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Comparing Pain Relief Methods for Tooth Nerve Treatment: Standard Nerve Block vs. Nerve Block with Extra Gum Injection vs. Nerve Block with Laser Therapy, Using 4% Articaine, in Patients with Severe Toothache in Lower Molars: A Randomized Clinical Study

Phase 4
Conditions
Health Condition 1: O- Medical and Surgical
Registration Number
CTRI/2024/05/067668
Lead Sponsor
Dr Manalee Mapara
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

(1)Systemically healthy patients (Category: American Society of Anaesthesiologists class 11. Systemically healthy patients (Category: American Society of Anaesthesiologists class 1

(2)Patients who will diagnose with symptomatic irreversible pulpitis with or without apical periodontitis giving prolonged response to cold test and positive response to electric pulp test in mandibular molars

(3)Patient who will actively experience moderate to severe pain pre operatively on VAS scale above 4 (on 0-10 point scale)

(4)only those patients ready to sign the consent form

Exclusion Criteria

(1)Patients allergic to local anesthetics or known allergy to articaine

(2)Pregnant and lactating patients

(3)Patients taking any analgesics, sedatives, and antianxiety drugs on regular basis or before 24 hrs. of treatment

(4)Patient having necrosed tooth with sinus tracts/local gum swelling around the affected tooth

(5)Patients with severe periodontitis and poor oral hygiene

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Help the clinician to decide which method of IANB nerve block ( Only IANB, IANB with intraligamentary, IANB with LLLT) will provide better anesthetic efficacy in cases of symptomatic irreversible pulpitis in lower permanent molarsTimepoint: 30 min
Secondary Outcome Measures
NameTimeMethod
Help to know about the duration of onset of anesthesia using different supplemental techniquesTimepoint: 0-5 minutes, 6-10 minutes, 11-15 minutes
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