Patient with impacted mandibular third molar on both sides of mandible. Inferior alveolar nerve block IANB Internal oblique ridge Alternative technique for inferior alveolar nerve block Local anesthesia of mandible Mandibular third molar Wisdom tooth
Conditions
Interventions
Patients will receive the internal oblique ridge as a guide for inferior alveolar nerve block technique for one side of mandibular third molar surgery which the depth of needle insertion is a result f
Active Comparator Procedure/Surgery,Active Comparator Procedure/Surgery
Internal oblique ridge as a guide for IANB,Conventional IANB
Sponsors
Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand
Eligibility
Sex/Gender
All
Age
18 Years to 60 Years
Inclusion criteria
Inclusion criteria: 1. Age between 18 - 60 years old. 2. Healthy status (American Society of Anesthesiologists: ASA class I and II). 3. Patient with bilaterally impacted mandibular third molars that require both bone removal and tooth section. 4. Patient who is able to receive the treatment and follow-up on the scheduled date.
Exclusion criteria
Exclusion criteria: 1. History of serious systemic diseases. 2. History of allergy to local anesthesia. 3. During pregnancy or breast feeding. 4. Active infection or pathology of impacted mandibular third molar. 5. History of receiving medicine that could affect the pain perception within last 2 weeks (such as sedative drugs, anti-anxiety drugs, antidepressant drugs). 6. Patient who requires surgery on both sides of impacted mandibular third molar at the same time. 7. Incompetency of communication (such as deafness and visual problems). 8. Illiteracy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate of anesthesia From the end of nerve block administration to a negative response to pulp sensibility test within 15 minutes 1.Subjective symptoms: Patient reports tingling or numbness of lower lip at the same side 2.Objective symptoms: Negative response to pulp sensibility test | — |
Secondary
| Measure | Time frame |
|---|---|
| Onset of anesthesia From the end of nerve block administration to a negative response to pulp sensibility test Timing from the end of nerve block administration to a negative response to pulp sensibility test ,Duration of anesthesia From the end of nerve block administration to the moment that patient begins to feel pain at the site of surgery Patient reports outcome using a questionnaire,Pain assessment during injection During injection Heft-Parker visual analogue scale,Pain assessment during operation During operation Heft-Parker visual analogue scale | — |
Countries
Thailand
Contacts
Public ContactChayarop Supanchart
Chiang Mai University
Outcome results
None listed