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This study compares the effectiveness of two techniques of local anesthesia in the extraction of mandibular teeth. One group received inferior alveolar nerve block and the other group received buccal infiltration of 4% Articaine
Inferior alveolar nerve block is the commonly used local anesthetic injection technique for extraction of mandibular teeth. Buccal infiltration technique alone is considered to be ineffective in treating mandibular teeth due to the thickness of buccal cortical plate. However, buccal infiltration, if provided with an agent with higher penetration capability, may be used instead of Inferior alveolar nerve block. Articaine, due to its thiophene ring, has higher liposolubility and bony diffusion than any other agent.
This study compares the effectiveness of inferior alveolar nerve block and buccal infiltration using 4% Articaine in the extraction of mandibular teeth
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Buccal infiltration of 4% Articaine |
|
| Group B | Active Comparator | Inferior alveolar nerve block of 4% Articaine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Buccal infiltration | Procedure | Injection of local anaesthetic parallel to the Long axis of the tooth in the depth of buccal sulcus |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain during injection using a visual analogue scale measuring 10 cm with 0 depicting no pain and 10 depicting severe pain | VAS scale is a validated scale measuring pain with possible score range from 0 (no pain) to 10 (severe pain). | During injection |
| Pain during extraction using a visual analogue scale measuring 10 cm with 0 depicting no pain and 10 depicting severe pain | VAS scale is a validated scale measuring pain with possible score range from 0 (no pain) to 10 (severe pain). | During extraction |
| Requirement of rescue injection | whether a recue injection was given or not | During extraction |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Abdul R Ismail | Melaka Manipal Medical College | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Melaka Manipal Medical College | Malacca | 75150 | Malaysia |
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1 month
Study protocol will be provided only if requested through a proper channel , dean of the college, with proper justification.
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| Inferior alveolar nerve block | Procedure | Standard technique of mandibular nerve block |
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