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This study compares the effectiveness of two different volumes of buccal infiltration of Articaine for the extraction of mandibular posterior teeth. One group receives buccal infiltration of 1.8 ml of 4% Articaine and the other group receives buccal infiltration of 3.6 ml of 4% Articaine.
The most widely and commonly used injection method for the extraction of mandibular posterior teeth is the inferior alveolar nerve block (IANB) technique. However, various complications like pain during injection, transient facial nerve paralysis, trismus, hematoma, and paresthesia are associated with the inferior alveolar nerve block technique.
Local infiltration technique has been proven as a safer and less painful anesthetic injection technique compared to IANB. Unfortunately, the dense nature of cortical bone in the mandibular posterior region hinders sufficient diffusion of anesthetic solution during infiltration. Thus, to achieve an adequate anesthesia for a painless dental extraction of mandibular posterior teeth by infiltration technique, a strong and effective local anesthetic agent having a deeper penetrating property should be used.
Articaine is one of the most widely used local anesthetic agents. It is more potent and has shown more success rate than Lidocaine and Mepivacaine in providing anesthesia in mandibular and maxillary posterior teeth by buccal infiltration diffusibility.
This study compares the effectiveness of two different volumes of buccal infiltration of Articaine for the extraction of mandibular posterior teeth.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Buccal infiltration of 3.6 ml of 4% Articaine |
|
| Group B | Active Comparator | Buccal infiltration of 1.8 ml of 4% Articaine |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 1.8 ml of 4% Articaine | Other | Buccal infiltration of 1.8 ml of 4% Articaine |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Intensity of pain | VAS scale is a validated scale measuring pain with possible score range from 0 (no pain) to 100 (severe pain). | From reflection of mucoperiosteum till delivery of tooth out of socket. |
| Time of onset of anesthesia | It will be assessed by probing buccal and lingual soft tissue using a dental explorer every 2 minutes after infiltration using a standard digital stop clock. | upto 10 minutes |
| Presence or absence of pain | A 100 mm Numerical rating scale assessing intraoperative pain. Possible score ranges from 0 (no pain) to 100 (worst possible pain). | From reflection of mucoperiosteum till delivery of tooth out of socket. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Muhammad Atif S Agwan | Contact | 966541651713 | m.abdulsaleem@qu.edu.sa | |
| Abdul K Azad | Contact | 00966594914343 | a.azad@qu.edu.sa |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Qassim University | Not yet recruiting | Buraidah | Al Qassim | 52719 | Saudi Arabia |
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1 year
Study protocol will be provided only if requested through proper channel with proper justification.
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| ID | Term |
|---|---|
| D002355 | Carticaine |
| ID | Term |
|---|---|
| D013876 | Thiophenes |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D006573 | Heterocyclic Compounds, 1-Ring |
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| 3.6 ml of 4% Articaine |
| Other |
Buccal infiltration of 3.6 ml of 4% Articaine. |
|
| College of Dentistry, Qassim University | Recruiting | Buraidah | 52385 | Saudi Arabia |
|
| D006571 |
| Heterocyclic Compounds |