732 results match your criteria Nerve Block Inferior Alveolar


Post-operative analgesia of 2% lignocaine with or without magnesium sulfate for inferior alveolar nerve block in symptomatic mandibular molars - a randomized double blind controlled clinical trial.

J Dent Anesth Pain Med 2020 Jun 24;20(3):147-154. Epub 2020 Jun 24.

SRM Dental College, Ramapuram, Chennai, India.

Background: Single inferior alveolar nerve block is ineffective in achieving adequate pulpal anesthesia in 30-80% of patients due to anatomical variations, local tissue pH, central sensitization, and several factors. Various supplementary techniques and combination of adjuvants with lignocaine are used to overcome these failures. Magnesium sulfate (MgSO), one such adjuvant, acts at the N-methyl-D-aspartate glutamate receptor resulting in effective anesthesia. Read More

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http://dx.doi.org/10.17245/jdapm.2020.20.3.147DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7321741PMC

Comparative evaluation of a novel herbal anesthetic gel and 2% lignocaine gel as an intraoral topical anesthetic agent in children: Bilateral split-mouth, single-blind, crossover study.

J Indian Soc Pedod Prev Dent 2020 Apr-Jun;38(2):177-183

Department of Pediatric and Preventive Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed to be University), Wardha, Maharashtra, India.

Background: Topical anesthetics have an intrinsic part to reduce pricking pain sensation due to needle stick before injection in children.

Aim: The present study aimed to determine the effectiveness of a novel herbal anesthetic gel used as a topical anesthetic before an inferior alveolar nerve block.

Settingsanddesign: This was a bilateral split-mouth, single blind, crossoverin vivo study. Read More

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http://dx.doi.org/10.4103/JISPPD.JISPPD_226_20DOI Listing

Cone-beam computed tomography of mandibular foramen and lingula for mandibular anesthesia.

Imaging Sci Dent 2020 Jun 18;50(2):125-132. Epub 2020 Jun 18.

Department of Oral and Maxillofacial Radiology, School of Dentistry, Kyung Hee University, Seoul, Korea.

Purpose: The positions of the mandibular foramen (MnF) and the lingula affect the success rate of inferior alveolar nerve block. The objective of this study was to investigate aspects of the MnF and the lingula relevant for mandibular block anesthesia using cone-beam computed tomography (CBCT).

Materials And Methods: Fifty CBCT scans were collected from a picture archiving and communications system. Read More

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http://dx.doi.org/10.5624/isd.2020.50.2.125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7314604PMC

Applied anatomy and clinical significance of the maxillofacial and mandibular regions of the barking deer (Muntiacus muntjak) and sambar deer (Rusa unicolor).

Folia Morphol (Warsz) 2020 Jun 3. Epub 2020 Jun 3.

Department of Animal Genetics and Breeding, College of Veterinary Sciences and Animal Husbandry, Central Agricultural University (I), Selesih, Aizawl, Mizoram, India.

There is no previously reported information on the applied anatomy and clinical significance of the maxillofacial and mandibular regions of the barking deer and sambar deer. Therefore, the present study was designed to provide some important clinical landmarks related to tracking of the infraorbital, mental and mandibular nerves with its clinical implications in regional anaesthesia in both the species. In the present study, the distance between the most lateral bulging of the facial tuberosity to the infraorbital foramen and from the latter to the root of the alveolar tooth directly ventral to it was found to be 2. Read More

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http://dx.doi.org/10.5603/FM.a2020.0061DOI Listing

Which is the most suitable local anaesthetic when inferior nerve blocks are used for impacted mandibular third molar extraction? A network meta-analysis.

Int J Oral Maxillofac Surg 2020 May 27. Epub 2020 May 27.

Oral Surgery and Implantology, Faculty of Medicine and Health Sciences, University of Barcelona, L'Hospitalet de Llobregat, Spain.

The aim of this study was to compare the efficacy and safety of the different local anaesthetic agents for the extraction of impacted lower third molars. A network meta-analysis was performed of all published reports of randomized controlled clinical trials assessing efficacy (anaesthetic success and absence of need for supplementary anaesthesia during the surgical procedure) and/or safety (number of adverse events) of anaesthetic agents. Three electronic databases were searched, from their earliest records up to April 2019. Read More

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http://dx.doi.org/10.1016/j.ijom.2020.04.016DOI Listing

[Lower teeth anesthesia in patients with limited mouth opening].

