IANB Success Rate With and Without Panoramic Help

Study Overview
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Brief Summary
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Since it is difficult to achieve anesthesia in lower jaw and the success rate of IANB is low and there are a lot of anatomic variations for the location of inferior alveolar nerve in different races, investigators decided to compare the success rate of inferior alveolar nerve block, with and without using a panoramic radiograph in Bandar Abbas population, and see if using a panoramic radiograph can increase the preciseness of the injection.

Detailed Description
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This is a double blinded cross-over randomized controlled trial study conducted on all the patients of the dental clinic indicated for bilateral extraction or filling. The randomization method is block balanced randomization. All patients will ask to fulfill the ethical Form. This form acquired demographic information (e.g. age, sex) about patients. A panoramic radiograph will take from those who matched the inclusion criteria and signed the agreement. Then a tooth from one side will be treated and the tooth from the other side of the mouth will treat at least 2 weeks later by the same dentist.

Official Title
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The Success of the Inferior Alveolar Nerve Block Anesthesia With Alveolar Nerve Localization by Using of Panoramic Radiography in Comparison to Routine IAN Block Anesthesia: RCT

Conditions
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Anesthesia, Anesthesia; Functional

Intervention / Treatment
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* Procedure: IANB by the guide of Panoramic
* Procedure: IANB without the guide of Panoramic


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients indicated for bilateral tooth extractions of fillings. Physically and mentally healthy patients who could express their pain. having panoramic radiograph from the past six months for other dental purposes. Exclusion Criteria: sensitive to the regular anesthetics containing epinephrine. patients with acute or chronic pericoronitis. pregnancy trismus

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 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: Crossover Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: IANB without panoramic<br>They will get Ianb without using panoramic | Procedure: IANB by the guide of Panoramic<br>* IANB will be injected by the guide of panoramic radiograph<br>Procedure: IANB without the guide of Panoramic<br>* IANB will be injected without the guide of panoramic radiograph, in the routine way.<br>|
| Experimental: IANB with panoramic<br>They will get IANB by the guide of panoramic | Procedure: IANB by the guide of Panoramic<br>* IANB will be injected by the guide of panoramic radiograph<br>Procedure: IANB without the guide of Panoramic<br>* IANB will be injected without the guide of panoramic radiograph, in the routine way.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of participants with good Anesthesia |  | 30 minutes after injection | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Mandible, Anesthesia