Comparison of Efficacy of Distolingual Infiltration in Conjugation With Conventional Inferior Alveolar Nerve Block to Conventional Inferior Alveolar Nerve Block Alone for Extraction of Mandibular Third Molar
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Pain during mucoperiosteal flap elevation
研究概览
简要总结
This randomized controlled trial will compare the effectiveness of adding distolingual infiltration to conventional inferior alveolar and buccal nerve blocks for mandibular third molar extraction. A total of 120 patients will be allocated into two groups. Pain during flap elevation and bone guttering will be assessed using the Visual Analogue Scale.
详细描述
Mandibular third molar extraction is a common oral and maxillofacial surgery procedure that requires profound local anesthesia. Despite conventional inferior alveolar, lingual and buccal nerve blocks, the distolingual gingiva may remain non-anesthetized due to accessory innervation via the mylohyoid and other nerves. Distolingual infiltration may improve anesthesia in this area.
This randomized controlled trial will enroll 120 patients requiring mandibular third molar extraction. Participants will be randomized into two groups: conventional inferior alveolar and buccal nerve block (Group A) and the same technique with additional distolingual infiltration (Group B). Pain during mucoperiosteal flap elevation and bone guttering will be recorded on a 0-10 Visual Analogue Scale. The primary objective is to determine whether distolingual infiltration improves pain control compared to the conventional technique.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Healthy individuals
- •Male and female
- •Age 18-45 years
- •Mandibular third molar impaction - all positions
- •Mandibular third molar impaction - all classes
排除标准
- •ASA status III and above
- •Patients requiring multiple extractions in the same appointment
- •Allergy to lignocaine
- •Patients in whom adrenaline is contraindicated
- •Medically compromised individuals e.g. poorly controlled diabetes, hypertension
研究组 & 干预措施
conventional nerve block injection
Inferior alveolar and buccal nerve block using 2% lignocaine with adrenaline (1:80,000) without distolingual infiltration.
干预措施: Conventional Inferior Alveolar and Buccal Nerve Block (Procedure)
conventional inferior alveolar with distolingual infilterate injection
Inferior alveolar supplemented with distolingual infiltration using 2% lignocaine with adrenaline (1:80,000).
干预措施: Distolingual Infiltration plus Conventional Nerve Block (Procedure)
结局指标
主要结局
Pain during mucoperiosteal flap elevation
时间窗: During mucoperiosteal flap elevation on the day of surgery
Pain intensity experienced during flap elevation will be assessed using the Visual Analogue Scale (VAS). This is a 0-10 point numerical scale where participants indicate the pain level experienced at the time of flap elevation. Measurement Tool: Visual Analogue Scale (VAS) Scale: * Minimum score: 0 (no pain) * Maximum score: 10 (worst possible pain) * Directionality: Higher scores indicate worse pain
Pain During Bone Guttering
时间窗: During bone guttering on the day of surgery.
Pain intensity during bone guttering will be recorded using the Visual Analogue Scale (VAS). Measurement Tool: Visual Analogue Scale (VAS) Scale: * Minimum: 0 (no pain) * Maximum: 10 (worst pain) * Higher scores = worse pain
次要结局
未报告次要终点
研究者
aimen zafar
prinicpal investigator
Watim Medical & Dental College