Прегледај по Аутор "Stanojević, Mihael"

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    Anterior and middle superior alveolar block is efficient for maxillary premolar teeth extractions regardless of the injection system or anesthetic with adrenaline used
    (Serbian Medical Association, 2016) Tomić, Slavoljub; Simić, Ivana; Stanojević, Mihael; Janković, Svetlana; Todorović, Ljubomir
    Introduction The anterior and middle superior alveolar nerve block was claimed to be unpredictably efficient for clinical application. Objective The aim of this report was to establish the efficacy of the anterior and middle superior alveolar nerve block, applied with a computer-controlled injection system or a conventional syringe, for upper premolars extraction. Methods Sixty healthy adults were divided into two groups regarding the device used as follows: the first group was injected by a computer-controlled injection system, and the second group by a conventional syringe. Pain ratings were obtained via a visual analog scale (VAS) and a verbal rating scale (VRS). Results Anterior and middle superior alveolar injection enabled a painless extraction in all patients, regardless of the local anesthetic or injection system used. It was slightly less painful when administered by a computer-controlled injection system, but insignificantly when evaluated by VRS. Conclusion The anterior and middle superior alveolar nerve block may be recommended if maxillary permanent premolars have to be extracted
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    Efficacy of the anterior and middle superior alveolar nerve block in achieving pulpal anesthesia of maxillary teeth
    (Serbian Medical Association, 2019) Tomić, Slavoljub; Davidović, Lado; Božović, Đorđe; Stanojević, Mihael; Cicmil, Smiljka; Tatić, Zoran; Bubalo, Marija; Todorović, Ljubomir
    Introduction The anterior and middle superior alveolar (AMSA) nerve block is an alternative technique of local anesthesia in the maxilla, unpredictably efficient for pulpal anesthesia. The aim of this study was to determine the anesthetic efficacy of the AMSA injection for pulpal anesthesia, using computer-controlled injection system or conventional syringe, and two local anesthetic solutions with or without adrenaline. Methods The authors administered two AMSA injections during two separate appointments, utilizing the computer-controlled system and conventional syringe to 40 subjects, divided into two groups of 20 subjects each depending on the local anesthetic used. A pulp tester was used to test the achieved anesthesia of the central and lateral incisors, canine, first and second premolars, and the first molar in 10-minute cycles over a period of 60 minutes. Duration of anesthesia for all the mentioned teeth was also determined for both the anesthetic solutions and ways of application. Results The AMSA injection with both types of equipment was successful, showing slow onset, satisfying intensity, and declining duration of pulpal anesthesia at the last two measurements. Local anesthetic with vasoconstrictor exhibited a significantly longer pulpal anesthesia. Conclusion The AMSA nerve block could be recommended for achieving pulpal anesthesia of maxillary teeth from the region of the first incisor to the second premolar.