Hadzic's Regional Anesthesia > Part VII. Regional Anesthesia for Pediatric Surgery > Chapter 55. Local & Regional Anesthesia in Pediatric General Dentistry Ilija Škrinjarić, DMD

Local & Regional Anesthesia in Pediatric General Dentistry: Introduction

"The practice of modern dentistry is inconceivable without the application of local anesthesia. The dentist has various devices and procedures available for achievement of local anesthesia at his/her disposal. However, it is a paradox that the local anesthesia procedure enables painless work in the mouth also causes patients the most discomfort and fear. Research has shown that the administration of the injection is the primary fear-inducing stimulus in children, and in patients in general.^1–5 The painful experience of the injection is the most frequent reason for fear of the dentist in children. Local anesthesia in children's dentistry not only enables the therapeutic procedure in the child, but also enables the child to experience the procedure as pleasant and to remain relaxed. Of interest, studies have also shown that not only does the child fear the painful procedure and discomfort during treatment, but that dentists are also more apprehensive.⁵Tissue damage by the needle

Pressure created by the anesthetic solution

Flow rate of the anesthetic

Temperature of the drug solution

pH of the anesthetic solution

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