Stomatologiia (Mosk) 2020 ;99(2):105-109

First I.M. Sechenov First Moscow State Medical University, Moscow, Russia.

Limited mouth opening is a common pathology in dental practice. Dental treatment of these group patients is hindered by low access to oral cavity, which complicates operative, prosthetic and surgical interventions. Local anesthesia is also difficult due to changes in anatomical landmarks, changes in bone structures and soft tissues ratio. Read More

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http://dx.doi.org/10.17116/stomat202099021105DOI Listing

Is it possible to extract lower third molars with infiltration anaesthesia techniques using articaine? A double-blind randomized clinical trial.

Acta Odontol Scand 2020 May 13:1-8. Epub 2020 May 13.

Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain.

To compare the efficacy and safety of inferior alveolar nerve blocks (IANB) with additional buccal infiltration (standard technique) and of buccal and lingual anaesthetic infiltration (experimental technique) for lower third molar (L3M) extractions. A randomised, double-blind clinical trial involving 129 L3M extractions was conducted. In the IANB group, an IANB was performed using the conventional approach, followed by a buccal injection in the extraction area. Read More

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http://dx.doi.org/10.1080/00016357.2020.1760348DOI Listing

Dexmedetomidine 2 ppm Is Appropriate for the Enhancement Effect of Local Anesthetic Action of Lidocaine in Inferior Alveolar Nerve Block: A Preliminary, Randomized Cross-over Study.

Authors:
Kentaro Ouchi

Clin J Pain 2020 Aug;36(8):618-625

Department of Dental Anesthesiology, Field of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, Fukuoka, Japan.

Objective: Local anesthesia is essential for pain management in dentistry. The duration of anesthetic action of the addition of 5.0 and 7. Read More

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http://dx.doi.org/10.1097/AJP.0000000000000839DOI Listing

The effect of pre-anesthesia with a needle-free system versus topical anesthesia on injection pain of the inferior alveolar nerve block: a randomized clinical trial.

Clin Oral Investig 2020 May 7. Epub 2020 May 7.

Department of Pediatric Dentistry, Faculty of Dentistry, Istanbul Okan University, Istanbul, Turkey.

Objective: The aim of this study was to compare the effectiveness of pain control between a needle-free system and topical anesthesia applied prior to inferior alveolar nerve block (IANB).

Materials And Methods: The present study was designed as a randomized controlled cross-over clinical study on 60 children (aged 6 to 12 years) requiring dental treatment with IANB in bilateral mandibular molars. As pre-anesthesia, topical anesthesia (TA) was applied on one side and the Comfort-in™ injection system (CIS) on the other side in two separate sessions before IANB. Read More

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http://dx.doi.org/10.1007/s00784-020-03301-9DOI Listing

How Successful is Supplemental Intraseptal and Buccal Infiltration Anaesthesia in the Mandibular Molars of Patients Undergoing Root Canal Treatment or Tooth Extraction?

J Oral Maxillofac Res 2020 Jan-Mar;11(1):e5. Epub 2020 Mar 31.

College of Dentistry, Taibah University, MedinaKingdom of Saudi Arabia.

Objectives: To investigate the success rate of supplemental intraseptal and buccal infiltration anaesthesia in mandibular molars undergoing endodontic therapy/extraction when the inferior alveolar nerve block has failed.

Material And Methods: A prospective clinical trial including 200 patients undergoing lower molar root canal treatment/teeth extraction was conducted. Only 80 patients of the participants who had profound lower lip anaesthesia after the administration of inferior alveolar nerve block (IANB) were in pain within treatment. Read More

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http://dx.doi.org/10.5037/jomr.2020.11105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7191379PMC

Assessment of conduction anesthesia effectiveness using the angulated needle approach for the inferior alveolar nerve block.

J Craniomaxillofac Surg 2020 Jun 31;48(6):607-615. Epub 2020 Mar 31.

University of Niš, School of Medicine and Stomatology, Department of Oral Surgery, Niš, Serbia. Electronic address:

Background: Ambulatory painless surgery is dependent on local anesthesia effectiveness.

Aim: Evaluating the anesthetic efficacy of the angulated needle approach (ANA) for the inferior alveolar nerve block (IANB).

