scholarly journals Comparison of the Local Anaesthetic Effect of 4 % Articaine and 2 % Lidocaine AdministeredUsing Inferior Alveolar Nerve Block Technique in Primary Mandibular Molar Extractions

2021 ◽  
Vol 10 (1) ◽  
pp. 13-18
Author(s):  
Minu Mumtaz O.V. ◽  
Ajay Rao H.T ◽  
Sham S. Bhat ◽  
Sharan Sargod ◽  
Riyas Ahamed K ◽  
...  
Keyword(s):  
Nerve Block ◽  
Local Anaesthetic ◽  
Inferior Alveolar Nerve ◽  
Inferior Alveolar Nerve Block ◽  
Local Anaesthetic Effect ◽  
Mandibular Molar ◽  
Anaesthetic Effect

scholarly journals POSITIVE ASPIRATION AND ITS SIGNIFICANCE DURING INFERIOR ALVEOLAR NERVE BLOCK - A PROSPECTIVE STUDY

2014 ◽  
Vol 04 (03) ◽  
pp. 008-010
Author(s):  
Muralee Mohan ◽  
Tarun Jain ◽  
Rajendra Prasad ◽  
S M Sharma ◽  
Anju Gopinathan T.
Keyword(s):  
Blood Vessel ◽  
Nerve Block ◽  
Local Anaesthetic ◽  
Inferior Alveolar Nerve ◽  
Conventional Technique ◽  
Basic Rule ◽  
Inferior Alveolar Nerve Block ◽  
Oral Surgical Procedures ◽  
Anaesthetic Solution ◽  
Local Anaesthetic Solution

Abstract Background and aims: It is a basic rule to aspirate before injection when giving an inferior alveolar nerve block because the local anaesthetic may fail if the injection is given into a blood vessel, and the local anaesthetic solution may have undesirable systemic effects. There are reports that indicate aspiration is not performed in every injection. The aim of the present study was to assess the incidence of intravascular needle entrance in inferior alveolar nerve block injections. Patients and methods: Interns and postgraduates of our institute performed inferior alveolar nerve block injections using conventional technique in 250 patients undergoing minor oral surgical procedures. The results of aspiration were reported. Aspirable syringes and 27 gauge long needles were used, and the method of aspiration was similar in all cases.Data were analyzed using t-test. Results: 20% of inferior alveolar nerve block injections were aspiration positive. Of all injections, 15.8% were intravascular on the right side and 14.8% were intravascular on the left. There were no statistically significant differences between right and left injection sites (P = 0.778). Between the ages of 9 and 19 the incidence of intravascular penetration was significantly greater than at other ages (10/28 compared with 39/222, P = 0.04). Conclusion: Aspiration of the syringe after the needle had been placed in position for an inferior alveolar nerve block (but before the anaesthetic solution was injected) in 250 patients showed that the tip of the needle was in a blood vessel in 49 (20%). Aspiration of blood was significantly more common in patients aged 9–19 years than in all others (P=0.04). It seems that side of injection has no considerable effect in incidence of intravascular needle entrance.

scholarly journals Bifid mandibular canal: a rare or underestimated entity?

2016 ◽  
Vol 6 (3) ◽  
Author(s):  
Ibrahim Nasseh ◽  
Georges Aoun
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Radiographic Finding ◽  
Anatomical Variations ◽  
Mandibular Canal ◽  
Inferior Alveolar Nerve Block ◽  
The Third ◽  
Bifid Mandibular Canal ◽  
Mandibular Molar ◽  
Surgical Extraction

One of the rare anatomical variations that can be of significant importance for the dentist is the bifid mandibular canal. Many complications can occur from this condition such as failure of anesthesia when performing inferior alveolar nerve block, difficulties during the surgical extraction of the third mandibular molar, and during implants placement. Therefore, good knowledge of this condition is essential. In this report, we describe the radiographic finding of a unilateral bifid mandibular canal.

Pain assessment after application of 4% articaine with epinephrine 1:100000 during mandibular dental procedures

2021 ◽  
Vol 12 (46) ◽  
pp. 76-80
Author(s):  
Adel Martínez-Martínez ◽  
Samuel Urbano del Valle ◽  
Johnatan Zambrano Trespalacios
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Latency Period ◽  
Anesthetic Technique ◽  
Dental Practice ◽  
Inferior Alveolar Nerve Block ◽  
Dental Procedures ◽  
Mandibular Molar ◽  
The University ◽  
Buccal Infiltration

Inferior alveolar nerve block in the mandibular technique is the blockade that presents most failures in the dental practice, so this technique is considered the less effective of those used in Dentistry and the most frustrating to the dentist. This study aimed to determine pain intensity during dental procedures after using 4% articaine with epinephrine 1:100000 in the inferior alveolar nerve block with buccal infiltration in patients who were attended in the dental clinic of the University of Cartagena, Colombia. A clinical randomized trial was performed. The sample was of patients who required dental procedures in the jaw with local anesthesia. After standardization of the anesthetic technique, and use of 4% articaine with epinephrine 1:100000, the inferior alveolar nerve was blocked with 0.9 mL (half cartridge) followed by buccal infiltration with 0.9 mL in the first mandibular molar. Fifty patients (30 men - 60% and 20 women - 40%), with an average age of 25.3 years old (mean ± standard deviation [SD]: 25.3 ± 6.6) were included in the study. When assessing the pain puncture and during the injection, 92% of patients classified it as mild pain according to VAS. When evaluating the latency period, the average time was less than two minutes and the perioral soft tissue anesthesia was 97%. Only a small percentage of patients required complementary anesthesia. The authors recommend the use of 4% of articaine with epinephrine in mandibular procedures that require deep pulp anesthesia, using this with a buccal infiltration.

