Técnica Carrea o Técnica Anestésica del Agujero Palatino Posterior.
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2015-06
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Universidad de Guayaquil. Facultad Piloto de Odontología
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Las técnicas anestésicas tronculares se identifican por que realizan el bloqueo de un tronco nervioso consiguiendo la perdida de sensibilidad del lugar inervado por el nervio siendo estas maniobras adecuadas para insensibilizar extensas regiones y proporcionar mayor tiempo de analgesia a diferencia de la técnica infiltrativa que es más localizada y de menor duración y en ocasiones demanda de mayor cantidad de punciones. La investigación realizada tiene como objetivo dar a conocer como se realiza la técnica anestésica troncular superior sus beneficios ventajas y desventajas para así tener en cuenta la existencia de una buena opción cuando necesitemos anestesiar. La técnica anestésica troncular de Carrea se caracteriza por el bloqueo de un tronco nervioso fue aplicada por el Dr. Carrea J. en 1880 es por ello reconocida como Técnica de Carrea la cual está enfocada al bloqueo del nervio maxilar superior usando como vía de acceso para la colocación del anestésico al agujero palatino posterior para realizar esta técnica de Carrea se tomara como referencia la raíz distal del segundo molar y la línea marcada en el cetro del paladar la cual tiene el nombre de rafe medio de dos a tres milímetros entre estos puntos debiéndose palpar con el dedo una depresión que es el lugar de entrada al agujero palatino posterior ubicada la zona se secara con gasa y aplicara un anestésico tópico se infiltrara unas gotas de anestésico para insensibilizar el área de la intervención lentamente se introducirá la aguja con una angulación de 45° y una profundidad de 10mm se colocara lentamente el líquido anestésico y esperaremos de 2 a 3 minutos tiempo prudencial para que el anestésico haga su efecto y así conseguir un bloqueo más duradero y de mayor extensión para la realización de procedimientos quirúrgicos.
Troncular anesthetic techniques are identified by performing blocking nerve trunk getting lost sensitivity place these innervated by the nerve desensitizing suitable for large areas and provide greater analgesia time unlike the infiltration technique is still more localized maneuvers and shorter and sometimes demand as much punctures. This research was aimed to present the anesthetic technique as troncular superior benefits advantages and disadvantages in order to take into account the existence of a good choice when you need to anesthetize is performed. The anesthetic technique troncular of Carrea is characterized by blocking nerve trunk was applied by Dr. J. Carrea in 1880 is therefore recognized as Carrea technique which focuses the maxillary nerve block using as a gateway to placement of anesthetic to the posterior palatine foramen to perform this technique Carrea be taken as reference the distal root of the second molar and the line marked on the scepter of the palate which has the name of median raphe two to three millimeters between these points being due palpating finger depression which is the entry point to the posterior palatine foramen located the area dry with gauze and apply a topical anesthetic drops infiltrate anesthetic to numb the area of intervention slowly the needle is inserted at an angle of 45 ° and a depth of 10mm slowly placed the liquid anesthetic and wait for 2 to 3 minutes sufficient time for the anesthetic effect and thus achieve a more durable and longer extension for performing surgical procedures blocking.
Troncular anesthetic techniques are identified by performing blocking nerve trunk getting lost sensitivity place these innervated by the nerve desensitizing suitable for large areas and provide greater analgesia time unlike the infiltration technique is still more localized maneuvers and shorter and sometimes demand as much punctures. This research was aimed to present the anesthetic technique as troncular superior benefits advantages and disadvantages in order to take into account the existence of a good choice when you need to anesthetize is performed. The anesthetic technique troncular of Carrea is characterized by blocking nerve trunk was applied by Dr. J. Carrea in 1880 is therefore recognized as Carrea technique which focuses the maxillary nerve block using as a gateway to placement of anesthetic to the posterior palatine foramen to perform this technique Carrea be taken as reference the distal root of the second molar and the line marked on the scepter of the palate which has the name of median raphe two to three millimeters between these points being due palpating finger depression which is the entry point to the posterior palatine foramen located the area dry with gauze and apply a topical anesthetic drops infiltrate anesthetic to numb the area of intervention slowly the needle is inserted at an angle of 45 ° and a depth of 10mm slowly placed the liquid anesthetic and wait for 2 to 3 minutes sufficient time for the anesthetic effect and thus achieve a more durable and longer extension for performing surgical procedures blocking.
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MAXILAR SUPERIOR, SENSIBILIDAD DE LA DENTINA, PROCEDIMIENTOS QUIRURGICOS ORALES