Material And Method: Group I received direct IANB; group II received indirect IANB; group III received the IANB with ANA. Read More

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http://dx.doi.org/10.1016/j.jcms.2020.03.010DOI Listing

Comparison of articaine, lidocaine and mepivacaine for buccal infiltration after inferior alveolar nerve block in mandibular posterior teeth with irreversible pulpitis.

Authors:
Xuan Gao Kang Meng

Br Dent J 2020 Apr;228(8):605-608

Department of Stomatology, Peking University People's Hospital, No.11 Xizhimen South Street, Xicheng District, Beijing, 100044, China.

Aims To compare the anaesthetic efficacy of articaine, lidocaine and mepivacaine for buccal infiltration (BI) following lidocaine inferior alveolar nerve block (IANB) in mandibular posterior teeth with irreversible pulpitis.Materials and methods Patients with irreversible pulpitis in mandibular posterior teeth and unsuccessful IANB were randomly assigned to three groups: articaine group (n = 52), lidocaine group (n = 52) and mepivacaine group (n = 52). They were instructed to rate the pain experienced at four phases (before the injection, after IANB, after BI and during endodontic access) on a Heft-Parker visual analogue scale (VAS). Read More

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http://dx.doi.org/10.1038/s41415-020-1434-9DOI Listing

Pre-operative ketorolac efficacy with different anesthetics, irrigants during single visit root canal treatment of mandibular molars with acute irreversible pulpitis.

Aust Endod J 2020 Apr 3. Epub 2020 Apr 3.

Department of Conservative Dentistry and Endodontics, CSI College of Dental Sciences, Madurai, India.

Mandibular molar teeth with acute irreversible pulpitis pose challenges in single visit root canal treatment - (i) success of local anaesthesia and (ii) post-operative pain. One hundred and twenty-six patients with pain associated with carious mandibular molar teeth were enrolled. All patients were administered 10 mg of ketorolac tromethamine prior to local anaesthesia. Read More

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http://dx.doi.org/10.1111/aej.12407DOI Listing

How should we anaesthetise painful mandibular premolars?

Evid Based Dent 2020 03;21(1):20-21

South Bay Dental Institute, California, USA.

Design Randomised clinical trialStudy population The present study evaluated patients of different genders aged between 18-65 years old. The study design and the language of the consent form were approved by the Ethics Committee at Tehran University of Medical Sciences (TUMS) (approval code: IR.TUMS. Read More

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http://dx.doi.org/10.1038/s41432-020-0080-zDOI Listing

The benefit of bilateral inferior alveolar nerve block in managing postoperative nausea and vomiting (PONV) after mandibular osteotomy.

J Craniomaxillofac Surg 2020 Apr 24;48(4):399-404. Epub 2020 Feb 24.

Department of Oral and Maxillofacial Surgery, Côte de Nacre University Hospital, 14 000, Caen Cedex, France.

Introduction: The purpose of our study was to evaluate the benefit of bilateral inferior alveolar nerve block (BIANB) in managing postoperative pain, nausea and vomiting and opioid and antiemetic consumption in mandibular osteotomy.

Material And Methods: 51 patients operated for bilateral sagittal split osteotomy (BSSO) were included in this prospective randomized controlled, double-blind, superiority trial. In the first group (n = 25), standard protocol was applied (general anesthesia and postoperative multimodal analgesia). Read More

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http://dx.doi.org/10.1016/j.jcms.2020.02.012DOI Listing

Anesthetic efficacy of articaine/epinephrine plus mannitol in comparison with articaine/epinephrine anesthesia for inferior alveolar nerve block in patients with symptomatic irreversible pulpitis: A randomized controlled clinical trial.

J Dent Res Dent Clin Dent Prospects 2019 ;13(4):321-326

Assistant Professor, Department of Endodontics, Dental School, Urmia University of Medical Sciences, Urmia, Iran.

It is difficult to achieve successful pulpal anesthesia in mandibular posterior teeth with symptomatic irreversible pulpitis. The present study aimed to compare the effect of articaine/epinephrine anesthesia with articaine/epinephrine at a combination of 0.5 mol/mL of mannitol for the inferior alveolar nerve block (IANB) in patients presenting with symptomatic irreversible pulpitis in the mandibular first molar tooth. Read More

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http://dx.doi.org/10.15171/joddd.2019.048DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7072087PMC
January 2019

Clinical evaluation of efficacy of transcortical anesthesia for the extraction of impacted mandibular third molars: a randomized controlled trial.

