Anesthetic efficacy of 4 % Articaine buccal infiltration versus 2% lignocaine inferior alveolar nerve block in lower primary molars indicated for endodontic treatment.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- To evaluate and compare the anaesthetic efficacy of 4 % articaine buccal infiltration versus 2% lignocaine inferior alveolar nerve block in lower primary molars indicated for endodontic treatment
研究概览
简要总结
Successful anaesthesiais the hallmark of painless endodontic treatment. Pulpal anaesthesia commences with the administration of traditionalnerve blocks or infiltration anaesthesia.
Conventionallyit was thought that the Inferior alveolar nerve bock (IANB) is the local anaesthesiatechnique of choice over when treating mandibular primary or permanent molars for endodontic treatment. The primary advantage of this block is thedepth of anaesthesia6. All the molars, canines and incisors on theinjected side are anesthetized and hence allows for treatment of multiple teeth of the same quadrant at one appointment. 2 % lignocaine is consideredas the gold standard among local anaesthetic agents
Unfortunately,IANB is associated with several complications such as transient facialparalysis, trismus, local anaesthetic getting injected into the blood vesseland prolonged soft tissue anaesthesia which results in self-inflicted traumasuch as biting of lip and cheek specially in paediatric population.
Buccalinfiltration (BI) has been suggested as a simpler modality than IANB and isbeing widely advocated in recent studies. Due to lowpenetration of lidocaine through the buccal cortical plate, BI using lidocaineis not as effective as IANB for achieving profound anaesthesia in mandibularprimary molars. 4percent Articaine for BI in mandibular primary molar, has increased lipid solubility and high tissue permeabilityenables it to diffuse through the mandibular dense cortical bone as well asmaxillary cortical plates (11)
Hence thepresent study aims to compare the anaesthetic efficacy of 4 % articainebuccal infiltration versus 2% lignocaine inferior alveolar nerve block in lowerprimary molars indicated for endodontic treatment
研究设计
- 研究类型
- Interventional
- 分配方式
- Other
- 盲法
- Not Applicable
入排标准
- 年龄范围
- 4.00 Year(s) 至 8.00 Year(s)（—）
- 性别
- All
入选标准
- •1.Children of age 4-8 years 2.Indicated for pulpotomy/pulpectomy in mandibular primary molars.
排除标准
- •1.Medically compromised patient 2.Any known allergy to local anesthetic agents.
结局指标
主要结局
To evaluate and compare the anaesthetic efficacy of 4 % articaine buccal infiltration versus 2% lignocaine inferior alveolar nerve block in lower primary molars indicated for endodontic treatment
时间窗: Clinical evaluation at baseline,4 weeks
次要结局
- •To evaluate pain and discomfort of the patient during anaesthesia with 4% articaine buccal infiltration and 2% lidocaine inferior alveolar nerve block(Clinical Evaluation at baseline,4 weeks)