THE TOPICAL ANESTHESIA WITH EMLA CREAM IN CHILDREN : A CASE REPORT

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Journal of the Korean Academy of Pediatric Dentistry 2002;29(1):69-75.
Published online February 28, 2002.

THE TOPICAL ANESTHESIA WITH EMLA CREAM IN CHILDREN : A CASE REPORT

소아에서 EMLA cream을 이용한 도포마취 : 증례보고

김희진, 고승백, 홍성수, 이창섭, 이상호

조선대학교 치과대학 소아치과학교실

Abstract

A number of techniques may be employed to reduce the discomfort of syringe or needle for dental care. The use of topical anesthesia is one such method. Topical anesthetics are applied to alleviate pain during many clinical procedures, such as injection of local infiltration anesthetics, primary tooth extraction, X-ray taking of sensitive patients, reducing gag reflex prior to impression taking. In children, placement of a rubber dam clamp, however, may cause significant discomfort for purpose of pit and fissure sealant and preventive resin restoration(PRR). A topical anesthetic would be beneficial to aid in rubber dam placement for this purpose. It has been suggested that all intra-oral topical anesthetics are equally effective on reflected mucosa, however EMLA(an acronym for eutectic mixture of local anesthetics), which was developed in the 1980s and produces surface anesthesia of skin, has been shown to be more effective than conventional topical anesthetics when used on attached gingivae. This report is topical anesthesized 4 case by EMLA cream, who showed better effect in reducing the pain of infiltration anesthesia, extraction of deciduous teeth, rubber dam clamp placement and reducing the pain of preformed crown adaptation.

Key Words: Topical anesthesia, EMLA cream