Pain (Visceral, Somatic, or Neuropathic)
Conditions
Brief summary
This randomized controlled trial will compare the effectiveness of adding distolingual infiltration to conventional inferior alveolar and buccal nerve blocks for mandibular third molar extraction. A total of 120 patients will be allocated into two groups. Pain during flap elevation and bone guttering will be assessed using the Visual Analogue Scale.
Detailed description
Mandibular third molar extraction is a common oral and maxillofacial surgery procedure that requires profound local anesthesia. Despite conventional inferior alveolar, lingual and buccal nerve blocks, the distolingual gingiva may remain non-anesthetized due to accessory innervation via the mylohyoid and other nerves. Distolingual infiltration may improve anesthesia in this area. This randomized controlled trial will enroll 120 patients requiring mandibular third molar extraction. Participants will be randomized into two groups: conventional inferior alveolar and buccal nerve block (Group A) and the same technique with additional distolingual infiltration (Group B). Pain during mucoperiosteal flap elevation and bone guttering will be recorded on a 0-10 Visual Analogue Scale. The primary objective is to determine whether distolingual infiltration improves pain control compared to the conventional technique.
Interventions
PROCEDUREConventional Inferior Alveolar and Buccal Nerve Block
Standard inferior alveolar and long buccal nerve block for mandibular third molar extraction.
PROCEDUREDistolingual Infiltration plus Conventional Nerve Block
Distolingual infiltration (0.2 ml) administered in addition to conventional inferior alveolar during mandibular third molar extraction.
Sponsors
Watim Medical & Dental College
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* Healthy individuals * Male and female * Age 18-45 years * Mandibular third molar impaction - all positions * Mandibular third molar impaction - all classes
Exclusion criteria
* ASA status III and above * Patients requiring multiple extractions in the same appointment * Allergy to lignocaine * Patients in whom adrenaline is contraindicated * Medically compromised individuals e.g. poorly controlled diabetes, hypertension
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain during mucoperiosteal flap elevation | During mucoperiosteal flap elevation on the day of surgery | Pain intensity experienced during flap elevation will be assessed using the Visual Analogue Scale (VAS). This is a 0-10 point numerical scale where participants indicate the pain level experienced at the time of flap elevation. Measurement Tool: Visual Analogue Scale (VAS) Scale: * Minimum score: 0 (no pain) * Maximum score: 10 (worst possible pain) * Directionality: Higher scores indicate worse pain |
| Pain During Bone Guttering | During bone guttering on the day of surgery. | Pain intensity during bone guttering will be recorded using the Visual Analogue Scale (VAS). Measurement Tool: Visual Analogue Scale (VAS) Scale: * Minimum: 0 (no pain) * Maximum: 10 (worst pain) * Higher scores = worse pain |
Countries
Pakistan
Contacts
Primary Contactdr aimen zafar Aimen zafar, bds
Outcome results
None listed