Buccal Infiltration Technique Compared to Inferior Alveolar Nerve Block Technique for Alleviation of Intraoperative Pain During Pulpal Treatment of Mandibular Primary Molars: A Randomized Controlled Clinical Trial.
Overview
- Phase
- Not Applicable
- Intervention
- inferior alveolar nerve block with 4% articaine
- Conditions
- Anesthesia, Local
- Sponsor
- Cairo University
- Enrollment
- 48
- Primary Endpoint
- pain experienced by child during pulpal treatment
- Last Updated
- 8 years ago
Overview
Brief Summary
This split mouth randomized control trial is designed as to compare the effectiveness of the buccal infiltration technique with the gold standard inferior alveolar nerve block in anesthetizing mandibular second primary molars to undergoing pulpal treatment.
patient will be videotaped during pulpal treatment of their teeth and an accessing pain will be through an objective pain scale (SEM scale), (sound-eye-motor scale).
the patient will be asked to fill in a subjective Wong Baker pain scale for the pain suffered during injecting the local anesthetic agent in both techniques.
Investigators
Omar Sherif Ahmed Abo El Abbas
resident at pediatric dentistry and public health faculty of oral and dental medicine cairo university
Cairo University
Eligibility Criteria
Inclusion Criteria
- •first dental visit.
- •cooperative children (rating 4 or 3 based on Frankl behavior scale) aging from 6 to 8 years suffering from one or more deep carious lesions in their primary molars seeking treatment.
- •Restorable molars with stainless steel crowns.
Exclusion Criteria
- •medically compromised patients. uncooperative children (rating 1 or 2 on the Frankl behavior scale)needing special line of treatment through general anesthesia.
- •signs and symptoms of irreversible pulpitis, spontaneous pain, necrosis or any signs or symptoms of any infection.
- •presence of any radiographic signs of abcess, bone loss, internal or external root resorption.
- •parents or guardians who refuse participating in the study.
Arms & Interventions
inferior alveolar nerve block with 4% articaine
inferior alveolar nerve block using 4% articaine anesthetic solution
Intervention: inferior alveolar nerve block with 4% articaine
buccal infiltration with 4% articaine
buccal infiltration using 4% articaine anesthetic solution
Intervention: buccal infiltration with 4% articaine
Outcomes
Primary Outcomes
pain experienced by child during pulpal treatment
Time Frame: one week
sound-eye-motor
Secondary Outcomes
- time needed for numbness(one week)
- pain experienced by the child due to needle prick(one week)