scholarly journals Effect of laser assisted local anesthesia in single-visit root canal treatment for mandibular molar teeth with acute irreversible pulpitis

2021 ◽  
Author(s):  
Subashri V ◽  
Nivedha V ◽  
Anand Sherwood ◽  
Paul Abbott ◽  
James L Gutmann ◽  
...  
Keyword(s):  
Laser Irradiation ◽  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Inferior Alveolar Nerve Block ◽  
Pulp Tissue ◽  
Pain Scores ◽  
Group I ◽  
Post Operative Pain ◽  
Mandibular Molar ◽  
Molar Teeth

Present study evaluated the efficacy of laser activation to control intra- and post-operative pain in single-visit root treatment for mandibular molar teeth with acute irreversible pulpitis following 2% lignocaine inferior alveolar nerve block. Ninety-eight patients presenting with pain were randomly divided into two anesthetic groups. Group-I inferior alveolar nerve block plus buccal infiltration and intra-ligamentary injections, Group-II inferior alveolar nerve block followed by laser irradiation focused directly on the pulp tissue. Intra- and post-operative pain intensities were assessed on a 10-point scale. The mean intra-operative pain scores in group-I was 6.62 and in group-II before and after laser irradiation pain scores was 6.94 and 1.3, respectively. Post-operative pain scores at 24-hrs in the laser group were significantly higher. Laser irradiation applied directly on pulp tissue for control of intra-operative pain was effective, thereby negating the need for additional local anesthesia.

scholarly journals Effect of Preoperative Pain on Inferior Alveolar Nerve Block

2015 ◽  
Vol 62 (4) ◽  
pp. 135-139 ◽  
Author(s):  
Vivek Aggarwal ◽  
Mamta Singla ◽  
Arunajatesan Subbiya ◽  
Paramasivam Vivekanandhan ◽  
Vikram Sharma ◽  
...  
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Double Blind Study ◽  
Inferior Alveolar Nerve Block ◽  
Success Rates ◽  
Preoperative Pain ◽  
Double Blind ◽  
Mandibular Molar ◽  
Significant Difference ◽  
Irreversible Pulpitis

The present study tested the hypothesis that the amount and severity of preoperative pain will affect the anesthetic efficacy of inferior alveolar nerve block (IANB) in patients with symptomatic irreversible pulpitis. One-hundred seventy-seven adult volunteer subjects, actively experiencing pain in a mandibular molar, participated in this prospective double-blind study carried out at 2 different centers. The patients were classified into 3 groups on the basis of severity of preoperative pain: mild, 1–54 mm on the Heft-Parker visual analog scale (HP VAS); moderate, 55–114 mm; and severe, greater than 114 mm. After IANB with 1.8 mL of 2% lidocaine, endodontic access preparation was initiated. Pain during treatment was recorded using the HP VAS. The primary outcome measure was the ability to undertake pulp access and canal instrumentation with no or mild pain. The success rates were statistically analyzed by multiple logistic regression test. There was a significant difference between the mild and severe preoperative pain group (P = .03). There was a positive correlation between the values of preoperative and intraoperative pain (r = .2 and .4 at 2 centers). The amount of preoperative pain can affect the anesthetic success rates of IANB in patients with symptomatic irreversible pulpitis.

scholarly journals A comparative clinical study to evaluate the effectof premedication with Ibuprofen, Tramadol and combination of Ibuprofen and Acetaminophen on success of Inferior Alveolar Nerve Block in patients with Asymptomatic Irreversible Pulpitis.

2017 ◽  
Vol 16 (3) ◽  
pp. 370-374 ◽  
Author(s):  
Pardeep Mahajan ◽  
Gurbant Singh ◽  
Roopinder Kaur ◽  
Prashant Monga ◽  
Vanita ◽  
...  
Keyword(s):  
Clinical Study ◽  
Success Rate ◽  
Nerve Block ◽  
Medical Science ◽  
Inferior Alveolar Nerve ◽  
Inferior Alveolar Nerve Block ◽  
Double Blind ◽  
Radiographic Findings ◽  
Mandibular Molar ◽  
Irreversible Pulpitis

Introduction: Aim of this study was to evaluate the effective of premedication and to determine the difference between non steroidal anti- inflammatory drugs and centrally acting opioids like tramadol on success rate of inferior alveolar nerve block in patients with asymptomatic irreversible pulpitis.Methods: This double blind clinical study was conducted on 60 patients with asymptomatic irreversible pulpitis in first or second mandibular molar with normal periapical radiographic findings. Three medications i.e., ibuprofen (600mg), tramadol (50 mg) and combination of ibuprofen (400 mg) + acetaminophen (325) were compared and lactose powder capsules were taken as placebo. All patients received IANB and teeth were examined with a cold pulp test using endofrost. Then, endodontic access cavity preparation was initiated. In case of pain during treatment, patients were asked to rate their pain on the visual analog scale.Results: The tramadol group showed significantly higher success rates but ibuprofen and combination of ibuprofen and acetaminophen groups were not significant with placebo (p>05). No Significant differences were there regarding sex of the patients.Conclusion: Premedication with tramadol increased the success rate of IANB.Bangladesh Journal of Medical Science Vol.16(3) 2017 p.370-374

Sign in / Sign up

Export Citation Format

Share Document