None listed
Conditions
Brief summary
The objective of the present study is to compare the efficacy of transpapillary injection (TPI) versus palatal infiltration (PI) in terms of pain control, onset and duration of local anesthesia in pediatric patients. Previously few studies have been performed to compare the efficacy of transpapillary injection (TPI) versus palatal infiltration (PI) only in terms of pain perception during the procedure in adult patients. The pediatric patients present a subset of population in which it’s more difficult to achieve optimal local anesthesia due to lack of cooperation and higher levels of dental anxiety. The present study focused on comparing the broader efficacy of TPI and PI in pediatric patients. The hypothesis states that the transpapillary injection (TPI) technique is more efficient than palatal infiltration (PI) technique in terms of pain control, onset and duration of local anesthesia in pediatric patients requiring maxillary dental extractions.
Interventions
For Group 1, the Transpapillary Injection (TPI) technique will be employed. In this method, the local anesthetic solution (0.3-0.4ml) is administered through the papilla adjacent to the tooth being extracted, with a needle is inserted perpendicularly through the papillary tissue. This approach aims to achieve effective anesthesia with minimal discomfort to the patient.
Standard dental cartridge syringe with 27G needle (25mm in length) and 2% lignocaine with epinephrine (1:100,000) local anaesth
For Group 1, the Transpapillary Injection (TPI) technique will be employed. In this method, the local anesthetic solution (0.3-0.4ml) is administered through the papilla adjacent to the tooth being extracted, with a needle is inserted perpendicularly through the papillary tissue. This approach aims to achieve effective anesthesia with minimal discomfort to the patient. Standard dental cartridge syringe with 27G needle (25mm in length) and 2% lignocaine with epinephrine (1:100,000) local anaesthesia solution will be used. Researcher or co-researchers who are practicing oral surgeons will administer the anesthesia to the patients.
Sponsors
Dr. Meher Moin Khan. Watim Medical and Dental College, Rawalpindi
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject)
Eligibility
Sex/Gender
All
Age
6 Years to 13 Years
Healthy volunteers
No
Inclusion criteria
Patient requiring extraction of maxillary teeth. Patients in mixed dentition stage (6-13 years). Medically healthy patients.
Exclusion criteria
Acute localized infection (cellulitis or abscess) patients with behavioural issues like Attention deficit hyperactivity disorder (ADHD), cerebral palsy, slow learners like Down's syndrome, crouzon syndrome etc.
Outcome results
None listed