Comparison of Conventional Buccal Nerve Block Versus Buccal Nerve Trunk Block During Extraction of Posterior Mandibular Teeth (Buccal Trunk)

Watim Medical & Dental College

Status: Enrolling

Conditions: Pain (Visceral, Somatic, or Neuropathic)

Treatments: Procedure: Conventional Buccal Nerve Block; Procedure: Buccal Nerve Trunk Block

Study type: Interventional

Funder types: Other

Identifiers

NCT07330518

WM&DCR/R&D(ERB)/2023/68

Details and patient eligibility

About

This randomised control trial will compare the efficacy of conventional buccal nerve block versus buccal trunk block using visual analogue scale to evaluate pain and additional anesthesia injection during extraction of mandibular molars.

Full description

Dental extraction of mandibular posterior teeth require buccal mucosa anesthesia for pain free extraction. Conventional buccal nerve block is the commonly used technique for anesthesia of buccal mucosa but often is not effective and requires multiple injections. This study aims to compare coventional buccal nerve block with buccal nerve trunk block on the basis of Efficacy of local anesthesia which will be determined by need for supplemental infiltration: Use of more than 1 anesthesia cartridges during procedure will be labelled as need for supplemental infiltration.

Intraoperative pain perception: It was assessed while giving injection and during extraction of the tooth using the visual analog scale (VAS) scores. Score of more than 4 will be labelled as positive pain perception.

Enrollment: 100 estimated patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients aged 20 to 60 years
• Patients of both gender
• Patient requiring extraction of mandibular molars

Exclusion criteria

• Pregnant women
• Pathologies associated with teeth i.e. cysts, tumors
• Patients on radiotherapy or chemotherapy
• Patients with mandibular fracture

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Conventional Buccal Nerve Block for anesthesia of buccal mucosa

Experimental group

Description:

Administration of anesthesia using conventional buccal nerve block technique for anesthesia of buccal mucosa.

Treatment:

Procedure: Conventional Buccal Nerve Block

Buccal Nerve Trunk Block

Experimental group

Description:

Administration of anesthesia at the buccal trunk 10mm above the coventional buccal nerve block for anesthesia of buccal mucosa.

Treatment:

Procedure: Buccal Nerve Trunk Block