Today I was back on on cloud nine, never mind the patient. I completed a case that would have been THE perfect advert for Relative Analgesia
A young girl of 11/12 yrs of age required the extraction of 6 deciduous teeth for ortho.All were moderately firm. They were:
Upper e/cde and
lower e/e
She is a "bit of a madam" and came into the surgery with Mum, who is a sensible type." Is this going to hurt?” she says........... You get the picture! After a little banter careful explanation and reassurance she easily accepted the nasal mask.Then, under the influence of RA, titrated, in her case to 50% N2O: 50% O2 (remember every case is different) she became very well sedated. Topical was applied during the induction on CWRs to all 4 quadrants. Mother was happy to leave the room at this point.
Buccal infiltrations for all 4 quadrants plus lingual infiltrations for lower e/e plus bilateral palatal infiltrations for the upper teeth and not a murmur or a blink from her. (Yes, that is 8 x LA injections).All gingival margins probed to ensure adequate LA and all extns. carried out without so much as twitch from her.Recovery, as always was swift, mother returned to the surgery during O2 recovery phase and she left the surgery 31 minutes after entering.
Brilliant, it really made my day. I only wish I had video'd the case. There will be others.
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