Risk Factors of Inferior Alveolar Nerve Block Failure: a Dental Student-centered Study

Anesthesia, Local Clinical Trial

Official title:

Risk Factors of Inferior Alveolar Nerve Block Failure: a Dental Student-centered Study

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05681546
• Other study ID #: Selcuk03
• Status: Recruiting
• Start date: February 27, 2023
• Est. completion date: July 20, 2024

Study information

• Verified date: June 2024
• Source: Selcuk University
• Contact: Gökhan Gürses
• Phone: +905052595359
• Email: gokhangurses.akademik[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Inferior alveolar nerve block anesthesia is one of the most commonly used regional block anesthesia in dentistry. The factors that determine the success of this type of anesthesia which is applied so frequently, are not reported in the literature. It is to reveal and evaluate patient and dentist-based factors, especially in anesthesia applied by trainee dentists who have just learned this anesthesia block.

Description:

In this study, the investigators are going to observe 200 IANB anesthesia in our clinic. The investigators will evaluate the class, right/left handed, gender and experience on inferior alveolar nerve block of dental student. The criteria the investigators will evaluate for the patient are as follows; gender, body mass index, ramus height, left/right side, and maximum mouth opening amount. The criterion for the success of anesthesia are lost lip sensation within 10 minutes, no complication related to anesthesia.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 320
• Est. completion date: July 20, 2024
• Est. primary completion date: July 1, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 50 Years

Eligibility

Inclusion Criteria:

• having an indication of mandibular first or second molar extraction,

• being between 18 and 50 years old,

• not having any nerve or nerve-related disease,

• having a mouth opening 35 millimeters and above,

• not having an infected or inflamed tooth for extraction,

• being cooperative,

• non-allergic to articaine

• being right-handed (for dental-students)

• being intern (for dental-students)

Exclusion Criteria:

• anesthesia-related complications,

• more than twice the needed needle insertion

• wishing to quit the study

Related Conditions & MeSH terms

• Anesthesia, Local

Locations

Country	Name	City	State
Turkey	Selcuk University, Dentistry Faculty	Selçuklu	Konya

Sponsors (1)

Lead Sponsor	Collaborator
Selcuk University

Country where clinical trial is conducted

Turkey, 

References & Publications (2)

Kohler BR, Castellon L, Laissle G. Gow-Gates technique: a pilot study for extraction procedures with clinical evaluation and review. Anesth Prog. 2008 Spring;55(1):2-8. doi: 10.2344/0003-3006(2008)55[2:GTAPSF]2.0.CO;2. — View Citation

Thangavelu K, Kannan R, Kumar NS. Inferior alveolar nerve block: Alternative technique. Anesth Essays Res. 2012 Jan-Jun;6(1):53-7. doi: 10.4103/0259-1162.103375. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patrient-BMI index	Ask the patrients their weight and height then note that as their bmi index.This note guides us amount of bichat and how it affects the failure of block anesthasia.	after 5 minutes, patrients come to our clinic and sit on the dental unit.
Primary	Patrient-Height of mandibular ramus	measuring of mandibular ramus on panoromic radyography from mandibular angulus to condylar head.	after 5 minutes, patrients come to our clinic and sit on the dental unit.
Primary	Patrient-Gender	attending patrients sex	after 5 minutes, patrients come to our clinic and sit on the dental unit.
Primary	Patrient-Maximum mouth opening	before the anesthasia, make the patrients open their mouth maximum then measure it from lower incisors incisal edge to upper incisors incisal edge.	after 5 minutes, patrients come to our clinic and sit on the dental unit.
Primary	Gender	attending dental studens sex	after 5 minutes, patrients come to our clinic and sit on the dental unit.
Primary	Student-Class	attending dental students in which period for the explanation of their experiment level	after 5 minutes, patrients come to our clinic and sit on the dental unit.
Primary	Dental student-Mandibular nerve block experience	attending dental students in which period for the explanation of their experiment level	after 5 minutes, patrients come to our clinic and sit on the dental unit.
Primary	which side for the mandibular block anesthasia	Does the side of anesthesia according to the hand used affect its success?	after 5 minutes, patrients come to our clinic and sit on the dental unit.