Effect of regional Anesthetic Technique compared to Nerve Block on Pain for Extraction of primary molars with 2% Lidocaine: A Randomized Clinical Trial

Not Applicable

Recruiting

• Conditions: Dental Fistula; Abscess with sinus; Pulp Necrosis; Toothache; C07.793.237; K08.80

• Registration Number: RBR-628bsrm
• Lead Sponsor: niversidade Federal de Santa Catarina

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-07-15
• Study Completion: 2022-12-01
• Last Update Posted: 29 May 2023

Recruitment & Eligibility

• Status: Recruiting
• Sex: Not specified
• Target Recruitment: Not specified

Inclusion Criteria

Children between 6 and 9 years of age, without systemic involvement, ASA I and II, of both sexes, who have a clinical and radiographic indication for extraction of an erupted primary molar and lower molar and who agree to participate in the research. Each child will participate only once in the survey. The following clinical and radiographic inclusion criteria will be analyzed. Clinically: the presence of coronary destruction that makes restoration impossible or the proper use of absolute isolation for endodontic and restorative procedures; the presence of perforation of the pulp chamber floor. Radiographically; deciduous molars with carious lesions or defective restorations associated with signs or symptoms indicative of pulp necrosis, periapical or inter radicular lesion extending over 1/3 of the roots or involving the crypt of the permanent successor tooth; the presence of pathological resorption of more than 1/3 of one or more roots that contraindicate endodontics; the presence of at least one non-resorbed half-length root, previous endodontic failure the persistence of periapical or inter radicular lesion associated or not with clinical signs and symptoms; internal resorption.

Exclusion Criteria

Patients with acute pain or presence of odontogenic infection associated with systemic signs and symptoms and cases of urgency; Patients with a history of bleeding or blood clotting problems or who have used medication that alters blood clotting prior to the procedure; Patients with hypersensitivity or a history of allergy to the drugs used in the research; Patients with a history of asthma; Patients with a history of liver disease;Patients with a history of bisulfite allergy; Patients who have reported post-traumatic stress disorder or recurrent hospitalizations, who have a personality or anxiety disorder or a diagnosis of phobia; Patient with neurological disorders or communication difficulties; Patient whose guardian cannot accompany the child and answer the necessary information for the survey within 24 hours following the procedure.

Study & Design

• Study Type: Intervention
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
The primary outcome evaluated will be the anesthetic efficacy of the vestibular infiltration technique compared to the inferior alveolar nerve block technique, both using 2% lidocaine with 1:100 000 epinephrine, by measuring self-reported pain at the time of tooth dislocation through the Visual Analog Scale (VAS). The scale will be applied to the child during the tooth extraction, right after the tooth is removed from the socket. It is expected to observe that the difference between the control group and the intervention group is not significant, considering that it does not exceed the acceptable inferiority limit.