Comparative evaluation of anesthetic efficacy of Gow-Gates mandibular conduction anesthesia, Vazirani-Akinosi technique, buccal-plus-lingual infiltrations, and conventional inferior alveolar nerve anesthesia in patients with irreversible pulpitis

Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
Vivek AggarwalDebipada Kabi

Abstract

Conventional inferior alveolar nerve block (IANB) has a poor success rate in inflamed pulps. Three alternative techniques of providing anesthesia to mandibular molars were evaluated and compared with conventional IANB. Ninety-seven adult volunteer subjects, actively experiencing pain, participated in this prospective, randomized, double-blinded study. Twenty-five patients received Gow-Gates mandibular conduction block anesthesia, 24 patients received "high" Vazirani-Akinosi inferior alveolar nerve block, 26 received only buccal-plus-lingual infiltrations, and 22 patients (control) received conventional IANB anesthesia. Endodontic access preparation was initiated after 15 minutes of anesthesia. Pain during treatment was recorded using a Heft-Parker visual analog scale. Success was recorded for "none" or "mild" pain. Statistical analysis using nonparametric McNemer tests showed that Gow-Gates gave a success rate of 52%, which was statistically higher than control IANB (36%) (P < .05). Vazirani-Akinosi and infiltrations gave 41% and 27% success rates, respectively, with no statistically significant differences from control IANB. Gow-Gates mandibular conduction anesthesia may increase the success rates in patients with irreversible...Continue Reading

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Citations

Dec 26, 2012·International Journal of Oral and Maxillofacial Surgery·K BoonsirisethN Wongsirichat
Nov 14, 2015·British Dental Journal·S S VirdeeD Seymour
Apr 9, 2011·British Dental Journal·K E YappP Parashos
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Aug 17, 2021·Journal of Dental Anesthesia and Pain Medicine·Ifrah SarfarazJorge Pereira

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