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OpenTrials
Completed

NCT Number: NCT04294745

Comparing Buccal Infiltration and Inferior Alveolar Nerve Block for Extraction of Mandibular Teeth

This study compares the effectiveness of two techniques of local anesthesia in the extraction of mandibular teeth. One group received inferior alveolar nerve block and the other group received buccal infiltration of 4% Articaine

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Key information

Conditions

Buccal Infiltration Inferior Alveolar Nerve Block Articaine

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Melaka Manipal Medical College

Malacca, 75150, Malaysia

About this study

Inferior alveolar nerve block is the commonly used local anesthetic injection technique for extraction of mandibular teeth. Buccal infiltration technique alone is considered to be ineffective in treating mandibular teeth due to the thickness of buccal cortical plate. However, buccal infiltration, if provided with an agent with higher penetration capability, may be used instead of Inferior alveolar nerve block. Articaine, due to its thiophene ring, has higher liposolubility and bony diffusion than any other agent.

This study compares the effectiveness of inferior alveolar nerve block and buccal infiltration using 4% Articaine in the extraction of mandibular teeth

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Mandibular teeth
  • grossly decayed teeth
  • root stumps
  • therapeutic extractions
  • American society of anesthesiologist classification I & II patients

Exclusion criteria

  • patients allergic to local anesthesia
  • infected teeth
  • grade 2 and grade 3 mobile teeth
  • patients already taking medications which influences the anaesthetic assessment

Treatment and study plan

Buccal infiltration

Procedure

Injection of local anaesthetic parallel to the Long axis of the tooth in the depth of buccal sulcus

Inferior Alveolar Nerve Block

Procedure

Standard technique of mandibular nerve block

Primary outcomes

  1. Pain during injection using a visual analogue scale measuring 10 cm with 0 depicting no pain and 10 depicting severe pain

    Time frame: During injection

    VAS scale is a validated scale measuring pain with possible score range from 0 (no pain) to 10 (severe pain).

  2. Pain during extraction using a visual analogue scale measuring 10 cm with 0 depicting no pain and 10 depicting severe pain

    Time frame: During extraction

    VAS scale is a validated scale measuring pain with possible score range from 0 (no pain) to 10 (severe pain).

  3. Requirement of rescue injection

    Time frame: During extraction

    whether a recue injection was given or not

Sponsors and collaborators

Lead sponsor

Melaka Manipal Medical College

Other

Registry information

Official study title

Effectiveness of Buccal Infiltration and Inferior Alveolar Nerve Block With Articaine for Extraction of Mandibular Teeth- A Randomized Clinical Trial

Important dates

Study start
2019
Primary completion
2020
Study completion
2020
First posted
Mar 4, 2020
Registry last updated
Oct 2, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.