Efficacy of supplementary buccal infiltrations and intraligamentary injections to inferior alveolar nerve blocks in mandibular first molars with asymptomatic irreversible pulpitis: a randomized controlled trial

International Endodontic Journal
Masoud ParirokhS Askarifard

Abstract

This randomized double-blinded controlled trial was performed to compare the efficacy of inferior alveolar nerve block (IANB) injection for mandibular first molar teeth with irreversible pulpitis with or without supplementary buccal infiltration and intraligamentary injection. Eighty-two patients with asymptomatic irreversible pulpitis received either a combination of intraligamentary injection + buccal infiltration+ IANB or with traditional IANB injection in mandibular first molar teeth with irreversible pulpitis. Each patient recorded their pain score on a Heft-Parker visual analogue scale before commencing treatment, in response to a cold test 15 min after the designated anaesthetic injection, during access cavity preparation and during root canal instrumentation. No or mild pain at any stage was considered a success. Data were analysed by chi-square test. At the final stage of treatment, 69 of the 82 patients were eligible to be included in the study. No significant difference was found between age (P = 0.569) and gender (P = 0.570) amongst the patients in the two groups. The success rate of anaesthesia in the IANB and the combination groups were 22% and 58%, respectively. The success rate of anaesthesia in the combination ...Continue Reading

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Citations

Mar 10, 2016·Saudi Journal of Anaesthesia·G GazalM S Zafar
Nov 14, 2015·British Dental Journal·S S VirdeeD Seymour
Jan 17, 2020·Journal of Dental Anesthesia and Pain Medicine·Gowri SivaramakrishnanKannan Sridharan
Jul 12, 2017·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Daniel Chavarría-BolañosAmaury Pozos-Guillén
Aug 9, 2018·Brazilian Oral Research·Olga YücelGuven Kayaoglu
May 6, 2019·Photobiomodulation, Photomedicine, and Laser Surgery·Ozgur Genc Sen, Melih Kaya

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