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A Comparison of Full mouth X-ray assisted nerve block with conventional nerve block technique in Permanent lower molars with Symptomatic Irreversible Pulpitis

“A Comparative Evaluation of the Efficacy of ‘OPG- assisted Inferior Alveolar Nerve Block’ Technique with the Conventional Technique in Permanent Mandibular Molars with Symptomatic Irreversible Pulpitis : A Randomized Double-blinded Clinical Study ?

Status
Active, not recruiting
Phases
Phase 1Phase 2
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2022/10/046857
Enrollment
28
Registered
2022-10-27
Start date
Unknown
Completion date
Unknown
Last updated
2024-04-29

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: K040- Pulpitis

Interventions

Intervention1: OPG ASSISTED IANB BLOCK TECHNIQUE: OPG X-ray is used as a guide to determine the site of injection for giving nerve block before doing access opening in Permanent Mandibular Molars with

Sponsors

Dr DIKSHIT SOLANKI
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Systemically healthy Patients (ASA 1 & 2) between age group of 18-60 years will be included in the study. 2. Patients with pre-operative moderate to severe pain i.e. VAS score of 4 and above in mandibular molars will be included in the study. 3. Patient having fully erupted last tooth in the mandibular arch upto the level of occlusion will be included in the study. 4. Patients showing hyper response to cold and electric pulp testing (EPT) will be included in the study. 5. Patients with symptomatic irreversible pulpitis with/without symptomatic apical periodontitis (only vital teeth) will be included in the study. 6. Patients requiring treatment of multiple teeth along with the concerned tooth will be included in the study. 7. A written informed consent will be taken from all the patients and only those patients ready to sign the consent form will be included in the study.

Exclusion criteria

Exclusion criteria: 1. Asymptomatic Non-Vital Teeth with/without periapical radiolucency be it abscess or granuloma etc will be excluded. 2. Patients showing active sites of pathosis in the injection area. 3. Medically compromised patients will be excluded. 4. Teeth with completely obliterated canals will be excluded 5. Teeth with open apex, root resorption or complex root canal anatomy will be excluded. 6. Teeth with vertical root fractures, cracks, etc will be excluded. 7. Patient with deep periodontal disease or endo-perio lesion with periodontal phase dominant will be excluded. 8. Patients with restricted mouth opening will be excluded. 9. Pregnant and lactating women will be excluded. 10. Patients using medications that might affect the anesthetic assessment will be excluded. 11. Patients allergic to lidocaine and/or adrenaline will be excluded.

Design outcomes

Primary

MeasureTime frame
To evaluate the reduction in pain by assessing VAS score before and after the access opening in Permanent Mandibular MolarsTimepoint: The pre-operative VAS score will be checked followed by assessment at 1,3,5 minutes.

Secondary

MeasureTime frame
NILTimepoint: 0

Countries

India

Contacts

Public ContactDr Dikshit Solanki

Km shah dental college and hospital

drajayinendo@gmail.com8385017307

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026