Clinical trial NCT04093713: A Novel Technique to Anaesthetize the Lower Jaw
Official title: Inferior Alveolar Nerve Block: a Novel Intraoral Technique Depends on Extraoral Landmarks
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Inferior Alveolar Nerve Block
Keywords: Anaesthesia
Technique
extraoral
Landmarks
Lead sponsor: Hosh Isa Medical Center
Sponsor class: OTHER
First posted: 2019-09-18
Enrollment: 65
Sex: ALL
Minimum age (years): 5
Maximum age (years): 55
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: This study introduces and evaluates a new technique for inferior alveolar nerve blocking.

Detailed description: The study addresses a novel technique to anaesthetize the inferior alveolar nerve depending on extraoral landmarks. Volunteers will receive bilateral blocks and evaluation of the success rate and positive aspiration rate will be performed.

Eligibility criteria: Inclusion Criteria:

* fitness for nerve block local anaesthesia physically and psychologically

Exclusion Criteria:

* any disease or condition obstacles nerve block local anaesthesia administration such as hemophilia.

Primary outcomes:
measure: presence of numbness (by questionnaire)
timeFrame: 3-10 minutes
measure: absence of pain (by probing)
timeFrame: 3-10 minutes
Secondary outcomes:
measure: positive aspiration rate
timeFrame: 1 second
Other outcomes:
Locations:
city: Hosh Isa
country: Egypt
facility: Hosh Isa Medical Center
state: Al-Behera
Study officials:
affiliation: Kafrelsheikh University
name: Mosaad A Khalifah, DDSc
role: PRINCIPAL_INVESTIGATOR
References:
citation: 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.
citation: Donkor P, Wong J, Punnia-Moorthy A. An evaluation of the closed mouth mandibular block technique. Int J Oral Maxillofac Surg. 1990 Aug;19(4):216-9. doi: 10.1016/s0901-5027(05)80395-9.
citation: Montagnese TA, Reader A, Melfi R. A comparative study of the Gow-Gates technique and a standard technique for mandibular anesthesia. J Endod. 1984 Apr;10(4):158-63. doi: 10.1016/S0099-2399(84)80120-X. No abstract available.
citation: McLean C, Reader A, Beck M, Meryers WJ. An evaluation of 4% prilocaine and 3% mepivacaine compared with 2% lidocaine (1:100,000 epinephrine) for inferior alveolar nerve block. J Endod. 1993 Mar;19(3):146-50. doi: 10.1016/s0099-2399(06)80510-8.
citation: Akinosi JO. A new approach to the mandibular nerve block. Br J Oral Surg. 1977 Jul;15(1):83-7. doi: 10.1016/0007-117x(77)90011-7.
citation: Boonsiriseth K, Sirintawat N, Arunakul K, Wongsirichat N. Comparative study of the novel and conventional injection approach for inferior alveolar nerve block. Int J Oral Maxillofac Surg. 2013 Jul;42(7):852-6. doi: 10.1016/j.ijom.2012.11.017. Epub 2012 Dec 21.
citation: Suazo Galdames IC, Cantin Lopez MG, Zavando Matamala DA. Inferior alveolar nerve block anesthesia via the retromolar triangle, an alternative for patients with blood dyscrasias. Med Oral Patol Oral Cir Bucal. 2008 Jan 1;13(1):E43-7.