Tooth Extraction Clinical Trial
Official title:
Is the Direct Inferior Alveolar Nerve Block Required for Third Lower Molar Extraction?
Verified date | March 2020 |
Source | University of Barcelona |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study is a Randomized Controlled Trial (RCT) which objective is to compare the effectiveness, efficacy and complication associated to an infiltrative anesthetic technique for the removal of lower third molars comparing it to the standard inferior alveolar nerve block using 4% articaine 1:100.000 epinephrine.
Status | Completed |
Enrollment | 120 |
Est. completion date | December 20, 2018 |
Est. primary completion date | November 10, 2018 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 60 Years |
Eligibility |
Inclusion Criteria: - Lower third molars in any position (in accordance to Pell and Gregory and Winter classification) in need of extraction. - Healthy patients and patients with mild systemic disease without substantive functional limitations (ASA I-II). - Absence of acute infection in the third molar area. - Adequate intellectual capacity for understanding the nature and purpose of the study and fill the informed consent and questionaries appropriately. Exclusion Criteria: - History of recent trauma in the maxillofacial area. - Articaine or lidocaine allergy. - Presence of a systemic pathology that contraindicates the use of local anesthetics with vasopressors. - Acute infection in the third molar area (in the las 30 days). - Surgeries taking more than 60 minutes (automatic dropout). - Unwillingness to participate or continue participating in the study. - A score equal or superior to 13 points in the Corah´s anxiety test. - Third molars in ectopic position. - Caries on the third molar. |
Country | Name | City | State |
---|---|---|---|
Spain | University of Barcelona | L´hospitalet de Llobregat | Catalunya |
Lead Sponsor | Collaborator |
---|---|
University of Barcelona |
Spain,
Berini Aytés L, Gay Escoda C, Uribarri A. Técnica de anestesia por bloqueo en la mandíbula. En: Berini Aytés L, Gay Escoda C. (eds.). Anestesia Odontológica, 3o ed. Madrid: Avances médico- dentales; 2005. p. 253-79.
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Gay Escoda C, Berini Aytés. Técnicas anestésicas en Cirugía Bucal. En: Tratado de Cirugía Bucal. Madrid: Ergon; 2004. p. 155-98
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Kanaa MD, Whitworth JM, Corbett IP, Meechan JG. Articaine buccal infiltration enhances the effectiveness of lidocaine inferior alveolar nerve block. Int Endod J. 2009 Mar;42(3):238-46. doi: 10.1111/j.1365-2591.2008.01507.x. — View Citation
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* Note: There are 21 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Need for supplemental anesthesia [Efficacy] | Using a questionnaire filled by the surgeon at the end of surgery. Need for supplemental anesthesia (yes/no) | At the end of surgery (=60 minutes after pulpal anesthesia is achieved) | |
Secondary | Local anesthetic injection pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | After local anesthetic injection (minute 0) | |
Secondary | Morbidity | Using a questionnaire. Electrical shock sensation affecting lower lip and/or tongue (yes/no). | After local anesthetic injection (minute 0) | |
Secondary | Latency | Time elapsed from anesthetic injection to numbness of tongue and lower lip (Vicent's sign) reported by the patient (seconds). | After anesthetic injection (approximately 0 to 360 seconds) | |
Secondary | Pulpal anesthesia | Using an electronic pulp tester placed on the mesiobuccal cusp tip of ipsilateral lower second molar. No response at 80 units. |
Minute 1 (after Vincent's sign is achieved) | |
Secondary | Pulpal anesthesia | Using an electronic pulp tester placed on the mesiobuccal cusp tip of ipsilateral lower second molar. No response at 80 units. |
Minute 1.5 (after Vincent's sign is achieved) | |
Secondary | Pulpal anesthesia | Using an electronic pulp tester placed on the mesiobuccal cusp tip of ipsilateral lower second molar. No response at 80 units. |
Minute 2 (after Vincent's sign is achieved) | |
Secondary | Pulpal anesthesia | Using an electronic pulp tester placed on the mesiobuccal cusp tip of ipsilateral lower second molar. No response at 80 units. |
Minute 2.5 (after Vincent's sign is achieved) | |
Secondary | Pulpal anesthesia | Using an electronic pulp tester placed on the mesiobuccal cusp tip of ipsilateral lower second molar. No response at 80 units. |
Minute 3 (after Vincent's sign is achieved) | |
Secondary | Pulpal anesthesia | Using an electronic pulp tester placed on the mesiobuccal cusp tip of ipsilateral lower second molar. No response at 80 units. |
Minute 3.5 (after Vincent's sign is achieved) | |
Secondary | Pulpal anesthesia | Using an electronic pulp tester placed on the mesiobuccal cusp tip of ipsilateral lower second molar. No response at 80 units. |
Minute 4 (after Vincent's sign is achieved) | |
Secondary | Pulpal anesthesia | Using an electronic pulp tester placed on the mesiobuccal cusp tip of ipsilateral lower second molar. No response at 80 units. |
Minute 4.5 (after Vincent's sign is achieved) | |
Secondary | Pulpal anesthesia | Using an electronic pulp tester placed on the mesiobuccal cusp tip of ipsilateral lower second molar. No response at 80 units. |
Minute 5 (after Vincent's sign is achieved) | |
Secondary | Pulpal anesthesia | Using an electronic pulp tester placed on the mesiobuccal cusp tip of ipsilateral lower second molar. No response at 80 units. |
Minute 5.5 (after Vincent's sign is achieved) | |
Secondary | Pulpal anesthesia | Using an electronic pulp tester placed on the mesiobuccal cusp tip of ipsilateral lower second molar. No response at 80 units. |
Minute 6 (after Vincent's sign is achieved) | |
Secondary | Surgery pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | At the end of surgery (=60 minutes after pulpal anesthesia is achieved) | |
Secondary | Post operative pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | 2 hours | |
Secondary | Post operative pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | 6 hours | |
Secondary | Post operative pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | 12 hours | |
Secondary | Post operative pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | 24 hours | |
Secondary | Post operative pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | Day 1 | |
Secondary | Post operative pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | Day 2 | |
Secondary | Post operative pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | Day 3 | |
Secondary | Post operative pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | Day 4 | |
Secondary | Post operative pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | Day 5 | |
Secondary | Post operative pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | Day 6 | |
Secondary | Post operative pain | Measured by a 100 mm Visual Analog Scale (VAS) Range: 0 mm [No pain. Best outcome] to 100 mm [Worst pain. Worst outcome] | Day 7 | |
Secondary | Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability] | Using a questionnaire filled by the surgeon at the end of study visit. Pruritus, nausea, vomiting, bleeding, anesthesia of the mouth, difficulty breathing, drowsiness, headache, sweating, palpitations, skin rash, difficult deglutition and dysarthria during the follow-up period (yes/no) | Day 7 |
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