The effect of cooled anesthetic compared to increasing its volume on the success of inferior alveolar block anesthesia by articaine

Not Applicable

Conditions: symptomatic irreversible pulpitis.
Pulpitis
K04.0

Registration Number: IRCT20240518061836N1

Lead Sponsor: Tabriz University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: All

Target Recruitment: 135

Inclusion Criteria

Patients without systemic diseases
Patients aged 18-65 years
No facial paresthesia
Do not take analgesic drugs 6 hours before the treatment
Not taking drugs that interfere with anesthesia (tricyclic antidepressant-propranolol)
Absence of lesions and pathology in the anesthesia injection area
Absence of periodontal problems in the first molar area of ??the mandible
Patients with mandibular first molars with symptomatic irreversible pulpitis

Exclusion Criteria

Patients with congenital anomalies and structural defects in the first molar of the mandible
Patients undergoing radiotherapy or chemotherapy
Patients with an allergy to anesthetics
Patients taking painkiller, anti-inflammatory or sedative drugs in the last 12 hours
Smoker patients
Mandibular first molar tooth necrosis or irreversible pulpitis

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Anesthesia. Timepoint: 20 minutes after pulp anesthesia. Method of measurement: 20 minutes after the injection, anesthesia is evaluated by electrical pulp test.

Secondary Outcome Measures

Name	Time	Method
Pain. Timepoint: before injection and 20 minutes after injection. Method of measurement: Before anesthesia injection, the patients will be explained to rate their pain during the root canal treatment process using a visual analogue scale (VAS), with 0 cm indicating the absence of pain and 17 cm indicating the worst. 20 minutes after the injection, this assessment will be repeated and compared.