The Anesthetic Efficacy of Lidocaine and Articaine as Buccal Injection for Maxillary Premolar Teeth Extraction.

N/AUnknownNCT05951907

University of Baghdad200 enrolled

Overview

This study Is designed as a prospective randomized, single-blinded clinical trial. To evaluate The anesthetic efficacy of articaine as a buccal Injection for maxillary premolar teeth extraction, compared to lidocaine as a buccal and palatal injection.

In the current study, the sample size (200) patients were distributed into two groups, group (A), 100 patients extracted upper premolar teeth by using 1.8 mL cartridges of 4% articaine hydrochloride with 1:100,000 epinephrine (Artheek, Colombia) as a buccal injection without palatal injection, and Group (B), 100 patients were removed upper premolar teeth by using Injectable local anesthetic agents included; 1.8 mL cartridges of 2% lidocaine hydrochloride with 1:80,000 epinephrine (Huons, Korea) as a buccal and palatal injection, the pain assessment after extraction was assessed by using (vas) visual analog scale, comparison between the outcomes by the two groups were evaluated, according to many variables (age, gender, extracted tooth, type of anesthesia, extraction duration).

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

SINGLE

Enrollment

200

Conditions

Anesthesia, Local

Interventions

Maxillary extraction without palatal injectionPROCEDURE

Extraction of maxillary premolars by only buccal injection without palatal by using articaine 4% HCL with epinephrine (1:100,000)

Maxillary extraction with buccal and palatal injectionPROCEDURE

Extraction of maxillary premolars by only buccal and palatal injection by using lidocaine 2 % HCL with epinephrine (1:80,000)

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients ≥ 16 years old, including both genders. 2. Patients indicated for extraction of one of the maxillary premolar's teeth. Exclusion Criteria: 1. Patients who were allergic to the local anesthetic agents used in this study. 2. Patients who presented with acute periapical infections. 3. Patients who required surgical extraction that entails flap reflection and bone removal. 4. Pregnant patients. 5. Patients with uncontrolled systemic diseases. 6. Patients are taking medications affecting pain assessment, like opioids.

Locations (1)

Almustafa Qays

Baghdad, Almansour, Iraq

Outcomes

Primary Outcomes

Pain during Extraction

In the current study the pain during extraction was assessed by using the Visual Analogue Scale (VAS 0-10 cm ) one of the most commonly used self-reporting measures of pain, it measures a characteristic that is believed to range across a continuum of values range from (0 no pain) to the end (10 un bearable pain) which is not easy to measure directly .

Time frame: Assessment of pain in the period during which the extraction has been made and up to 5 minutes after extraction of the tooth.

Data from ClinicalTrials.gov

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