Comparison of Intraligamentary Anesthesia With the Inferior Alveolar Nerve Block for the Extraction of Mandibular Molars.

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

535 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-03-15

Study Completion Date

2024-06-17

Brief Summary

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Local anaesthesia or numbing is done before tooth extraction. This study compares two different methods of numbing molar teeth before extraction. It compares them on the basis of pain during the procedure and on discomfort after the procedure as well. It will help dentists better understand the benefits of the two techniques, and their usage case to case.

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Detailed Description

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The study was designed as a randomized controlled trial. The purpose of this study was to examine the differences in efficacy of the intraligamentary anaesthetic technique and the inferior alveolar nerve block for mandibular posterior tooth extraction cases. Pain intensity, duration of anaesthesia, incidence of post-operative dry socket, success rates, onset of anaesthesia were examined. It was done in a split-mouth method so that two different techniques were used in the same patient, thus minimizing individual variations.

Conditions

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Tooth Extraction Tooth Extraction Site Healing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

A split-mouth group was included with 70 teeth extracted from 35 patients. In such cases, involving bilaterally indicated teeth, ILA and IANB were used on opposite sides, but the second tooth was anesthetized only after the first extraction had completed and had been recorded. The second group had 500 patients with unilateral extractions. ILA was compared with IANB in each group separately, and the results in group I were then compared descriptively with those in group II.

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Split-mouth group

It includes bilaterally indicated teeth. ILA and IANB were used on opposite sides in the same person; the second tooth was anesthetized only after the first extraction had completed and had been recorded.

Group Type ACTIVE_COMPARATOR

Intraligamentary anaesthesia

Intervention Type PROCEDURE

Injection of anesthetic solution into the intraligamentary space along the long axis of a tooth root using a pressure syringe.

Inferior alveolar nerve block

Intervention Type PROCEDURE

Anaesthetic injection into the pterygomandibular space to block the Inferior alveolar nerve at the mandibular foramen point.

Group 2 ILA

The patients in group 2, with unilateral extractions, that were only administered Intraligamentary anaesthesia.

Group Type ACTIVE_COMPARATOR

Intraligamentary anaesthesia

Intervention Type PROCEDURE

Injection of anesthetic solution into the intraligamentary space along the long axis of a tooth root using a pressure syringe.

Group 2 IANB

The patients in group 2, with unilateral extractions, that were only administered the Inferior Alveolar Nerve Block. In case of multiple unilaterally indicated teeth that were to be extracted under IANB, only the tooth best fitting all criteria was considered for the study.

Group Type ACTIVE_COMPARATOR

Inferior alveolar nerve block

Intervention Type PROCEDURE

Anaesthetic injection into the pterygomandibular space to block the Inferior alveolar nerve at the mandibular foramen point.

Interventions

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Intraligamentary anaesthesia

Injection of anesthetic solution into the intraligamentary space along the long axis of a tooth root using a pressure syringe.

Intervention Type PROCEDURE

Inferior alveolar nerve block

Anaesthetic injection into the pterygomandibular space to block the Inferior alveolar nerve at the mandibular foramen point.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients of both sexes who were more than 18 years of age; they had indications of non-surgical extraction of one or multiple mandibular posterior teeth.