Modified Akinosi Technique: Increasing the success of pulpal anaesthesia for mandibular molars.
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Attainment of adequate anesthesia that allowed root canal therapy to be completed without any additional need of anesthesia
研究概览
简要总结
A total of 80 clinically healthy patients of both genders, between 16 and 65 years, diagnosed with symptomatic irreversible pulpitis in mandibular first and second molars will be included in the study. The subjects will be divided into two groups. Group A will receive nerve block and pulpal anesthesia through Inferior Alveolar Nerve Block technique, while Group B receive nerve block through Modified Akinosi technique with 2% lignocaine containing 1:200,000 adrenaline. All endodontic treatments will be performed in a single visit. We will evaluate the presence of pain during various phases of endodontic treatment with Visual Analog Scale. The pain level will be registered at the end of the following phases of the endodontic treatment: 1. During access cavity preparation; 2. While determining working length for all the root canals; 3. During cleaning and shaping of root canals.
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Investigator Blinded
入排标准
- 年龄范围
- 16.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •80 patients will be selected from among the patients reporting to the Department of Conservative Dentistry and Endodontics, in a randomized clinical trial study design.
- •The study will include patients aged between 16 and 65 years of both genders.
- •patients diagnosed with symptomatic irreversible pulpitis in their mandibular first and second molars indicated for single-visit endodontic treatment will be included.
排除标准
- •Patients with active infections, swelling, or abscesses.
- •Cases involving open apices, calcified canals, or retreatment will be excluded.
- •Additionally, patients with systemic diseases where the administration of local anesthesia is contraindicated, and immunocompromised, and those who failed to provide consent will not be included in the study.
结局指标
主要结局
Attainment of adequate anesthesia that allowed root canal therapy to be completed without any additional need of anesthesia
时间窗: Pain levels will be recorded with visual analog scale at the conclusion of each phase of the endodontic treatment: Phase 1: access cavity preparation; Phase 2: working length determination; and Phase 3: root canal preparation. Pain outcomes will be assessed at baseline. The Modified Akinosi technique will be deemed successful when all root canals could be completed without any supplemental anesthesia.
次要结局
- The MAT is underutilized but can offer effective anesthesia with several advantages, including reduced patient apprehension, minimal pain, fewer complications, ease of performance.(The pain levels will be recorded at baseline as Pain levels will be recorded with visual analog scale at the conclusion of each phase of the endodontic treatment: Phase 1: access cavity preparation; Phase 2: working length determination; & Phase 3: root canal preparation. The Modified Akinosi technique will be deemed successful when all root canals could be completed without any supplemental anesthesia.)
研究者
Dr Aarti A Bohora
SMBT IDSR DHAMANGAON NASIK