The Comparison of Supraperiosteal Nerve Block With Opiate Analgesia in Alleviating the Pain of Toothache
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 18
- 试验地点
- 1
- 主要终点
- VAS determination of pain at 30 minutes following intervention
研究概览
简要总结
This study will compare the degree of pain control provided by two techniques for persons with toothache in an emergency department. The two techniques include;
- standard oral narcotic pain medication
- numbing the tooth with local anesthetic by needle injection
详细描述
Background: Toothache is a common complaint among patients presenting to the emergency department. There are two commonly employed methods of alleviating this severe form of pain. Oral opioid analgesia is the most commonly utilized strategy for treating this pain. However, many emergency physicians and dentists employ a local anesthetic technique known as supraperiosteal nerve block. This study will compare the relative efficacy of these techniques.
Patients meeting enrollment criteria will be randomized to either receive a supraperiosteal nerve block or oral hydrocodone 10 mg/acetaminophen 650 mg. They will otherwise be managed identically. Reduction of pain scores between entry and 30 minutes post intervention will be compared as well as numeric pain scores obtained by phone contact 24 hours later. Secondary outcomes will include the proportion of individuals from each group filling prescriptions for pain medication and the number of pain pills taken.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Involvement of a single tooth
- •Percussive tenderness of the crown of the suspect tooth
排除标准
- •Age younger than 18 years
- •Women who are breast feeding
- •Allergy or intolerance to hydrocodone, bupivacaine or acetaminophen
- •Pregnancy
- •Involvement of multiple teeth
- •Pain resulting from pericoronitis.
- •Pain resulting from dental trauma occurring less than 90 days prior
- •Pain of more than 96 hours duration
- •Facial or neck swelling or tenderness
- •Alteration in phonation
- •Cognitive impairment
- •Concurrent use of opiate analgesics
- •Impairment of liver function
- •Consumption of more than 4 grams of acetaminophen in the past 24 hours.
- •Patients who are visually impaired.
研究组 & 干预措施
oral
administration of oral analgesia
干预措施: hydrocodone/acetaminophen (Drug)
Dental Block
Administration of supraperiosteal nerve block to effected tooth
干预措施: bupivacaine (supraperiosteal nerve block) (Drug)
结局指标
主要结局
VAS determination of pain at 30 minutes following intervention
时间窗: 30 minutes
次要结局
- Numeric scale report or pain Number of prescribed analgesic pills taken(24-36 hours following intervention)
研究者
Wayne Triner
Professor Emergency Medicine
Albany Medical College