El objetivo del presente estudio fue determinar la influencia de la alcalinización de lidocaína con adrenalina sobre el dolor, signos vitales y periodos anestésicos posteriores al bloqueo del nervio dentario inferior. Participaron 50 pacientes voluntarios, ASA I; a los que se les administró aleatoriamente un cartucho de lidocaína 2% con adrenalina 1:80 000 alcalinizada con bicarbonato de sodio y un cartucho de lidocaína 2% con adrenalina 1:80 000 no alcalinizada, con un intervalo de 7 días. Se evaluaron intensidad del dolor, signos vitales y periodos anestésicos (inicio de acción y duración del efecto). Se evidenció menor intensidad de dolor en el grupo de lidocaína alcalinizada (EVA=15 mm) en comparación al grupo de lidocaína no alcalinizada (EVA=19.5mm). Se demostró un tiempo de inicio de acción menor para el grupo de lidocaína alcalinizada (1,4 minutos) en comparació...

Trigeminal neuralgia (TN) is a painful neuropathic condition that involves one or more branches of the trigeminal nerve. The pain produced for the TN is described as a very intense acute pain, stabbing or shooting, as an electric shock that usually occurs of form unilateral and that goes all the way of the nerve involved. It is important to make the opportune diagnosis of the condition of TN for adequately differentiate of some odontogenic painful conditions and to prevent that the patient receive unnecessary treatment. The first line of treatment of the TN is the pharmacological therapy, in which is used as a drug of first choice to carbamazepine. The second line of treatment of TN is the non-pharmacological therapy, where include various options of surgical treatment: etiologic or symptomatic.

Trigeminal neuralgia (TN) is a painful neuropathic condition that involves one or more branches of the trigeminal nerve. The pain produced for the TN is described as a very intense acute pain, stabbing or shooting, as an electric shock that usually occurs of form unilateral and that goes all the way of the nerve involved. It is important to make the opportune diagnosis of the condition of TN for adequately differentiate of some odontogenic painful conditions and to prevent that the patient receive unnecessary treatment. The first line of treatment of the TN is the pharmacological therapy, in which is used as a drug of first choice to carbamazepine. The second line of treatment of TN is the non-pharmacological therapy, where include various options of surgical treatment: etiologic or symptomatic.

Ludwig’s angina is a rapidly progressive cellulitis that involves sub mandibular, sub lingual and submental spaces bilaterrally. This was due mainly to per apical infections of the second and third mandible molars. Due to the rapid advancement of the clinical (which in certain occasions could even threaten the patient’s life) it is extremely important to know clearly the criteria for early diagnosis of Ludwig’s angina, which will enable us to provide the most appropriate treatment to halt the progress of the clinical and will prevent the onset of life-threatening complications.

Ludwig’s angina is a rapidly progressive cellulitis that involves sub mandibular, sub lingual and submental spaces bilaterrally. This was due mainly to per apical infections of the second and third mandible molars. Due to the rapid advancement of the clinical (which in certain occasions could even threaten the patient’s life) it is extremely important to know clearly the criteria for early diagnosis of Ludwig’s angina, which will enable us to provide the most appropriate treatment to halt the progress of the clinical and will prevent the onset of life-threatening complications.