After-Pain Following the Use of Conductive Anesthesia*

Ralph H. Fouser, S. D. Salem
1922 Anesthesia and Analgesia  
4 has the distinction of being one of the most important factors in the tlevelopnierit of the present high state of perfection of our modern niethotls of dental practice, but there is still niuch to be desired, ivhich mill be d.eveloyed with our ever-increasing experience. Of the many methods and fads of modern dentistry. conductive anesthesia has held to an ever-increasing popularity especially when its use rests upon the scientific basis u i t h which it inust he employed to insure the
more » ... o insure the greatest degree of success. Kearly all of the profession have had access to a knowledge of conductive anesthesia. The technic is mastered bvith study and experience, but there is one feature of this method of anesthesia that is a niost important one in our conipl&te success, and it is one that has many times been i,ieglected. but often has given 11s serious concern, c . g., t k c pain follm.iri<g the opcmtion, xdrich +iiuiijl tiriics ?Pray Pr prcwiitrd adh n littlc r i r o w sfirtig urrd car'r i i i oitr irsr of this mrflrod of anesthesia, as tlic sirrcrssfirl frniiiiiatioii of l o c d ntirsfhrsiu is r i o t oiiiy u roiiijdrtc niicstlicsia birt t l i p rliuiitintioii of thc uffcr-pail1 t 4 i CIS y c a t cxtciit US possi1)lc. Causative Factors in After- Pain may be tlne t o several a causes. ;tnd it should 13: . the rffort o f the operator to tin(l thew causes and clirninatc them a s nearlj a s possilile to ohtain a ininirnum of after-pain. Ont' o l t l c mo5t frequent causes is srcr.qic-ril t m i r i n n from the manipulation of the tissues in thc operative procedure and traumatic injurx to thc hone and hone process. such a s excessive pressurc \rith elevators in the extraction o f broken-down roots and surgical extractiuns. also 0s T -0 PER AT I \'E P .4I N * Read liefore t l i e first District nental Society. \'ermiiiinn. South Dakota. in alvcolectoniie.; where raggcil edges of the process are 1-ft. with the tissues sutured too lightly over the edges. setting u p an irrit7tim anrl causing a reflex tvhch can e i v the patient tiiucli distress. .Also dressing.; that a r e placed lollow'n~: surgical operations in the mouth. and in cases of iiiflainniatioii where the dressings a r e placed too ti-lit there can he sct u p scvere irritation and pain: but with a careful check of all these causcs, and w't'i them eliminated to a s !, ireat an extent a s possil~lc. we ran look t? oiir anesthetic anrl o u r tec-linic for a further chec! to tniiiiiiiize our :: fter-pain which may he diie to this source. In conducti~i: anesthe'ia
doi:10.1213/00000539-192210000-00009 fatcat:gzyynhepkbflxourbi2gji42pq