Comparing Buccal Infiltration and Inferior Alveolar Nerve Block for Extraction of Mandibular Teeth

Not Applicable

Completed

• Conditions: Buccal Infiltration Inferior Alveolar Nerve Block Articaine
• Interventions: Procedure: Buccal infiltration; Procedure: Inferior alveolar nerve block

• Registration Number: NCT04294745
• Lead Sponsor: Melaka Manipal Medical College

Brief Summary

This study compares the effectiveness of two techniques of local anesthesia in the extraction of mandibular teeth. One group received inferior alveolar nerve block and the other group received buccal infiltration of 4% Articaine

Detailed Description

Inferior alveolar nerve block is the commonly used local anesthetic injection technique for extraction of mandibular teeth. Buccal infiltration technique alone is considered to be ineffective in treating mandibular teeth due to the thickness of buccal cortical plate. However, buccal infiltration, if provided with an agent with higher penetration capability, may be used instead of Inferior alveolar nerve block. Articaine, due to its thiophene ring, has higher liposolubility and bony diffusion than any other agent.

This study compares the effectiveness of inferior alveolar nerve block and buccal infiltration using 4% Articaine in the extraction of mandibular teeth

Study Timeline

• Study Start: 2019-02-01
• Primary Completion: 2020-01-30
• Study Completion: 2020-01-30
• Study First Submitted: 2020-03-02
• Study First Submitted QC: 2020-03-02
• Study First Posted: 2020-03-04
• Status Verified: 2023-09
• Last Update Submitted: 2023-09-28
• Last Update Posted: 2023-10-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Mandibular teeth
• grossly decayed teeth
• root stumps
• therapeutic extractions
• American society of anesthesiologist classification I & II patients

Exclusion Criteria

• patients allergic to local anesthesia
• infected teeth
• grade 2 and grade 3 mobile teeth
• patients already taking medications which influences the anaesthetic assessment

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A	Buccal infiltration	Buccal infiltration of 4% Articaine
Group B	Inferior alveolar nerve block	Inferior alveolar nerve block of 4% Articaine

Primary Outcome Measures

Name	Time	Method
Pain during injection using a visual analogue scale measuring 10 cm with 0 depicting no pain and 10 depicting severe pain	During injection	VAS scale is a validated scale measuring pain with possible score range from 0 (no pain) to 10 (severe pain).
Pain during extraction using a visual analogue scale measuring 10 cm with 0 depicting no pain and 10 depicting severe pain	During extraction	VAS scale is a validated scale measuring pain with possible score range from 0 (no pain) to 10 (severe pain).
Requirement of rescue injection	During extraction	whether a recue injection was given or not

Trial Locations

Locations (1)

Melaka Manipal Medical College; 🇲🇾 Melaka, Malaysia