J Dent Anesth Pain Med 2020 Feb 28;20(1):9-17. Epub 2020 Feb 28.

Department of Oral and Maxillofacial Surgery, Selçuk University Faculty of Dentistry, Konya, Turkey.

Background: This study aimed to compare the pain levels during anesthesia and the efficacy of the QuickSleeper intraosseous (IO) injection system and conventional inferior alveolar nerve block (IANB) in impacted mandibular third molar surgery.

Methods: This prospective randomized clinical trial included 30 patients (16 women, 14 men) with bilateral symmetrical impacted mandibular third molars. Thirty subjects randomly received either the IO injection or conventional IANB at two successive appointments. Read More

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http://dx.doi.org/10.17245/jdapm.2020.20.1.9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054070PMC
February 2020

Protocol for Low-level laser therapy in traumatic ulcer after troncular anesthesia: Case report in pediatric dentistry.

J Clin Exp Dent 2020 Feb 1;12(2):e201-e203. Epub 2020 Feb 1.

Post-graduate Program in Dentistry, Cruzeiro do Sul University.

The aim of this study was to report a protocol of use for low-level laser therapy (LLLT) in traumatic ulcer in the lower lip after inferior alveolar nerve block anesthesia (IANBA). A 3-year-old patient, male, undergoing treatment of carious lesions was submitted to an indirect pulp capping in tooth 74 under IANBA. The procedure was completed without intercurrences, but on next day, the child presented extensive traumatic ulcer in the left lower lip, with complaint of pain. Read More

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http://dx.doi.org/10.4317/jced.56176DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7018479PMC
February 2020

Comparison of 0.5% Centbucridine and 2% Lignocaine as Local Anesthetic Agents for Dental Procedures in Children: A Randomised Controlled Trial.

Indian J Pediatr 2020 04 5;87(4):268-274. Epub 2020 Feb 5.

Department of Pediatric and Preventive Dentistry, YMT Dental College and Hospital, Mumbai, Maharashtra, India.

Objective: To compare 0.5% centbucridine and 2% lignocaine (with adrenaline) as local anesthetic agents for dental treatment procedures in 12 to 14 y old children.

Methods: A split mouth, triple blind randomised controlled trial design was adopted for this study. Read More

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http://dx.doi.org/10.1007/s12098-019-03161-6DOI Listing

Reversing the Effects of 0.5% Bupivacaine Using Phentolamine Mesylate: A Preliminary Randomized Controlled Clinical Trial.

J Clin Pharmacol 2020 Jan 28. Epub 2020 Jan 28.

Division of Research Affairs, Faculty of Dentistry, Dalhousie University, Halifax, Nova Scotia, Canada.

Phentolamine mesylate is the only commercially available dental local anesthetic reversal agent. It has been proven safe and effective for reversing most local anesthetics used in dentistry but was never tested with bupivacaine. The aim of this project was to evaluate the effectiveness of 0. Read More

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http://dx.doi.org/10.1002/jcph.1567DOI Listing
January 2020

Evaluation of student-to-student local anaesthesia administration at the University of Barcelona: A cross-sectional study.

Eur J Dent Educ 2020 May 14;24(2):328-334. Epub 2020 Feb 14.

Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain.

Introduction: To determine changes in anxiety perceived in students during their first experience injecting local anaesthetic and assess the variability in the perception in the teaching/learning experience as surgeons and patients in relation to gender.

Material And Methods: This cross-sectional study was carried out on students enrolled in the Anaesthesia and Resuscitation course at the University of Barcelona. A descriptive and bivariate analysis was carried out using McNemar and Fisher tests. Read More

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http://dx.doi.org/10.1111/eje.12503DOI Listing

Efficacy of submucosal tramadol and lidocaine on success rate of inferior alveolar nerve block in mandibular molars with symptomatic irreversible pulpitis.

Odontology 2020 Jul 17;108(3):433-440. Epub 2020 Jan 17.

Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Adıyaman University, Adıyaman, Turkey.

