Health Condition 1: K089- Disorder of teeth and supporting structures, unspecified
Conditions
Interventions
Intervention1: group 3: efficacy of 4 ml of Ropivacaine (0.75%) mixed with 1 ml of dexamethasone (4mg/ml) given as Inferior alveolar nerve
block (2.5ml), Long buccal nerve block (0.3ml) Lingual nerve
Sponsors
divyesh kumar tanwar
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosed with unilateral, isolated, mandibular fractures confined to the dentate segment requiring ORIF through intra oral approach, confirmed clinically and radiographically. Medically fit to undergo surgery under local anesthesia. 4. Willing to provide informed consent and comply with follow-up visits.
Exclusion criteria
Exclusion criteria: 1. Patients with additional facial fractures, bilateral mandibular fractures, comminuted fracture, or fractures which require treatment under general anesthesia. 2. History of allergy to local anesthetics or corticosteroids. 3. Patients with systemic conditions affecting healing, such as diabetes, hypertension, osteoporosis, or immunosuppression. 4. Fractures with significant bone loss requiring bone grafting.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To evaluate pain levels intraoperatively and postoperatively. 2. Record the duration of AnalgesiaTimepoint: 1. pain levels intraoperatively and postoperatively at 2,4,6,8 hour respectively. 2.Duration of Analgesia- time interval between the onset of anesthesia and the patient?s first request for rescue analgesia | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.reduction in post operative extraoral swelling . 2.incidence of Complications 3.Safety Profile of Anesthetic-Steroid Combinations 4.duration of surgical procedure.Timepoint: 1. Swelling: Preoperative swelling will be assessed as a mean of a 4-line measurement using a plastic measuring tape (line 1, gonion to lateral canthus of eye; line 2, tragus to commissure of lip; line 3, tragus to midline in chin; line 4, tragus to ala) and at subsequent follow-ups at 1,3,7th day. 2. Safety Profile: Record any adverse events related to the use of local anesthetics or dexamethasone (e.g., hypersensitivity reactions, delayed healing), infection rate and monitoring vitals. A drug reporting form standardized by the Department of Pharmacology; MAMC will be used to report any adverse drug reactions 3.complication assessment form will be filled to record any anesthesia related or surgery related complications in the patient 4. Duration of surgical procedure will be measured from the incision placement till closure of the incision | — |
Countries
India
Contacts
Public ContactDivyesh Kumar Tanwar
Maulana Azad Institute of Dental Sciences
Outcome results
None listed