Anesthesia, Local
Conditions
Brief summary
Inevitable problems were reported following the injection of local anesthesia in pediatric dental procedures, which can last until the elimination of soft tissue anesthesia. Purpose of the study: To evaluate the effectiveness of diode laser photobiomodulation therapy on the reversal of soft tissue anesthesia (STA) in children following inferior alveolar nerve block anesthesia.
Interventions
OTHERInferior Alveolar Nerve Block administration with laser irradiation
Patients will receive inferior alveolar nerve block local anesthesia followed by laser irradiation after completion of the operative procedure.
OTHERInferior Alveolar Nerve Block administration
Patients will not receive any laser irradiation after administration of inferior alveolar nerve block local anesthesia.
Sponsors
Hams Hamed Abdelrahman
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
5 Years to 8 Years
Healthy volunteers
No
Inclusion criteria
* Patients in need of operative dental procedures, requiring inferior alveolar nerve (IANB) anesthesia. * Healthy patients (physical status ASA I). * Definitely positive or positive patients on the Frankl behavior scale. * No reported allergies to LA, epinephrine or sulfites. * Normal lip sensation before administration of LA
Exclusion criteria
* Patients requiring surgical procedures (i.e. extractions). * Patients who will show excessive fear to the Transcutaneous Electric Nerve Stimulator (TENS) device and provide a false-positive response on inactivated electrode (absence of current) using the Venham scale. * Patients who will not be trainable in the standardized lip tapping procedure (could not learn to distinguish the anesthetized numb side from the non-anesthetized side). * Patients who will not achieve profound numbness after initial LA administration, requiring additional anesthesia using SEM scale.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to recovery of normal lip sensation | For two hours after the procedure | Patients will be asked to rate the lower lip numbness on the anesthetized side in comparison to the contralateral non-anesthetized side as described previously. Patients responses will be recorded every time as yes or no. the number of minutes elapsed from exposure to laser irradiation to the first reported a normal sensation of the lower lip |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of soft tissue injury | 24 hours after the procedure | A telephone call will be done inquiring on any trauma, injury, swelling or biting marks on the lower lip after 24 h. this will be recorded as Yes/no responses |
Countries
Egypt
Outcome results
None listed