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Effective Pain Management for Infected Lower Molars Using a Modified Injection Technique.

Modified Akinosi Technique: Increasing the success of pulpal anaesthesia for mandibular molars. - NIL

Status
Active, not recruiting
Phases
Phase 3
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2025/01/079650
Enrollment
80
Registered
2025-01-28
Start date
Unknown
Completion date
Unknown
Last updated
2025-02-03

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

Conditions

None listed

Interventions

Intervention1: modified akinosi technique comapred to inferior alveolar nerve block: The study will involve 80 clinically healthy patients diagnosed with symptomatic irreversible pulpitis of mandibula
Phase 2: working length determination
and Phase 3: root canal preparation. The Modified Akinosi Technique will be deemed successful when all the root canal treatments will be completed without any supplemental anesthesia. Control Interven

Sponsors

SMBT Institute of Dental Sciences and Research
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 80 patients will be selected from among the patients reporting to the Department of Conservative Dentistry and Endodontics, in a randomized clinical trial study design. The study will include patients aged between 16 and 65 years of both genders. patients diagnosed with symptomatic irreversible pulpitis in their mandibular first and second molars indicated for single-visit endodontic treatment will be included.

Exclusion criteria

Exclusion criteria: Patients with active infections, swelling, or abscesses. Cases involving open apices, calcified canals, or retreatment will be excluded. Additionally, patients with systemic diseases where the administration of local anesthesia is contraindicated, and immunocompromised, and those who failed to provide consent will not be included in the study.

Design outcomes

Primary

MeasureTime frame
Attainment of adequate anesthesia that allowed root canal therapy to be completed without any additional need of anesthesiaTimepoint: Pain levels will be recorded with visual analog scale at the conclusion of each phase of the endodontic treatment: Phase 1: access cavity preparation; Phase 2: working length determination; and Phase 3: root canal preparation. Pain outcomes will be assessed at baseline. The Modified Akinosi technique will be deemed successful when all root canals could be completed without any supplemental anesthesia.

Secondary

MeasureTime frame
The MAT is underutilized but can offer effective anesthesia with several advantages, including reduced patient apprehension, minimal pain, fewer complications, ease of performance.Timepoint: The pain levels will be recorded at baseline as Pain levels will be recorded with visual analog scale at the conclusion of each phase of the endodontic treatment: Phase 1: access cavity preparation; Phase 2: working length determination; & Phase 3: root canal preparation. The Modified Akinosi technique will be deemed successful when all root canals could be completed without any supplemental anesthesia.

Countries

India

Contacts

Public ContactDr Aarti A Bohora

SMBT IDSR DHAMANGAON NASIK

draab.endo@gmail.com7020054267

Outcome results

None listed

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