E. Simeonova¹, S. Canova¹, P. Zagorchev², S. Dimitrova¹, N. Mussurlieva³

¹MU- Plovdiv, Faculty of Dental Medicine, Department of Operative Dentistry and Endodontics

²MU- Plovdiv, Faculty of Pharmacy, Department of Medical Physics, Biophysics and Mathematics

³MU- Plovdiv, Faculty of Public Health, Department of Social Medicine and Public Health

The achieving of adequate pulpal anesthesia of mandibular molars with irreversible pulpitis is a challenge for the dentist.

Aim: The aim of the questionnaire is to explore those used in dental practice methods and difficulties in anesthesia of mandibular molars with irreversible pulpits and the use of alternative techniques of anesthesia.

Material and methods: A survey containing 11 questions, of which 2 are multiple choice questions, was distributed among 143 dentist, aged between 26 and 76, with different situated dental practice, during scientific conferences held in the country.

Results: About 60% of respondents use inferior alveolar nerve block in combination with additional anesthesia (intraligamentary or intrapulpal injection) during endodontic treatment of irreversible pulpitis of mandibular molars. Approximately 45% of respondents cited that the disadvantages of the inferior alveolar nerve block is the lack of effectiveness in achieving adequate anesthesia. About 40% of respondents are not familiar with the technique and systems for intraosseous anesthesia as an alternative method of anesthesia due to lack of promotion.

Conclusions: The inefficiencies of inferior alveolar nerve block requires the use of additional techniques of anesthesia. Intraosseous anesthesia is not preferred and used method of pain relief due to lack of sufficient awareness and doubt its effectiveness.

Keywords: survey, inferior alveolar nerve block, intraosseous anesthesia