Comparison Between Efficiency of Inferior Alveolar Nerve Block and Buccal Infiltration Techniques Using Articaine 4% 1:100000

Study Overview
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Brief Summary
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This split mouth randomized control trial is designed as to compare the effectiveness of the buccal infiltration technique with the gold standard inferior alveolar nerve block in anesthetizing mandibular second primary molars to undergoing pulpal treatment. patient will be videotaped during pulpal treatment of their teeth and an accessing pain will be through an objective pain scale (SEM scale), (sound-eye-motor scale). the patient will be asked to fill in a subjective Wong Baker pain scale for the pain suffered during injecting the local anesthetic agent in both techniques.

Official Title
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Buccal Infiltration Technique Compared to Inferior Alveolar Nerve Block Technique for Alleviation of Intraoperative Pain During Pulpal Treatment of Mandibular Primary Molars: A Randomized Controlled Clinical Trial.

Conditions
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Anesthesia, Local

Intervention / Treatment
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* Drug: inferior alveolar nerve block with 4% articaine
* Drug: buccal infiltration with 4% articaine


Participation Criteria
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Eligibility Criteria
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A-Inclusion Criteria: first dental visit. cooperative children (rating 4 or 3 based on Frankl behavior scale) aging from 6 to 8 years suffering from one or more deep carious lesions in their primary molars seeking treatment. Restorable molars with stainless steel crowns. B-Exclusion Criteria: medically compromised patients. uncooperative children (rating 1 or 2 on the Frankl behavior scale)needing special line of treatment through general anesthesia. signs and symptoms of irreversible pulpitis, spontaneous pain, necrosis or any signs or symptoms of any infection. presence of any radiographic signs of abcess, bone loss, internal or external root resorption. parents or guardians who refuse participating in the study.

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 8 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: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: inferior alveolar nerve block with 4% articaine<br>inferior alveolar nerve block using 4% articaine anesthetic solution | Drug: inferior alveolar nerve block with 4% articaine<br>* an anesthetic technique using 4% articaine anesthetic solution<br>|
| Active Comparator: buccal infiltration with 4% articaine<br>buccal infiltration using 4% articaine anesthetic solution | Drug: buccal infiltration with 4% articaine<br>* anesthetic technique using 4% articaine anesthetic solution<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain experienced by child during pulpal treatment | sound-eye-motor | one week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| time needed for numbness | stop watch | one week | 
| pain experienced by the child due to needle prick | Wong Baker facial pain scale | one week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pediatric patients, articaine local anesthesia