Infiltration Anesthesia vs. Block Anesthesia

Effectiveness of Local Anesthetic Infiltration With Articaine 4% in Comparison to Inferior Alveolar Nerve Block With Lidocaine 2% for Mandibular 1st Molar Extraction

Checking the effectiveness of the infiltration technique of local anesthetic agent as an alternative to inferior dental nerve block during tooth extraction

Patients who need their Mandibular first Molar to be removed under local anaesthesia. The first group will receive 4% articaine with 1:100,000 epinephrine as lingual and buccal infiltration. In comparison, the second group will receive a conventional inferior alveolar nerve block technique with 2% lidocaine with epinephrine (1:80,000). Pain will be measured para-operatively using a verbal rating scale.

Inclusion Criteria:

• The systemic condition must be normal.
• Patient has no cardiovascular, metabolic, or transmitted disease.
• The patient has a Mandibular 1st. Molar tooth indicated for extraction.
• The tooth is non-restorable.

Exclusion Criteria:

• Chronic cardiovascular condition, metabolic, or infectious disease.
• Pregnant women.
• The tooth is restorable.