Evidence map›Paper›PMID 42037812›Full record

ReviewCureus2026

The Role of Local and General Anaesthesia in Modern Dental Practice: Clinical Decision-Making Frameworks, Patient Selection, Trends, Challenges, and Outcomes.

Vaibhav Anand, Solanki Sohini Nareshkumar, Ena Maakhni, Kumari Priyanka Shrivastava, Vikram Arora, Jyoti Mathur

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Vaibhav AnandDepartment of Oral and Maxillofacial Surgery, Uttar Pradesh University of Medical Sciences, Saifai, IND.
Solanki Sohini NareshkumarDepartment of Anaesthesiology, Dr. Panjabrao Deshmukh Memorial Medical College, Amravati, IND.
Ena MaakhniDepartment of Dentistry, All India Institute of Medical Sciences, Gorakhpur, Gorakhpur, IND.
Kumari Priyanka ShrivastavaDepartment of Oral Pathology and Microbiology, Rajasthan University of Health Sciences (RUHS), Jaipur, IND.
Vikram AroraDepartment of Public Health Dentistry, ITS Dental College, Hospital and Research Centre, Greater Noida, IND.
Jyoti MathurDepartment of Pedodontics and Preventive Dentistry, Dharmsinh Desai University, Nadiad, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anaesthesia is essential in modern dental practice for ensuring patient comfort and enabling safe and effective dental procedures. Increasing procedural complexity, a growing population of medically vulnerable patients, and higher expectations for safe outpatient care intensify the demand for anaesthetic approaches aligned with contemporary clinical standards. Despite substantial advancements in pharmacology and monitoring, inconsistencies persist in clinical decision-making, patient selection criteria, and the integration of safety standards across diverse dental settings, creating variability in practice and outcomes. This review aims to synthesise updated knowledge on local and general anaesthesia in dentistry, with emphasis on techniques, pharmacological principles, clinical challenges, and emerging innovations influencing patient outcomes. A targeted search of major scientific databases is conducted to identify literature published between 2015 and 2025, using predefined inclusion and exclusion criteria to ensure relevance and currency. The narrative review integrates evidence related to patient selection, perioperative monitoring requirements, complication profiles, and considerations for high-risk populations. Technological developments, including ultrasound-guided techniques, computer-assisted delivery systems, and sustained-release local anaesthetic formulations, are examined for their role in improving precision and safety. Ethical considerations, informed consent, and global practice standards are addressed to provide a comprehensive perspective on current practice. Advances in anaesthetic pharmacology, monitoring, and delivery strengthen procedural safety and patient experience in dental care. Continued research, along with wider adoption of standardised guidelines, remains necessary to improve consistency, safety, and quality of dental anaesthetic practice across diverse clinical settings worldwide.

Indexed as

anaesthesia techniquesdental practicemonitoring standardspatient outcomespharmacological innovations

Identifiers

PMID42037812
PMCPMC13108121

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.