Diode Laser on the Reversal of Inferior Alveolar Nerve Block Anesthesia in Children

Hams Hamed Abdelrahman32 enrolled

Overview

Inevitable problems were reported following the injection of local anesthesia in pediatric dental procedures, which can last until the elimination of soft tissue anesthesia. Purpose of the study: To evaluate the effectiveness of diode laser photobiomodulation therapy on the reversal of soft tissue anesthesia (STA) in children following inferior alveolar nerve block anesthesia.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

SINGLE

Enrollment

Conditions

Anesthesia, Local

Interventions

Inferior Alveolar Nerve Block administration with laser irradiationOTHER

Patients will receive inferior alveolar nerve block local anesthesia followed by laser irradiation after completion of the operative procedure.

Inferior Alveolar Nerve Block administrationOTHER

Patients will not receive any laser irradiation after administration of inferior alveolar nerve block local anesthesia.

Eligibility

Sex: ALLMin age: 5 YearsMax age: 8 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients in need of operative dental procedures, requiring inferior alveolar nerve (IANB) anesthesia. * Healthy patients (physical status ASA I). * Definitely positive or positive patients on the Frankl behavior scale. * No reported allergies to LA, epinephrine or sulfites. * Normal lip sensation before administration of LA Exclusion Criteria: * Patients requiring surgical procedures (i.e. extractions). * Patients who will show excessive fear to the Transcutaneous Electric Nerve Stimulator (TENS) device and provide a false-positive response on inactivated electrode (absence of current) using the Venham scale. * Patients who will not be trainable in the standardized lip tapping procedure (could not learn to distinguish the anesthetized numb side from the non-anesthetized side). * Patients who will not achieve profound numbness after initial LA administration, requiring additional anesthesia using SEM scale.

Locations (1)

Alexandria Faculty of Dentistry

Alexandria, Egypt

Outcomes

Primary Outcomes

Time to recovery of normal lip sensation

Patients will be asked to rate the lower lip numbness on the anesthetized side in comparison to the contralateral non-anesthetized side as described previously. Patients" responses will be recorded every time as "yes" or "no". the number of minutes elapsed from exposure to laser irradiation to the first reported a normal sensation of the lower lip

Time frame: For two hours after the procedure

Secondary Outcomes

Assessment of soft tissue injury

A telephone call will be done inquiring on any trauma, injury, swelling or biting marks on the lower lip after 24 h. this will be recorded as Yes/no responses

Time frame: 24 hours after the procedure

Data from ClinicalTrials.gov

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