Anesthesia
Conditions
Brief summary
This study aims to evaluate the effectiveness of single buccal local infiltration when compared to buccal local infiltration with intrapapillary infiltration and inferior alveolar nerve block anesthesia in primary mandibular molar extractions.
Detailed description
Effective pain control is essential in providing children with successful dental treatment. Without it, negative experiences may result in anxiety and fear-related behaviors towards subsequent dental treatment. Local anesthesia is the cornerstone of pain control in dentistry. Choosing the right local anesthetic technique is of special significance . The inferior alveolar nerve block (IANB) is a common practice for anesthetizing mandibular molars and/or premolars on one side of the jaw. It is achieved by depositing local anesthetic solution at the entrance to the mandibular canal, which inhibits the transmission of action potentials along the inferior alveolar nerve. Administering an IANB can be technique sensitive and failure rates are reported to be up to 20%, due to anatomical variations in the position of the mandibular foramen and accessory innervations. This effect may be compounded for those who are not used to anesthetizing children . However, Supraperiosteal infiltration has the advantages of easier administration when compared to block anesthesia, shorter anesthetic duration, and generally does not anesthetize the lips . An ideal local anesthetic should provide maximum efficacy, through a minimal number of injections, using techniques that provide the least discomfort, causing negligible adverse effects .
Interventions
PROCEDURESingle buccal infiltration
injecting local anaesthetic solution into the soft tissues of the buccal sulcus adjacent to the target tooth.
PROCEDUREInferior alveolar nerve block
Injection of local anesthetic solution into the pterygomandibular space to access the inferior alveolar nerve before it enters the mandible.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
5 Years to 8 Years
Healthy volunteers
No
Inclusion criteria
* Badly decayed primary mandibular molars indicated for extraction with not less than half of the root length present. * Children ranging in age from 5-8 years
Exclusion criteria
.Allergies to local anesthetics. * History of significant medical conditions. * Children under any medications. * Presence of abscess, sinus opening. * Uncooperative children without access to or with difficulty accessing dental care.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of intraoperative pain | through treatment completion, an average of 1 hour | Wong Baker Faces Pain Rating Scale consists of a set of cartoon faces with varying facial expressions ranging from a smile/laughter to tears with numerical value from 0 to 5 where where zero indicates no pain and 5 indicate severe pain |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| intraoperative pain | through treatment completion, an average of 1 hour | Faces, Legs, Activity, Cry, and Consolability scale with score from 0 to 10 where zero indicates no pain and 10 indicate severe pain |
| The onset of the anesthetic effect | up to 24 hours | stopwatch |
| duration of the anesthetic effect | up to 24 hours | stopwatch |
Countries
Egypt
Outcome results
None listed