The management of inferior dental nerve blocks in different educational levels of dental clinic students Dr. Rene Puig Bentz, Pedro Henríquez Ureña National University.
Description
In dentistry, the use of anesthesia is of utmost importance for most of the procedures performed in this branch of health, which can be applied locally or generally, depending on the complexity of the case. The most commonly used anesthesia techniques in dentistry are trunk and infiltrative, with the trunk technique being the one that is most often complicated for various reasons: the location and position that the anesthetic cartridge must have, and the anatomical area that is usually difficult to palpate when placing the needle. This research was conducted by assessing each student according to their level of clinical training while performing the inferior alveolar nerve technique; a questionnaire was administered, and observations were made during their practice. This study was observational and descriptive with a cross-sectional design, focused on the inferior alveolar nerve blocking technique by students in the dental clinic. In general, 95.4% of the students believe the predominant symptoms after the anesthesia was administered to the inferior alveolar nerve are tingling and numbness. It was also observed that there is a positive relationship between the level of safety and the clinical level, meaning that at a higher clinical level, there is better safety in performing the block of the inferior alveolar nerve. In the case of clinical levels VI and VII, the good safety percentages are 43.5% and 58.6% respectively. It was determined that the success rate in execution is 58% for clinical I, 54% for clinical II, 34% for clinical III, 77% for clinical IV, 87% for clinical V, 74% for clinical VI, and 76% for clinical VII. As a result, the level of theoretical knowledge in each of the clinics is 54.8% for clinical I, 48.4% for clinical II, 47.6% for clinical III, 56.5% for clinical IV, 57.6% for clinical V, 58.4% for clinical VI, and 55.7% for clinical VII. And for the level of practical knowledge, it was 73.6% for clinical I, 62.8% for clinical II, 70.84 for clinical III, 68.1% for clinical IV, and 70.6% for clinical V, clinic VI, 78.7 clinic VII.
Files
Steps to reproduce
A form was created for data collection, consisting of three sections. • The first section includes questions about, their initials, the clinic they are attending. • An image of the lower arch to indicate the area that the student is intervening. The second section includes questions about IANB. • Item for the type of anesthesia used. • Item to describe the execution of the anesthetic technique applied by the student (anatomical area to be anesthetized, how, and where, how the syringe should be placed). • Item to describe how far the inferior alveolar nerve extends. • Item to describe where the inferior alveolar nerve is anatomically located. • Item for the anatomical areas that will be anesthetized after anesthesia is applied. • Item to describe the symptoms that the patient should feel after anesthesia is applied. These questions will be answered by the students in charge of the research. • Item to specify the number of anesthetic cartridges used by the student. • Item to specify the amount of anesthetic reinforcements (none, one, more than one) • Item to know what type of block technique the student used. In the third section, questions about the placement of the IANB. After anesthetizing the area, a wait of 2 to 5 minutes will be observed following the application. After this, the anesthetized area will be checked, and the patient will be asked (by the research student): 1. Do you feel your tongue heavy or any tingling? 2. How does your lip feel (left or right depending on the anesthetized area)? If the student answers 0 to 2 questions, their practical knowledge will be deemed deficient.
Institutions
- Universidad Nacional Pedro Henriquez Urena