Comparing Buccal Infiltration and Inferior Alveolar Nerve Block for Extraction of Mandibular Teeth

Buccal Infiltration Inferior Alveolar Nerve Block Articaine Clinical Trial

Official title:

Effectiveness of Buccal Infiltration and Inferior Alveolar Nerve Block With Articaine for Extraction of Mandibular Teeth- A Randomized Clinical Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04294745
• Other study ID #: MMMC/FOD/AR/B7/E C-2019 (04)
• Status: Completed
• Phase: N/A
• Start date: February 1, 2019
• Est. completion date: January 30, 2020

Study information

• Verified date: September 2023
• Source: Melaka Manipal Medical College
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study compares the effectiveness of two techniques of local anesthesia in the extraction of mandibular teeth. One group received inferior alveolar nerve block and the other group received buccal infiltration of 4% Articaine

Description:

Inferior alveolar nerve block is the commonly used local anesthetic injection technique for extraction of mandibular teeth. Buccal infiltration technique alone is considered to be ineffective in treating mandibular teeth due to the thickness of buccal cortical plate. However, buccal infiltration, if provided with an agent with higher penetration capability, may be used instead of Inferior alveolar nerve block. Articaine, due to its thiophene ring, has higher liposolubility and bony diffusion than any other agent.

This study compares the effectiveness of inferior alveolar nerve block and buccal infiltration using 4% Articaine in the extraction of mandibular teeth

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: January 30, 2020
• Est. primary completion date: January 30, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 80 Years

Eligibility

Inclusion Criteria:

• Mandibular teeth

• grossly decayed teeth

• root stumps

• therapeutic extractions

• American society of anesthesiologist classification I & II patients

Exclusion Criteria:

• patients allergic to local anesthesia

• infected teeth

• grade 2 and grade 3 mobile teeth

• patients already taking medications which influences the anaesthetic assessment

Related Conditions & MeSH terms

• Buccal Infiltration Inferior Alveolar Nerve Block Articaine

Intervention

Procedure:
• Buccal infiltration
Injection of local anaesthetic parallel to the Long axis of the tooth in the depth of buccal sulcus
• Inferior alveolar nerve block
Standard technique of mandibular nerve block

Locations

Country	Name	City	State
Malaysia	Melaka Manipal Medical College	Melaka

Sponsors (1)

Lead Sponsor	Collaborator
Melaka Manipal Medical College

Country where clinical trial is conducted

Malaysia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain during injection using a visual analogue scale measuring 10 cm with 0 depicting no pain and 10 depicting severe pain	VAS scale is a validated scale measuring pain with possible score range from 0 (no pain) to 10 (severe pain).	During injection
Primary	Pain during extraction using a visual analogue scale measuring 10 cm with 0 depicting no pain and 10 depicting severe pain	VAS scale is a validated scale measuring pain with possible score range from 0 (no pain) to 10 (severe pain).	During extraction
Primary	Requirement of rescue injection	whether a recue injection was given or not	During extraction