Buccal Infiltration Anesthesia Versus Inferior Alveolar Nerve Block Anesthesia

NCT ID: NCT05221190

Last Updated: 2022-11-16

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 112 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-09-01
• Study Completion Date: 2022-03-03

Brief Summary

This study aims to evaluate the effectiveness of single buccal local infiltration when compared to buccal local infiltration with intrapapillary infiltration and inferior alveolar nerve block anesthesia in primary mandibular molar extractions.

Detailed Description

Effective pain control is essential in providing children with successful dental treatment. Without it, negative experiences may result in anxiety and fear-related behaviors towards subsequent dental treatment. Local anesthesia is the cornerstone of pain control in dentistry. Choosing the right local anesthetic technique is of special significance .

The inferior alveolar nerve block (IANB) is a common practice for anesthetizing mandibular molars and/or premolars on one side of the jaw. It is achieved by depositing local anesthetic solution at the entrance to the mandibular canal, which inhibits the transmission of action potentials along the inferior alveolar nerve.

Administering an IANB can be technique sensitive and failure rates are reported to be up to 20%, due to anatomical variations in the position of the mandibular foramen and accessory innervations. This effect may be compounded for those who are not used to anesthetizing children .

However, Supraperiosteal infiltration has the advantages of easier administration when compared to block anesthesia, shorter anesthetic duration, and generally does not anesthetize the lips .

An ideal local anesthetic should provide maximum efficacy, through a minimal number of injections, using techniques that provide the least discomfort, causing negligible adverse effects .

Conditions

Anesthesia

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Single buccal infiltration of articaine anesthesia

The local anesthetic solution will be administered using single buccal infiltration with articaine anesthesia.

Group Type: EXPERIMENTAL

Single buccal infiltration

Intervention Type: PROCEDURE

injecting local anaesthetic solution into the soft tissues of the buccal sulcus adjacent to the target tooth.

Inferior alveolar nerve block of lidocaine anesthesia

The anesthetic solution will be administered using inferior alveolar nerve block with lidocaine anesthesia.

Group Type: ACTIVE_COMPARATOR

Inferior alveolar nerve block

Intervention Type: PROCEDURE

Injection of local anesthetic solution into the pterygomandibular space to access the inferior alveolar nerve before it enters the mandible.

Interventions

Single buccal infiltration

injecting local anaesthetic solution into the soft tissues of the buccal sulcus adjacent to the target tooth.

Intervention Type: PROCEDURE

Inferior alveolar nerve block

Injection of local anesthetic solution into the pterygomandibular space to access the inferior alveolar nerve before it enters the mandible.

Intervention Type: PROCEDURE

Other Intervention Names

Articaine buccal infiltration; Lidocaine nerve block

Eligibility Criteria

Inclusion Criteria

• Badly decayed primary mandibular molars indicated for extraction with not less than half of the root length present.
• Children ranging in age from 5-8 years

Exclusion Criteria

.Allergies to local anesthetics.

• History of significant medical conditions.
• Children under any medications.
• Presence of abscess, sinus opening.
• Uncooperative children without access to or with difficulty accessing dental care.

• Minimum Eligible Age: 5 Years
• Maximum Eligible Age: 8 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

marwa aly fouad elchaghaby

principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

marwa m elchaghaby, phd

Role: PRINCIPAL_INVESTIGATOR

marwaaly2003@yahoo.com

Locations

Cairo university

Cairo, , Egypt

Countries

Egypt

Other Identifiers

Anesthetic techniques

Identifier Type: -

Identifier Source: org_study_id