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

Hamza Zia Ahmed

Status: Completed

Conditions: Tooth Extraction; Tooth Extraction Site Healing

Treatments: Procedure: Intraligamentary anaesthesia; Procedure: Inferior alveolar nerve block

Study type: Interventional

Funder types: Other

Identifiers

NCT06611865

642/NID

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 535 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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.

Exclusion criteria

• For patients: pregnancy, immunological compromise, systemic conditions requiring special considerations and non-compliance.
• The exclusion criteria for individual teeth were: acutely infected teeth or any teeth with the instances of expression of pus through sinus tracts or the gingival sulcus were excluded. 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.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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535 participants in 3 patient groups

Split-mouth group

Active Comparator group

Description:

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.

Treatment:

Procedure: Inferior alveolar nerve block

Procedure: Intraligamentary anaesthesia

Group 2 ILA

Active Comparator group

Description:

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

Treatment:

Procedure: Intraligamentary anaesthesia

Group 2 IANB

Active Comparator group

Description:

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.

Treatment:

Procedure: Inferior alveolar nerve block