The aim of the present study is to compare the efficacy of additional 100 mg/2 ml tramadol and 40 mg/2 ml lidocaine applications on the anesthetic success of inferior alveolar nerve block (IANB) in mandibular molars with symptomatic irreversible pulpitis (MM-SIP). One hundred and five patients diagnosed with symptomatic pulpitis in the lower first or second molars were included in the study. Patients were randomly divided into three groups (n = 35) composed of control and two experimental groups administered submucosal tramadol and lidocaine. Read More

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http://dx.doi.org/10.1007/s10266-020-00485-0DOI Listing

Interventions for anesthetic success in symptomatic irreversible pulpitis: A network meta-analysis of randomized controlled trials.

J Dent Anesth Pain Med 2019 Dec 27;19(6):323-341. Epub 2019 Dec 27.

Department of Pharmacology & Therapeutics, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.

Background: Local anesthetics alone or in combination with adjuncts, such as oral medications, have routinely been used for pain control during endodontic treatment. The best clinical choice amongst the vast numbers of agents and techniques available for pain control for irreversible pulpitis is unclear. This network meta-analysis combined the available evidence on agents and techniques for pulpal anesthesia in the maxilla and mandible, in order to identify the best amongst these approaches statistically, as a basis for future clinical trials. Read More

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http://dx.doi.org/10.17245/jdapm.2019.19.6.323DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946831PMC
December 2019

Effectiveness Of Pre-operative Oral Medication of Ibuprofen and Ketorolac on Anesthetic Efficacy of Inferior Alveolar Nerve Block with Irreversible Pulpitis: Randomized Controlled Trial.

Cureus 2019 Dec 11;11(12):e6346. Epub 2019 Dec 11.

Conservative Dentistry & Endodontics, Vishnu Dental College, Bhimavaram, IND.

Background and objectives Pain is the primary reason that dental patients seek endodontic therapy. The inferior alveolar nerve block (IANB) is the most frequently used mandibular injection technique for achieving local anesthesia for endodontic treatment. However, the IANB does not always result in successful pulpal anesthesia. Read More

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http://dx.doi.org/10.7759/cureus.6346DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952035PMC
December 2019

The unusually lower position of the mandibular foramen and the canal of the neck of mandible.

Morphologie 2020 May 10;104(345):143-146. Epub 2020 Jan 10.

Division of Anatomy, Faculty of Dental Medicine, "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania. Electronic address:

Background: The inferior alveolar nerve (IAN) courses through the mandibular foramen (MF) to enter the first segment of the mandibular canal (MC) in the mandibular ramus, to further supply with trigeminal fibers the lower teeth of that hemimandible. As the IAN also supplies the mylohyoid nerve, it is a mixed nerve.

Methods: Unusual morphologies of the mandibular ramus were encountered during a retrospective study of archived CBCT files. Read More

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http://dx.doi.org/10.1016/j.morpho.2019.12.001DOI Listing

Comparison of Patient Comfort During the First Stage of Conventional Versus Modified Two-Stage Inferior Alveolar Nerve Blocks in Pediatric Patients.

Anesth Prog 2019 ;66(4):221-226

Department of Paedodontics and Preventive Dentistry, Manipal College of Dental Sciences, Mangalore, Manipal Academy of Higher Education, Manipal, India.

Our aim was to compare the comfort of pediatric patients during the first stage of the conventional 2-stage inferior alveolar nerve block (IANB) versus the modified 2-stage IANB. This was a parallel group, single-blinded, randomized controlled trial. Pediatric patients meeting the inclusion criteria were randomly allocated to 1 of the 2 groups receiving IANB, group 1 (31 subjects) utilized a conventional 2-stage technique, and group 2 (33 subjects) utilized a modified 2-stage approach. Read More

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http://dx.doi.org/10.2344/anpr-66-03-03DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6938170PMC

How Effective are Inferior Alveolar Nerve Block and Supplemental Intraligamentary Injections in Pediatric Patients with Deep Carious Permanent Mandibular Molars?

Pediatr Dent 2018 Nov;40(7):437-442

Dental Research Center, Faculty of Dentistry, Chiang Mai University, Chiang Mai, Thailand.

The purpose of this study was to assess, within the deep carious permanent mandibular molars of pediatric patients: (1) pre-operative pulpal anesthesia following an inferior alveolar nerve block (IANB); (2) preoperative pulpal anesthesia following a supplemental intraligamentary injection (SII); and (3) intraoperative pulpal anesthesia. Vital permanent mandibular molars with deep caries were first anesthetized with IANB. Preoperative pulpal anesthesia was assessed, and success was defined when the tooth had no response to the sensibility tests. Read More

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November 2018

Comparison of the efficacy of a standard inferior alveolar nerve block versus articaine infiltration for invasive dental treatment in permanent mandibular molars in children: a pilot study.

