a study to compare the two techniques of anesthesia in patients with pain in lower teeth

Completed

Brief Summary: This study is a randomized controlled clinical trial which will evaluate effect of anesthesia with inferior alveolar and Gow Gateâ€™s mandibular nerve block techniques using 4% Articaine and 2% Lignocaine. my study period will be 1 year. Mandibular molars with symptomatic irreversible pulpitis indicated for root canal treatment will be selected from the regular pool of patients coming to the Department of Conservative dentistry and Endodontics at J.N. Kapoor D.A.V (C) Dental College, Yamunanagar. A sample size of 120 teeth will be taken which will be divided equally (60 teeth each) in Group I and II. Teeth in Group I will be injected using inferior alveolar nerve block and teeth in Group II will be injected using Gow Gateâ€™s mandibular nerve block. Group I and II will be subdivided into subgroups I a, I b and II a, II b respectively. Subgroup I a will be injected with 4% Articaine and I b will be injected with 2% Lidocaine. Subgroups II a and II b will be injected with 4% Articaine and 2% Lidocaine respectively.

Recruitment & Eligibility

Inclusion Criteria

patients with mandibular molars diagnosed with symptomatic irreversible pulpitis 2.
healthy patients without any significant medical disorders 3.
patients with preoperative pain more than 54 mm on a heft parker visual analog scale 0-170mm.

Exclusion Criteria

patients allergic or hypertensive to articaine or lignocaine 2.
patients with any systemic diseases, mental disorder, pregnancy or lactation 3.
patients with any facial paresthesia or any pathosis on the site of injection 4.
patients with pathologic periodontal pocket during probing 5.
teeth with fused roots or radiographic evidence of extra root 6.
patients taking any medication that interferes with anesthesia like beta blockers or antidepressants 7.
mandibular molars showing no response to cold test, exhibiting periradicular pathosis, internal and external root resorption or with non vital pulp at access opening 8 patient who is alcoholic.

Primary Outcome Measures

Name	Time	Method
1.to test the efficacy of anesthesia after 15 minutes of injection using cold test and electronic pulp tester	1.to test the efficacy of anesthesia after 15 minutes of injection using cold test and electronic pulp tester \| 2. efficacy of pulpal anesthesia during root canal treatment on heft parker vas
2. efficacy of pulpal anesthesia during root canal treatment on heft parker vas	1.to test the efficacy of anesthesia after 15 minutes of injection using cold test and electronic pulp tester \| 2. efficacy of pulpal anesthesia during root canal treatment on heft parker vas

Secondary Outcome Measures

Name	Time	Method
pain during cleaning and shaping of root canals, to be recorded on heft parker VAS	at baseline

Locations (1): J.N. Kapoor D.A.V. dental college
🇮🇳
Yamunanagar, HARYANA, India
J.N. Kapoor D.A.V. dental college
🇮🇳Yamunanagar, HARYANA, India
Hemant Arora
Principal investigator
7027262626
hemantarora.ha@gmail.com