Buccal Infiltration Anesthesia Versus Inferior Alveolar Nerve Block Anesthesia

Cairo University (CU)

Status: Completed

Conditions: Anesthesia

Treatments: Procedure: Inferior alveolar nerve block; Procedure: Single buccal infiltration

Study type: Interventional

Funder types: Other

Identifiers

NCT05221190

Anesthetic techniques

Details and patient eligibility

About

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.

Full 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 .

Enrollment: 112 patients

Sex: All

Ages: 5 to 8 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

112 participants in 2 patient groups

Single buccal infiltration of articaine anesthesia

Experimental group

Description:

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

Treatment:

Procedure: Single buccal infiltration

Inferior alveolar nerve block of lidocaine anesthesia

Active Comparator group

Description:

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

Treatment:

Procedure: Inferior alveolar nerve block