Cross-sectional Study Documenting the Relative Efficacy of Intraligamentary Anesthesia and the Inferior Alveolar Nerve Block for the Extraction of Posterior Mandibular Teeth.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 535
- 试验地点
- 2
- 主要终点
- Injection pain
研究概览
简要总结
Local anaesthesia or numbing is done before tooth extraction. This study compares two different methods of numbing molar teeth before extraction. It compares them on the basis of pain during the procedure and on discomfort after the procedure as well. It will help dentists better understand the benefits of the two techniques, and their usage case to case.
详细描述
The study was designed as a randomized controlled trial. The purpose of this study was to examine the differences in efficacy of the intraligamentary anaesthetic technique and the inferior alveolar nerve block for mandibular posterior tooth extraction cases. Pain intensity, duration of anaesthesia, incidence of post-operative dry socket, success rates, onset of anaesthesia were examined. It was done in a split-mouth method so that two different techniques were used in the same patient, thus minimizing individual variations.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients of both sexes who were more than 18 years of age; they had indications of non-surgical extraction of one or multiple mandibular posterior teeth.
排除标准
- •For patients: pregnancy, immunological compromise, systemic conditions requiring special considerations and non-compliance.
- •The exclusion criteria for individual teeth were: acutely infected teeth or any teeth with the instances of expression of pus through sinus tracts or the gingival sulcus were excluded. In case of multiple unilaterally indicated teeth that were to be extracted under IANB, only the tooth best fitting all criteria was considered for the study.
结局指标
主要结局
Injection pain
时间窗: Through the duration of injection (within a few seconds to 1 minute)
Rating of injection administration pain from 0-10.
Pain during extraction procedure
时间窗: For the duration of treatment (estimated within 1 hour)
Pain during extraction procedure on a scale of 0-10.
Unpleasantness of treatment
时间窗: For the duration of treatment (estimated within 1 hour)
A rating of 0-10 for overall discomfort felt by the patient during the treatment.
Latency time of anesthesia (minutes)
时间窗: Anesthesia was tested with a dental probe on the marginal gingiva at: 1) immediately after the injection and 2) every 10 seconds (ILA) / every 30 seconds (IANB) until complete painlessness was achieved.
The onset of anesthesia after injection
Anesthetic effect
时间窗: For the duration of treatment (estimated within 2 hours)
4 categories: Complete, sufficient, insufficient or no effect.
Amount of anesthetic solution (mL)
时间窗: For the duration of treatment (estimated within 1 hour)
The average amount of anaesthetic solution injected per procedure.
Duration of treatment (minutes)
时间窗: For the duration of treatment (estimated up to 1 to 2 hours)
Time in minutes taken from the injection to the complete extraction of tooth.
Duration of local numbness (minutes)
时间窗: For the duration of treatment (estimated up to 1 to 2 hours)
Total duration of local numbness reported by the patient
次要结局
- Incidence of Dry socket(From the complete extraction of tooth to 14 days after the extraction of tooth)
研究者
Hamza Zia Ahmed
Principal Investigator
Nishtar Medical University