To Compare 2LA in dentistry

Not yet recruiting

• Conditions: Dental caries, unspecified,

• Registration Number: CTRI/2022/06/043611
• Lead Sponsor: SGT University

Brief Summary

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**

Detailed Description

Not available

Study Timeline

• Study Start: 2022-01-07
• Last Update Posted: 2022-01-07

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

1.Children of age 4-8 years 2.Indicated for pulpotomy/pulpectomy in mandibular primary molars.

Exclusion Criteria

1.Medically compromised patient 2.Any known allergy to local anesthetic agents.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
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	Clinical evaluation at baseline,4 weeks

Secondary Outcome Measures

Name	Time	Method
•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

Trial Locations

Locations (1)

SGT University; 🇮🇳 Gurgaon, HARYANA, India

SGT University

🇮🇳Gurgaon, HARYANA, India

Snigdha Trivedi

Principal investigator

9811105319

trivedi.snigdha0110@gmail.com