Dental Anaesthesia
Conditions
Keywords
intra-osseous anesthesia, inferior alveolar nerve block
Brief summary
The aim of the current study is to compare a new computerized intra-osseous injection system to the conventional inferior alveolar nerve block in children
Detailed description
Patients will be randomly allocated to one of the experimental groups.: Conventional (Inferior alveolar nerve block) and Computerized intraosseous anesthesia administration using the Quick Sleeper 5TM system (Dental Hi TecTM, Cholet, France). Both techniques will be performed by a single trained operator. Articaine 4% with 1/200000 Adrenaline will be used for both techniques.
Interventions
inferior alveolar nerve block using Articaine 4% with 1/200000 Adrenaline and a traditional needle injection
intra-osseous mandibular anaesthesia using Articaine 4% with 1/200000 Adrenaline and a special intra-osseous injection device
Sponsors
Study design
Eligibility
Inclusion criteria
1. Children aging between 6-9 years with no history of previous local dental anesthesia experience. 2. American society of anesthesiologists score equal to or less than II 3. Lower 2nd primary molars requiring pulpotomy
Exclusion criteria
1. American society of anesthesiologists Score more than II 2. Uncompliant, Uncooperative children 3. Children turning non-compliant during procedure 4. Patients taking analgesics and anti-inflammatory 5. Un-restorable teeth, teeth near exfoliation, teeth with gingival abscess/fistula, pathological mobility, pain on percussion, radiographic evidence of internal or external pathological root resorption, periapical/furcation radio-lucencies, widened periodontal membrane space.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient's level of cooperation | directly after anesthetic injection while providing the dental treatment | The child behavior will be evaluated using the modified Venham scale (scores 0-5) where higher scores indicate uncooperative behavior |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart Rate | before injection, during injection and directly after injection. | Heart Rate (physiological measure) |
| Anesthesia success or failure | directly after anesthetic injection while providing the dental treatment | Completing the needed treatment will be recorded as anesthesia success while failure to complete pulpotomy due to pain will be recorded as anesthesia failure |
Countries
Egypt