Comparing Buccal Infiltration and Inferior Alveolar Nerve Block for Extraction of Mandibular Teeth

NCT ID: NCT04294745

Last Updated: 2023-10-02

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-02-01

Study Completion Date

2020-01-30

Brief Summary

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This study compares the effectiveness of two techniques of local anesthesia in the extraction of mandibular teeth. One group received inferior alveolar nerve block and the other group received buccal infiltration of 4% Articaine

Detailed Description

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Inferior alveolar nerve block is the commonly used local anesthetic injection technique for extraction of mandibular teeth. Buccal infiltration technique alone is considered to be ineffective in treating mandibular teeth due to the thickness of buccal cortical plate. However, buccal infiltration, if provided with an agent with higher penetration capability, may be used instead of Inferior alveolar nerve block. Articaine, due to its thiophene ring, has higher liposolubility and bony diffusion than any other agent.

This study compares the effectiveness of inferior alveolar nerve block and buccal infiltration using 4% Articaine in the extraction of mandibular teeth

Conditions

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Buccal Infiltration Inferior Alveolar Nerve Block Articaine

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Group A

Buccal infiltration of 4% Articaine

Group Type EXPERIMENTAL

Buccal infiltration

Intervention Type PROCEDURE

Injection of local anaesthetic parallel to the Long axis of the tooth in the depth of buccal sulcus

Group B

Inferior alveolar nerve block of 4% Articaine

Group Type ACTIVE_COMPARATOR

Inferior alveolar nerve block

Intervention Type PROCEDURE

Standard technique of mandibular nerve block

Interventions

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Buccal infiltration

Injection of local anaesthetic parallel to the Long axis of the tooth in the depth of buccal sulcus

Intervention Type PROCEDURE

Inferior alveolar nerve block

Standard technique of mandibular nerve block

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Mandibular teeth
* grossly decayed teeth
* root stumps
* therapeutic extractions
* American society of anesthesiologist classification I \& II patients

Exclusion Criteria

* patients allergic to local anesthesia
* infected teeth
* grade 2 and grade 3 mobile teeth
* patients already taking medications which influences the anaesthetic assessment
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Melaka Manipal Medical College

OTHER

Sponsor Role lead

Responsible Party

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Abdul Kalam Azad

Assistant Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Abdul R Ismail

Role: STUDY_DIRECTOR

Melaka Manipal Medical College

Locations

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Melaka Manipal Medical College

Malacca, , Malaysia

Site Status

Countries

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Malaysia

Other Identifiers

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MMMC/FOD/AR/B7/E C-2019 (04)

Identifier Type: -

Identifier Source: org_study_id

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