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

Study Overview
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Brief Summary
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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

Detailed Description
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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

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

Conditions
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Buccal Infiltration Inferior Alveolar Nerve Block Articaine

Intervention / Treatment
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* Procedure: Buccal infiltration
* Procedure: Inferior alveolar nerve block


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 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

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Group A<br>Buccal infiltration of 4% Articaine | Procedure: Buccal infiltration<br>* Injection of local anaesthetic parallel to the Long axis of the tooth in the depth of buccal sulcus<br>|
| Active Comparator: Group B<br>Inferior alveolar nerve block of 4% Articaine | Procedure: Inferior alveolar nerve block<br>* Standard technique of mandibular nerve block<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 
| 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 | 
| Requirement of rescue injection | whether a recue injection was given or not | During extraction | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Buccal infiltration inferior alveolar nerve block Articaine