This study compares the effectiveness of two different volumes of buccal infiltration of Articaine for the extraction of mandibular posterior teeth. One group receives buccal infiltration of 1.8 ml of 4% Articaine and the other group receives buccal infiltration of 3.6 ml of 4% Articaine.
The most widely and commonly used injection method for the extraction of mandibular posterior teeth is the inferior alveolar nerve block (IANB) technique. However, various complications like pain during injection, transient facial nerve paralysis, trismus, hematoma, and paresthesia are associated with the inferior alveolar nerve block technique. Local infiltration technique has been proven as a safer and less painful anesthetic injection technique compared to IANB. Unfortunately, the dense nature of cortical bone in the mandibular posterior region hinders sufficient diffusion of anesthetic solution during infiltration. Thus, to achieve an adequate anesthesia for a painless dental extraction of mandibular posterior teeth by infiltration technique, a strong and effective local anesthetic agent having a deeper penetrating property should be used. Articaine is one of the most widely used local anesthetic agents. It is more potent and has shown more success rate than Lidocaine and Mepivacaine in providing anesthesia in mandibular and maxillary posterior teeth by buccal infiltration diffusibility. This study compares the effectiveness of two different volumes of buccal infiltration of Articaine for the extraction of mandibular posterior teeth.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
114
Buccal infiltration of 1.8 ml of 4% Articaine
Buccal infiltration of 3.6 ml of 4% Articaine.
Qassim University
Buraidah, Al Qassim, Saudi Arabia
NOT_YET_RECRUITINGCollege of Dentistry, Qassim University
Buraidah, Saudi Arabia
RECRUITINGIntensity of pain
VAS scale is a validated scale measuring pain with possible score range from 0 (no pain) to 100 (severe pain).
Time frame: From reflection of mucoperiosteum till delivery of tooth out of socket.
Time of onset of anesthesia
It will be assessed by probing buccal and lingual soft tissue using a dental explorer every 2 minutes after infiltration using a standard digital stop clock.
Time frame: upto 10 minutes
Presence or absence of pain
A 100 mm Numerical rating scale assessing intraoperative pain. Possible score ranges from 0 (no pain) to 100 (worst possible pain).
Time frame: From reflection of mucoperiosteum till delivery of tooth out of socket.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.