Anesthesia efficiency of mental nerve block with pressure along with inferior alveolar nerve block

The effect of mental nerve block with pressure along with inferior alveolar nerve block on root canal treatment of mandibular first molars with asymptomatic irreversible pulpitis: a triple blind randomized clinical trial

Status

Active, not recruiting

Phases

Phase 3

Study type

Interventional

Source

IRCT

Registry ID

IRCT2016090329671N1

Enrollment

Registered

2016-10-21

Start date

2016-03-20

Completion date

Unknown

Last updated

2018-02-22

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

Conditions

local anesthesia. -

Interventions

Intervention 1: In both groups, after injection of a standard inferior alveolar nerve block using 1.8 ml 2% lidocaine with 1:100000 epinephrine, a standard mental nerve block including 1.8 ml 2% lidoc

Treatment - Drugs

In both groups, after injection of a standard inferior alveolar nerve block using 1.8 ml 2% lidocaine with 1:100000 epinephrine, a standard mental nerve block including 1.8 ml 2% lidocaine with 1:1000

Eligibility

Sex/Gender

All

Age

18 Years to 55 Years

Inclusion criteria

Inclusion criteria: Inclusion criteria:Healthy adults aged from 18 to 55 years; mandibular first molars with asymptomatic irreversible pulpitis and normal periapical radiography appearance without sensitivity to percussion. Clinical diagnosis of tooth with irreversible pulpitis will be confirmed by positive response to electric pulp tester (PARKELL, PT-20, USA) and a lingering exaggerated response (>10 seconds) with moderate-to-severe pain to cold test after the cotton pellet removal. Exclusion criteria: systemic disease; patients with tooth pain at the time of study; unstable heart disease; known allergy to local anesthetic agents of lidocaine 2% with 1/80000 epinephrine or latex; patients taking sedatives; oral/facial paresthesia; use of analgesics and anxiety medications for 12 hours before the treatment or any other drugs; symptomatic irreversible pulpitis cases; presence of periapical radiolucency; pregnancy; breast-feeding; non-repairable tooth and presence of crown.

Exclusion criteria

Exclusion criteria:

Design outcomes

Primary

Measure	Time frame
Degree of electric pulp tester response. Timepoint: before and after local anesthesia injection. Method of measurement: Electric pulp tester(EPT).	—

Secondary

Measure	Time frame
Pain intensity. Timepoint: During initial stages of root canal treatment(access cavity preparations). Method of measurement: visual analoge scale.	—

Countries

Iran (Islamic Republic of)

Contacts

Public ContactAmir Ardalan Abdollahi

Department of Endodontics, Faculty of Dentistry

ardalan_2000a@yahoo.com; abdollahiardalan@gmail.com+98 41 3330 8174

Outcome results

None listed

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