygopalatine and Infraorbital Nerve Blocks
• Nerve Blocks in Special Clinical Scenarios

Chapter 6: Management of Complications and Side Effects

• Common Side Effects (e.g., Vasovagal Response, Hematoma)
• Allergic Reactions and Sensitivities to Local Anaesthetics
• Overdose and Toxicity: Symptoms and Management
• Systemic Reactions: Hypotension, Tachycardia, Seizures
• Managing Failed Anaesthesia: Causes and Solutions
• Prevention and Management of Needle-related Injuries

Chapter 7: Local Anaesthesia in Special Populations

• Pediatric Patients: Dosage, Techniques, and Considerations
• Geriatric Patients: Adjustments for Age and Medical Conditions
• Pregnant and Lactating Women: Safety Considerations
• Medically Compromised Patients: Hypertension, Diabetes, Asthma
• Patients with Allergies to Local Anaesthetic Agents
• Sedation and Local Anaesthesia in Complex Cases

Chapter 8: Patient Management and Communication

• Psychological Considerations in Dental Anesthesia
• Effective Communication with Anxious Patients
• Informed Consent for Local Anaesthesia
• Managing Patient Expectations and Fears
• Post-operative Care and Pain Management

Chapter 9: Innovations and Advancements in Local Anaesthesia

• New Local Anaesthetic Agents and Techniques
• Advances in Needle Technology and Injection Devices
• Computer-Assisted Anesthesia Systems
• The Role of Laser and Cryoanaesthesia in Dentistry
• Research and Future Directions in Dental Anaesthesia

Chapter 10: Legal, Ethical, and Safety Considerations

• Legal Aspects of Administering Local Anaesthesia
• Ethical Principles in Local Anaesthesia Use
• Documentation and Record-Keeping Standards
• Infection Control Practices in Local Anaesthesia
• Adverse Event Reporting and Risk Management

Chapter 11: Case Studies and Clinical Scenarios

• Case Study 1: Management of Anxious Pediatric Patients
• Case Study 2: Complications with Regional Nerve Blocks
• Case Study 3: Anaesthesia in a Medically Complex Patient
• Case Study 4: Innovation in Anaesthesia Techniques for Wisdom Teeth Extraction
• Clinical Outcomes and Analysis of Treatment Successes

Chapter 12: Review and Summary

• Summary of Key Principles and Techniques
• Key Takeaways for Clinical Practice
• Challenges and Opportunities in Local Anaesthesia
• Final Thoughts on the Role of Local Anaesthesia in Dentistry

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