Anesthetic Efficacy of X-tip Intraosseous Injection

Study Overview
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Brief Summary
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Hypothesis: X-tip intraosseous is an effective supplementary injection in mandibular hot teeth as well as Periodontal Ligament (PDL) injection Purposes: Comparing the anesthetic efficacy of X-tip intraosseous and PDL injection in mandibular hot teeth which had not been anesthetized after 3.6 ml Infra Alveolar Nerve Block Methods and Materials: forty patients with mandibular hot molar or second premolar which had not been anesthetized after 3.6 ml inferior alveolar nerve block injection will be selected for this study

Detailed Description
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Randomization: All patients will be randomly divided into two groups as follows: X-tip intraosseous injection will be used as supplementary PDL injection will be used as supplementary Anesthetic evaluation: For anesthetic evaluation we will use Visual Analog Scale (VAS)

Official Title
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Anesthetic Efficacy of X-tip Intraosseous Injection Following Mandibular Nerve Block in Molars With Acute Irreversible Pulpitis

Conditions
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Anesthesia

Intervention / Treatment
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* Procedure: Type of Supplementary Injection


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Mandibular Molars and second premolars with Acute Irreversible Pulpitis None of the teeth selected should have been anesthetized following 3.6 ml Lidocaine block injection Exclusion Criteria: Unhealthy patients Teeth which were anesthetized following 3.6 ml nerve block injection Patients who did not have any signs of lip anesthesia following 3.6 ml injection

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: X-tip intraosseous injection<br> | Procedure: Type of Supplementary Injection<br>* Patients will be selected from a group who were not anesthetized following 3.6 ml block injection. Half of the randomly selected patients will receive X-tip intraosseous injection and half will receive PDL injection as a supplementary for completing the anesthesia in selected hot mandibular molar teeth.<br>|
| Active Comparator: PDL injection<br> | Procedure: Type of Supplementary Injection<br>* Patients will be selected from a group who were not anesthetized following 3.6 ml block injection. Half of the randomly selected patients will receive X-tip intraosseous injection and half will receive PDL injection as a supplementary for completing the anesthesia in selected hot mandibular molar teeth.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participant who will have the pain following X-tip or PDL as a supplementary injection | All particiapant will be asked to show their pain degree on VAS for evaluation the efficacy of injections as a supplementary for anesthetising the teeth before and after the supplementary injection. | 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Heart rate monitoring | This record will be monitored by puls oximeter device | before block injection and after supplementary injection | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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intraosseous injection, X-tip, PDL injection, Supplementary Injection