Intraosseous local anesthesia and its effectiveness in treating lower molars for pulp therapy and crowns Oral Health
Conditions
Interventions
Current interventions as of 22/11/2024:
part1
This study will include a total of 33 patients who fulfilled the inclusion criteria. Each patient will receive either intraosseous (IO) anesthesia using
Sponsors
King Saud University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Current inclusion criteria as of 22/11/2024: 1. Aged 4-9 years 2. Physically and mentally healthy 3. Positive or definitely positive behavior, assessed by taking the history of the patient; if the patient has no previous dental treatment, a treatment will be provided to the patient to assess the behavior 3. No contraindication for the use of local anesthesia 4. Not taking any analgesic before the appointment for at least 48 hours 5. No infection or inflammation on either side of the lower arch 6. Two lower second primary molars indicated for pulpotomy and SSC, i.e.: 6.1. No history of spontaneous or persistent pain 6.2. No pathological mobility 6.3. No tenderness to percussion 6.4. No swelling or sinus tract 6.5. No widening of the periodontal ligament space 6.6. Restorable tooth _____ Previous inclusion criteria: 1. Aged 5-9 years 2. Physically and mentally healthy 3. Positive or definitely positive behavior, assessed by taking the history of the patient; if the patient has no previous dental treatment, a treatment will be provided to the patient to assess the behavior 3. No contraindication for the use of local anesthesia 4. Not taking any analgesic before the appointment for at least 48 hours 5. No infection or inflammation on either side of the lower arch 6. Two lower second primary molars indicated for pulpotomy and SSC, i.e.: 6.1. No history of spontaneous or persistent pain 6.2. No pathological mobility 6.3. No tenderness to percussion 6.4. No swelling or sinus tract 6.5. No widening of the periodontal ligament space 6.6. Restorable tooth
Exclusion criteria
Exclusion criteria: 1. Physical or mental illness 2. Definitely negative or negative behavior 3. Presence of contraindication for using local anesthesia 4. Presence of infection or inflammation on either side of the lower arch 5. History of spontaneous or persistent pain 6. Pathological mobility 7. Tenderness to percussion 8. Swelling or sinus tract 9. Widening of the periodontal ligament space 10. Nonrestorable tooth
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Pain-related behavior: 5 different behaviors (present or absent) measured every 15 seconds 2. Pain perception: Wong baker Scale. The patient will be asked once after giving the LA. (added 22/11/2024) 3. The effectiveness of LA: (sound, Eye, Motor Scale). The blinded evaluators will evaluate the scores in 7 steps during the procedure, then the mean score will be taken | — |
Secondary
| Measure | Time frame |
|---|---|
| Current secondary outcome measures as of 22/11/2024: 1. Complications of intraosseous local anesthesia: patient's parents will be contacted after 2 - 4 hours after the procedure and will be asked standard questions Eligibility _____ Previous secondary outcome measures: 1. The effectiveness of LA: (sound, Eye, Motor Scale). The blinded evaluators will evaluate the scores in 7 steps during the procedure, then the mean score will be taken 2. Complications of intraosseous local anesthesia: patient's parents will be contacted after 2 - 4 hours after the procedure and will be asked standard questions | — |
Countries
Saudi Arabia
Outcome results
None listed