Eur Arch Paediatr Dent 2020 Feb 12;21(1):171-177. Epub 2019 Dec 12.

Child Dental Health, Newcastle Dental Hospital, Richardson Road, Newcastle upon Tyne, NE2 4AZ, UK.

Aim: To determine whether there is a clinical difference between an inferior dental block (IDB) using 2% lidocaine and a buccal infiltration (BI) using 4% articaine, when anaesthetising mandibular first permanent molars in children.

Methods: Patients aged 8-15 years who required invasive dental treatment on a lower molar tooth were randomised. The patient and dental operator were blind to the type of LA used. Read More

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http://dx.doi.org/10.1007/s40368-019-00496-8DOI Listing
February 2020

Anaesthetic efficacy of 2% lidocaine with different concentrations of epinephrine (1:80,000 and 1:200,000) in intraligamentary injection after a failed primary inferior alveolar nerve block: a randomized double-blind study.

Acta Odontol Scand 2020 May 10;78(4):275-280. Epub 2019 Dec 10.

Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India.

The present study evaluated the anaesthetic efficacy of 2% lidocaine with 1:80,000 epinephrine vs. 2% lidocaine with 1:200,000 given as supplemental intraligamentary injections after a failed inferior alveolar nerve block (IANB) in patients with symptomatic irreversible pulpitis. The effect of these solutions on the heart rate was also evaluated. Read More

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http://dx.doi.org/10.1080/00016357.2019.1700302DOI Listing
May 2020
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Different anesthetics on the efficacy of inferior alveolar nerve block in patients with irreversible pulpitis: A network systematic review and meta-analysis.

J Am Dent Assoc 2020 Feb 6;151(2):87-97.e4. Epub 2019 Dec 6.

Background: The authors of this systematic review and meta-analysis aimed to evaluate the effect of different anesthetics on the efficacy of inferior alveolar nerve block (IANB) in patients with irreversible pulpitis.

Types Of Studies Reviewed: The authors conducted a search of MEDLINE databases (PubMed, Scopus, Web of Science, Cochrane Central Register of Controlled Trials, Latin American and Caribbean Health Sciences Literature, and Brazilian Library of Dentistry). There was no restriction on publication year or idiom. Read More

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http://dx.doi.org/10.1016/j.adaj.2019.09.002DOI Listing
February 2020

Effect of vibratory stimulation on pain during local anesthesia injections: a clinical trial.

Restor Dent Endod 2019 Nov 24;44(4):e40. Epub 2019 Oct 24.

Division of Endodontics, University of Maryland School of Dentistry, Baltimore, MD, USA.

Objectives: This study aimed to assess the effect of DentalVibe on the level of pain experienced during anesthetic injections using 2 different techniques.

Materials And Methods: This randomized crossover clinical trial evaluated 60 patients who required 2-session endodontic treatment. Labial infiltration (LI) anesthesia was administered in the anterior maxilla of 30 patients, while inferior alveolar nerve block (IANB) was performed in the remaining 30 patients. Read More

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http://dx.doi.org/10.5395/rde.2019.44.e40DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875536PMC
November 2019

Transient diplopia: A loco regional complication of inferior alveolar nerve block.

Indian J Dent Res 2019 Jul-Aug;30(4):639-642

Consultant, Oral and Maxillofacial Surgeon, Siroraj Hospital, Thoothukudi, Tamil Nadu, India.

A 34-year-old female patient required surgical removal of lower left third molar under local anesthesia. Two percent lignocaine with 1:80000 adrenaline was used for administrating inferior alveolar nerve block at dental clinic. Twenty five minutes after the surgical removal, patient developed diplopia on the left eye. Read More

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http://dx.doi.org/10.4103/ijdr.IJDR_427_17DOI Listing
November 2019

Morphological analysis of mandibular foramen through anatomical planes: implications for inferior alveolar nerve block.

Anat Sci Int 2020 Mar 15;95(2):209-218. Epub 2019 Nov 15.

