Restorative Dental Treatment by Buccal Infiltration Anaesthesia
Conditions
Keywords
buccal infiltration
Brief summary
Clinical evaluation of anaesthetic efficacy of 4% articaine buccal infiltration versus inferior alveolar nerve block during restorative dental treatment in mandibular first permanent molars
Interventions
OTHER4% articaine infiltration
Two injections using short needle and dental syringe will be given , the first injection is 1.5 ml out of 1.8 ml of 4% articaine with 1:100,000 epinephrine (ARTINIBSA 4% 1:100,000) in the mucobuccal fold adjacent to the mandibular first Molar, the second injection is 0.3 ml in the lingual side for lingual soft and hard tissues .
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 9 Years
Healthy volunteers
Yes
Inclusion criteria
* Clinical Criteria: * Children aged between 6 years and 9 years having: * Mandibular first permanent molar with simple caries not involving pulp showing the following criteria: A. No history of spontaneous pain, pathologic mobility, draining sinus tract, redness or swelling of the vestibule. B. Normal gingival and periodontal condition, with no sensitivity to vestibular palpation, and no pain on percussion test. Radiographic criteria: * No sign of radiolucency in periapical or furcation area. * No widening of PDL space or loss of lamina dura continuity. * No evidence of internal/external pathologic root resorption
Exclusion criteria
* • Uncooperative children. * Children with systemic disease. * Lack of informed consent by the child patient's parent. * Refusal of participation. * Allergy from anesthetic agent. * Acute infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success of local anesthesia | 10 minutes | Operator will record the LA as Successful if the scheduled restorative treatment was completed with standard treatment management strategies after administration of the trial anaesthetic. If treatment could not be continued after 10 minutes from when the LA was first administered, and the full 1.8 ml cartridge of the trial anaesthetic had been used, then the LA was considered unsuccessful |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Child behavior during treatment | Intraoperative | Doaa Moustafa: he patient's behavior will be evaluated for pain perception during treatment using the SEM scale (Appendix 3: SEM scale ). The SEM scale is an objective pain \[10:04 pm, 31/3/2024\] Doaa Moustafa: assessment scale with scores ranging from 1 to 4, illustrating comfort to severe discomfort based on sounds, eye, motor parameters |
Contacts
Primary ContactDoaa Moustafa, bachelor's degree
Outcome results
None listed