Dental Pain Relief in the Age of ALTO

Adv Emerg Nurs J. 2019 Jul/Sep;41(3):229-233. doi: 10.1097/TME.0000000000000260.


The opioid public health crisis necessitates that health care providers seek alternatives to opioid pain control. For patients presenting with dental pain, a dental nerve block provides effective, long-lasting pain relief without the use of opioid pain medications. This article presents the techniques required to safely and effectively administer 3 types of dental nerve blocks, allowing the emergency nurse practitioner to provide effective pain control to patients with dental pain.

Publication types

  • Review

MeSH terms

  • Analgesics, Opioid / therapeutic use
  • Emergency Service, Hospital
  • Humans
  • Mouth Diseases / complications*
  • Mouth Diseases / nursing
  • Nerve Block / methods*
  • Nerve Block / nursing
  • Pain / etiology*
  • Pain / nursing
  • Pain / prevention & control*
  • Pain Management / methods*
  • Pain Management / nursing


  • Analgesics, Opioid