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1990年以来,作者应用Веǔсбрем提出的由上颌结节进入翼腭凹麻醉法,拔除上颌磨牙及前磨牙610例(共720颗),其麻醉效果良好,现总结如下: 一、临床资料:本组拔牙病例年龄9～72岁,其中有不松牙、颊侧阻生牙,残根、残冠等,双尖牙82颗,876 678区域牙638颗。麻醉效果:Ⅰ级(良好)为麻醉3～10分钟出现同侧鼻唇麻木,牙龈无刺痛,牙摘除无痛;Ⅱ级(较差)为麻醉10分钟以上,不感鼻唇麻木,牙摘除有轻微疼痛。本组610例中,Ⅰ级者共592例,占97％,Ⅱ级者18例占3％,而较差的18例中,双尖牙占12例,良好率占97％,明显低于后磨牙(P<0.05)。
Since 1990, the author applied Веǔсбрем proposed by the maxillary nodules into the pterygium and pterygium anesthesia, removal of maxillary molar and premolar 610 cases (a total of 720), the anesthetic effect is good, are summarized as follows: First, the clinical data: This group Tooth extraction cases aged 9 to 72 years, of which there are not loose teeth, buccal incisors, residual roots, residual crowns, etc., 82 canines, 876 678 regional teeth 638. Narcotic effect: Ⅰ grade (good) for 3 to 10 minutes of anesthesia appears ipsilateral nasal lip numbness, gums without stinging, tooth removal painless; Ⅱ grade (poor) for more than 10 minutes of anesthesia, A slight pain. The group of 610 cases, a total of 592 cases of grade Ⅰ, accounting for 97%, Ⅱ grade 18 cases accounted for 3%, and poor 18 cases, 12 cases of bicuspid, the good rate was 97%, significantly lower than Post-molar (P <0.05).