The presence of anatomical variables of retromolar foramen and retromolar canal.
Conditions
Interventions
Intervention 1: Intervention group: 1.5 mL lidocaine injection is administered for inferior alveolar nerve block using the direct technique. After 5 minutes, a 0.3 mL of long buccal nerve infiltration
Sponsors
Ghoum University of Medical Sciences
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients who are surgical candidates for extraction of mandibular molars Identification of retromolar canal in panoramic or CBCT
Exclusion criteria
Exclusion criteria: Mandibular fracture Surgical removal of the mandibular third molar Mandibular orthognathic surgery Pathological lesion or osteomyelitis in the mandibular ramus, angle and proximal part of the mandibular body Osteoradionecrosis and history of radiotherapy Central or peripheral pathological lesion removal in the mandibular ramus, angle or proximal part of the mandibular body Medical disorders including neurovascular system and mental disorders Surgery under anesthesia and sedation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain level during incision of mucoperiosteal flap in patients with retromolar injection and patients without retromolar injection. Timepoint: 5 minutes after the anesthesia intervention. Method of measurement: Visual Analogue Scale questionnaire.;Pain level when lifting the mucoperiosteal flap in patients with retromolar injection and patients without retromolar injection. Timepoint: 5 minutes after the anesthesia intervention. Method of measurement: Visual Analogue Scale questionnaire.;Pain level during osteotomy in patients with retromolar injection and patients without retromolar injection. Timepoint: 5 minutes after the anesthesia intervention. Method of measurement: Visual Analogue Scale questionnaire.;Pain level during tooth elevation in patients with retromolar injection and patients without retromolar injection. Timepoint: 5 minutes after the anesthesia intervention. Method of measurement: Visual Analogue Scale questionnaire. | — |
Secondary
| Measure | Time frame |
|---|---|
| Observation of gentle and diffus hemorrhage from the socket during surgical intervention (oozing). Timepoint: After beginning of the intervention. Method of measurement: Observational. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAmir hosein Asgharnezhad
Ghoum University of Medical Sciences
Outcome results
None listed