Department of Anatomy, 3rd Floor, All India Institute of Medical Sciences, Phulwarisharif, Patna, Bihar, 801507, India.

Error in localization of mandibular foramen is attributed to a high failure rate of inferior alveolar nerve block in clinical dentistry. We hypothesized that a remodelled approach towards exploring the morphology of mandibular foramen would be useful. In the present study, the location of the mandibular foramen was analysed with respect to the anatomical planes across the ramus of the mandible and also with respect to the quadrants on the medial surface of ramus of mandible. Read More

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http://dx.doi.org/10.1007/s12565-019-00511-4DOI Listing

Vestibular bone thickness of the mandible in relation to the mandibular canal-a retrospective CBCT-based study.

Int J Implant Dent 2019 Nov 15;5(1):37. Epub 2019 Nov 15.

Clinic of Cranio-Maxillofacial and Oral Surgery, Centre for Dental Medicine, University of Zurich, Plattenstrasse 11, 8032, Zurich, Switzerland.

Background: The aim of this study was to assess vestibular bone thickness of the mandible in relation to the mandibular canal and position of the mental foramen in relation to the neighbouring teeth. Measurements were performed on radiographic cone-beam computed tomography (CBCT) images.

Methods: This retrospective study analysed 314 CBCTs, having been taken at the Clinic of Cranio-Maxillofacial and Oral Surgery, University of Zurich, Switzerland. Read More

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http://dx.doi.org/10.1186/s40729-019-0189-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6856235PMC
November 2019

Vazirani-Akinosi Nerve Block Technique: An Asset of Oral and Maxillofacial Surgeon.

J Maxillofac Oral Surg 2019 Dec 22;18(4):628-633. Epub 2019 Jan 22.

Department of Periodontology, Yogita Dental College and Hospital, Naringi Riverside, Dapoli Road, Khed, Ratnagiri, Maharashtra India.

Background: Vazirani-Akinosi nerve block technique is an established and a reliable technique to achieve anaesthesia in mandible with high success rate and is useful in cases where Halstead's technique fails to provide desired anaesthetic effect.

Materials And Methods: A total of 140 ASA-I or ASA-II patients, both genders, between 16 and 45 years who required extraction of mandibular tooth were divided into two groups. Group A received nerve block through Halstead technique, while Group B received nerve block through Vazirani-Akinosi technique with 2% lignocaine containing 1:200,000 adrenaline. Read More

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http://dx.doi.org/10.1007/s12663-019-01183-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6795644PMC
December 2019

Efficacy and Safety of Pulpal Anesthesia Strategies during Endodontic Treatment of Permanent Mandibular Molars with Symptomatic Irreversible Pulpitis: A Systematic Review and Network Meta-analysis.

J Endod 2019 Dec 7;45(12):1435-1464.e10. Epub 2019 Oct 7.

Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Clinical Epidemiology and Health Care Research, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada; Department of Dentistry, Mount Sinai Hospital, Toronto, Ontario, Canada. Electronic address:

Introduction: Several strategies have been investigated for achieving successful pulpal anesthesia during endodontic treatment of mandibular molars with symptomatic irreversible pulpitis. However, comprehensive evaluation and identification of the most efficacious and safe intervention are lacking. We aimed to determine this using network meta-analysis. Read More

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http://dx.doi.org/10.1016/j.joen.2019.09.002DOI Listing
December 2019
4 Reads
3.375 Impact Factor

Is the inferior occlusal plane a reliable anatomic landmark for inferior alveolar nerve block? A study on dry mandibles of Brazilian adults.

Morphologie 2020 Mar 3;104(344):59-63. Epub 2019 Oct 3.

Discipline of Descriptive and Topographic Anatomy, Department of Morphology and Genetics, Universidade Federal de São Paulo, São Paulo/SP, Brazil. Electronic address:

Purpose: To investigate the relationship between the mandibular foramen (MF) and the inferior occlusal plane (IOP) of anatomic specimens, in order to guide clinicians in the inferior alveolar nerve block (IANB).

Method: Eighty-two dry mandibles (totally or partially toothed) of Brazilian adults were selected, totalizing 66 left and 66 right antimeres. A flat plate of rigid PVC plastic was placed on the occlusal surfaces of posterior teeth and pressure was then manually applied to simulate the IOP. Read More

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http://dx.doi.org/10.1016/j.morpho.2019.09.005DOI Listing
March 2020
2 Reads

Anesthetic Efficacy of Gow-Gates, Vazirani-Akinosi, and Mental Incisive Nerve Blocks for Treatment of Symptomatic Irreversible Pulpitis: A Systematic Review and Meta-analysis with Trial Sequential Analysis.

