Inferior Alveolar Nerve Block in Children
Conditions
Brief summary
This prospective single-arm pilot study will evaluate the clinical success of an inferior alveolar nerve block performed using a 12 mm 30-gauge extra-short dental needle in children aged 4 to 12 years. The study will assess whether this needle length can provide effective local anesthesia for dental treatment in children while minimizing potential complications associated with greater needle penetration. The study will also document any adverse events or complications related to the injection technique
Interventions
A 12 mm, 30-gauge extra-short dental needle will be used to administer an inferior alveolar nerve block for local anesthesia during dental treatment in children aged 4 to 12 years. The clinical success of the nerve block and any injection-related adverse events or complications will be assessed and recorded.
Sponsors
Study design
Eligibility
Inclusion criteria
* • Age 4-12 years * Mandibular primary or permanent tooth requiring extraction or pulp therapy * Frankl behavior not definitely negative * Able to provide age-appropriate self-report on a facial pain scale
Exclusion criteria
* • Definitely negative Frankl behavior * Need for sedation or general anesthesia * Communication or neurologic limitations preventing reliable pain scoring * Allergy/contraindication to local anesthetic * Acute infection at injection site or other contraindication to routine IANB
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Clinical Success of Inferior Alveolar Nerve Block | During and immediately after the dental procedure | Clinical success will be defined as a pain score of 0 (no pain) or 1 (mild pain) during dental treatment, with no requirement for supplementary anesthesia, using the \[Simple-facial pain scale\] (0 = no pain; 3 = severe pain). Higher scores indicate greater pain and therefore a worse outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Injection-Related Adverse Events and Complications | During the injection, dental procedure, and immediately after the procedure | The occurrence and type of adverse events or complications related to administration of the inferior alveolar nerve block will be recorded, including pain during needle insertion and any other clinically relevant injection-related complications |
Countries
Egypt