Acupuncture Improves Anesthetic Response During Dental
The authors report on a pilot study they undertook to
investigate if segmental acupuncture treatment, given two minutes prior to a
regional inferior dental block (ID) with Prilocaine Hydrochloride, would reduce
the onset time of a local anesthetic.
Thirty healthy people who needed a regional inferior dental block (ID) as part
of dental treatment in the lower jaw were randomly allocated to three groups.
They received segmental acupuncture, heterosegmental superficial acupuncture, or
standard treatment (regional inferior dental block) without acupuncture.
All tested patients reported sufficient anesthesia during the drilling test. In
the segmental acupuncture group, anesthesia was achieved after 62 seconds,
compared to the heterosegmental superficial acupuncture group, which took 115
seconds and the control group -- who received standard treatment only -- and
took 119 seconds.
It appears from this pilot study that the onset time of local anesthesia is
reduced if segmentally administered acupuncture is given prior to the regional
inferior dental block. However, it needs to be reproduced including objective
Rosted P. and Bundgaard M. Can acupuncture reduce the induction time of a local
anesthetic?--A pilot study. Acupuncture in Medicine: Journal of the British
Medical Acupuncture Society 21(3):92-9.
Acupuncture May Not Be Contraindicated for Patients with
Valvular Heart Disease
Endocarditis has been reported in patients with valvular heart
disease who have undergone acupuncture treatment, although most has been
associated with the use of semi-permanent needles. This has led reviewers to
suggest that acupuncture may not only be contraindicated in such patients but
that prophylactic antibiotics should be given.
study investigated the use of acupuncture treatment in 36 patients with proven
valvular heart disease and observed whether endocarditis developed in such
patients. All patients in a single-handed GP practice with proven valvular heart
disease, including those with prosthetic valves, were identified over a ten-year
period. Those who had undergone acupuncture treatment underwent a clinical
examination and diagnostic tests that focused on the signs, symptoms and
laboratory criteria for the diagnosis of endocarditis and included a
Based on these clinical
and laboratory data, patients were identified as having definite or possible
endocarditis, or the diagnosis was rejected. All patients underwent brief
acupuncture with no skin disinfectant and no prophylactic antibiotics were
given. Semi-permanent needles were avoided.
endocarditis was not found in any patient, but two patients had possible
endocarditis, which was eventually discounted by both negative blood cultures
and echocardiography. The researchers conclude that brief acupuncture was safe
in this small cohort of valvular heart disease patients and no case of
endocarditis was detected over a ten-year period.
Stellon A. Acupuncture in patients with valvular heart disease and prosthetic
valves. Acupuncture in Medicine: Journal of the British Medical Acupuncture