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
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Pain during mucoperiosteal flap elevation
Study Overview
Brief Summary
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.
Detailed Description
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 45 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Healthy individuals
- •Male and female
- •Age 18-45 years
- •Mandibular third molar impaction - all positions
- •Mandibular third molar impaction - all classes
Exclusion Criteria
- •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
Arms & Interventions
conventional nerve block injection
Inferior alveolar and buccal nerve block using 2% lignocaine with adrenaline (1:80,000) without distolingual infiltration.
Intervention: 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).
Intervention: Distolingual Infiltration plus Conventional Nerve Block (Procedure)
Outcomes
Primary Outcomes
Pain during mucoperiosteal flap elevation
Time Frame: 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
Time Frame: 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
Secondary Outcomes
No secondary outcomes reported
Investigators
aimen zafar
prinicpal investigator
Watim Medical & Dental College