None listed
Conditions
Brief summary
The aim of the study is to determine if adequate local analgesia can be obtained to undertake dental extractions of permanent teeth in the upper jaw among children by buccal administration of local analgesia only without the need for palatal administration of local analgesia.
Interventions
Comparison of the effectiveness of 4% Articaine with 1:100,000 adrenaline compared with Lignocaine 2% with 1:100,000 adrenaline in achieving local analgesia for dental extractions in the upper jaw among children when delivered as buccal infiltration only adjacent to the tooth to be extracted. Dosage of local anaesthetic limited to 5mg/kg body weight, to a maximum of 2.2ml cartridge of local anaesthetic. Supplementation with Lignocaine 2% permitted for palatal analgesia, dosage not to exceed 5mg
Comparison of the effectiveness of 4% Articaine with 1:100,000 adrenaline compared with Lignocaine 2% with 1:100,000 adrenaline in achieving local analgesia for dental extractions in the upper jaw among children when delivered as buccal infiltration only adjacent to the tooth to be extracted. Dosage of local anaesthetic limited to 5mg/kg body weight, to a maximum of 2.2ml cartridge of local anaesthetic. Supplementation with Lignocaine 2% permitted for palatal analgesia, dosage not to exceed 5mg/kg body weight. Mode of administration: buccal infiltration injection. Type of anaesthetic used (test or control) for one side of the mouth determined by random allocation.
Sponsors
Dental Health Services Western Australia
Study design
Allocation
Randomised controlled trial
Intervention model
Other
Primary purpose
Treatment
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
5 Years to 17 Years
Healthy volunteers
Yes
Inclusion criteria
Child registered with Dental Health Services WA. Child requires bilateral maxillary permanent teeth requiring extractions as part of orthodontic treatment as requested by specialist orthodontist
Exclusion criteria
There must be no: a. History of allergy to local anaesthetic or any of its constituents. b. Medical conditions contraindicating the use of local analgesia or to undergo dental treatment under local analgesia. c. medications being taken likely to interfere with reporting of pain (analgesics). d. Neurological disorders with sensory disturbances or communication difficulties. e. Non-cooperative behaviour for dental treatment under local analgesia. f. Difficulty with communicating effectively in the English language. g. Possibility of pregnancy. h. Evidence of soft tissue infection/inflammation near site of injection. i. body weight below 30 kg.
Outcome results
None listed