Buccal Infiltration Technique in Comparison to the Inferior Alveolar Nerve Block Technique for Anesthetizing Mandibular Primary Molars During Pulpal Treatment
试验速览
- 阶段
- 不适用
- 入组人数
- 22
- 试验地点
- 1
- 主要终点
- Pain during pulpal treatment
研究概览
简要总结
This study was conducted to compare the efficacy of the buccal infiltration technique with inferior alveolar nerve block technique for alleviation of intraoperative pain during pulpal treatment of second mandibular primary molars using 4% Articaine 1:100000.
The study started with 22 cooperative medically free patients aging 7 to 8 years old seeking treatment for bilateral deep carious mandibular second primary molars with no previous history of irreversible pulpitis, swelling, sinus tract or tooth mobility.
Randomization was achieved when each candidate was instructed to pick an opaque and sealed envelope from two separate black and opaque boxes. First box contained two envelopes to identify the side on which the operator will perform the treatment. While the second box contained another two envelopes describing which anesthetic technique will be implemented with the previously chosen side.
After clinical and radiographic examination, the patient received the pulpal treatment under the identified side and injecting technique. Videotaping of the pulpal treatment procedure was initiated after numbness was experienced by the child.
A blind assessor was assigned to review the videos and fill in the SEM pain scale to identify the pain and level of discomfort experienced by the child during the pulpal treatment.
详细描述
This study was a split mouth randomized controlled trial enrolling 22 patients from the diagnostic center in the Pediatric Dentistry and Dental Public Health Department Faculty of Dentistry, Cairo University. All participants met the following inclusion criteria:
- Cooperative children (rating four or three based on Frankl behavior scale) aging from seven to eight years.
- Medically free child categorized as ASA I or ASA II according to the American Society of anesthesiologist.
- Restorable bilateral deep carious lower primary second molars as shown in figure (1).
- Normal radiographic findings.
Preoperative periapical x-rays were done on the targeted molars to confirm their adherence to the eligibility criteria and to confirm their restorability.
Each participant was asked to pick an opaque and sealed envelope from two separate black and opaque boxes to randomly choose the operated technique and side on the first operating visit. By default the other technique will be implemented on the other side on the upcoming visit.
Proper psychological management and desensitization procedures were undertaken to prepare the patient for the treatment. Certain phrases were used to prepare the child for applying topical anesthetic gel and injecting the anesthetic agent in any given technique like "The magic water will be used to put the tooth to sleep".
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
not showing the anesthetic procedure in the video tape
入排标准
- 年龄范围
- 7 Years 至 8 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Cooperative children (rating 4 or 3 based on Frankl behavior scale) aging from 7 to
- •Medically free child ASA I or ASA II according to the American Society of anesthesiologist.
- •Restorable bilateral deep carious lower primary second molars.
- •Normal radiographic findings.
排除标准
- •1- Uncooperative child (rating 1 or 2 on the Frankl behavior scale). 2- Signs and symptoms of irreversible pulpitis, spontaneous pain, necrosis or any signs and symptoms of abscess.
- •3- Radiographic signs of abscess, bone loss, internal or external root resorption was evident.
- •4- Parents or guardians refused participating in the study.
研究组 & 干预措施
buccal infiltartion technique
local anesthetic technique
干预措施: Inferior alveolar nerve block technique (Other)
Inferior alveolar nerve block technique
local anesthetic technique
干预措施: Buccal infiltration technique (Other)
结局指标
主要结局
Pain during pulpal treatment
时间窗: up to one month
Sound Eye Motor SEM Pain scale
次要结局
未报告次要终点
研究者
Omar Sherif Ahmed Abo El Abbas
Assistant Lecturer
Cairo University