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Neurosensorische Störungen nach Lokalanästhesie

  • W. JakobsEmail author
CME

Zusammenfassung

Das in der neueren Literatur immer wieder diskutierte Problem neurosensorischer Störungen nach Leitungsanästhesie ist, vergleicht man die absoluten Zahlen, nicht von großer klinischer Relevanz. Überwiegend werden zwei mögliche Ursachen für das Auftreten von neurosensorischen Störungen nach Lokalanästhesie diskutiert, die mechanische Verletzung des Nervs bei der Injektion und die mögliche neurotoxische Wirkung des Lokalanästhetikums. Ein Zusammenhang von neuropathologischen Komplikationen bei zahnärztlicher Lokalanästhesie und der Anwendung einer bestimmten lokalanästhetischen Substanz ist nicht belegt. Die in einigen Publikationen ausgesprochene Empfehlung, weitgehend auf die Anwendung einer Leitungsanästhesie zu verzichten und eine intraligamentäre Anästhesie vorzunehmen oder auf die Anwendung von Articain zu verzichten, ist durch die derzeitige Studienlage nicht belegbar.

Schlüsselwörter

Leitungsanästhesie Lokalanästhetika Nervenverletzung Neurotoxizität Articain 

Neurosensory disorders after local anesthesia

Abstract

The problem of neurosensory disorders after local anesthesia is a recurrent topic in the more recent literature, even if the absolute numbers do not indicate a high clinical relevance. The two mechanisms predominantly discussed as being the cause of neurosensory disorders after local anesthesia are mechanical injury to the nerve during injection and the possible neurotoxic effects of the local anesthetic. An association between neuropathic complications of dental local anesthesia and the use of a particular local anesthetic has not been demonstrated. The recommendation stated in a number of publications to generally avoid the inferior alveolar nerve block and instead favor intraligamentary anesthesia cannot be endorsed by the currently available evidence.

Keywords

Anesthesia, infiltration Local anesthetics Nerv injuries Neurotoxicity Articaine 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

W. Jakobs weist auf folgende Beziehung hin: Autor und Referent zum Thema zahnärztliche Anästhesie in Lokalanästhesie für verschiedene Hersteller von Pharmazeutika.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Copyright information

© Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019

Authors and Affiliations

  1. 1.SpeicherDeutschland

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