J Endod 2019 Oct;45(10):1175-1183.e3

Department of Endodontics, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Introduction: This systematic review compared the anesthetic efficacy between Gow-Gates (GG), Vazirani-Akinosi (VA), and mental incisive (MI) nerve blocks (NBs) with inferior alveolar nerve blocks (IANBs) in mandibular teeth with irreversible pulpitis using meta-analysis and trial sequential analysis (TSA).

Methods: Studies were identified from 4 electronic databases up to June 2019. Randomized clinical trials (RCTs) comparing the anesthetic success rate of GG, VA, and MI NBs with IANBs in mandibular premolars and molars with irreversible pulpitis were included. Read More

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http://dx.doi.org/10.1016/j.joen.2019.06.008DOI Listing
October 2019
3 Reads

Ultrasound-guided inferior alveolar nerve block for postoperative analgesia after mandibular sequestrectomy: A single-center retrospective study.

J Clin Anesth 2020 Mar 20;60:39-40. Epub 2019 Aug 20.

Department of Anesthesiology, Asahi General Hospital, Japan.

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http://dx.doi.org/10.1016/j.jclinane.2019.08.026DOI Listing
March 2020
2 Reads

Location of the mandibular lingula: Comparison of skeletal Class I and Class III patients in relation to ramus osteotomy using cone-beam computed tomography.

J Stomatol Oral Maxillofac Surg 2019 Dec 9;120(6):504-508. Epub 2019 Aug 9.

Izmir Katip Celebi University, Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Izmir, Turkey.

Introduction: The aim of the study was to analyze the anatomic location differences of the mandibular lingula (ML) between dentoskeletal Class I and Class III patients, also between genders to obtain information that could be useful for sagittal split ramus osteotomy (SSRO) and other interventions in mandibular ramus.

Methods: This study was conducted on cone-beam computed tomography (CBCT) images of 30 skeletal Class I (16 males and 14 females) patients aged between 18 to 37 years and 30 skeletal Class III (14 males and 16 females) patients aged 18 to 36 years.

Results: Statistically, the mean distance of the ML from the occlusal plane in skeletal Class III patients (9. Read More

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http://dx.doi.org/10.1016/j.jormas.2019.07.013DOI Listing
December 2019
3 Reads

A Simplified Single-Penetration Technique of IANB (MK Technique) for Mandibular Anesthesia.

J Maxillofac Oral Surg 2019 Sep 29;18(3):459-465. Epub 2018 Oct 29.

3Department of Public Health Dentistry, Vishnu Dental College, Bhimavaram, West Godavari District, Andhra Pradesh 534202 India.

Introduction: Owing to the anatomical basis established on the detailed course, distribution and innervations of buccal nerve in the literature, we believe that an effective and extensive buccal nerve block could be achieved when the nerve is anesthetized proximal to its branching point which relates to anteromedial aspect of ramus (retromolar fossa). Though several techniques of inferior alveolar nerve block (IANB) including few single-penetration approaches were already well reviewed and practiced, pitfalls remained in terms of achieving adequate retromolar soft tissue anesthesia, as well as undermining the very importance of contacting the bone and the orientation of the bevel. We propose a simplified single-penetration technique aligning almost similar to conventional technique and its well-adopted landmarks, but still obviating the need for a separate penetration for long buccal nerve anesthesia. Read More

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http://dx.doi.org/10.1007/s12663-018-1169-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6639512PMC
September 2019
3 Reads

Comparative evaluation of anesthetic efficacy of 1.8 mL and 3.6 mL of articaine in irreversible pulpitis of the mandibular molar: A randomized clinical trial.

PLoS One 2019 31;14(7):e0219536. Epub 2019 Jul 31.

Department of Stomatology, São Paulo University, São Paulo, SP, Brazil.

Objective: The aim of this study was to compare the anesthetic efficacy of two volumes of articaine in conventional inferior alveolar nerve block (IANB) of mandibular molars with irreversible pulpitis, and in cases of anesthetic failure, its complementation with periodontal ligament injection (PDL).

Methods: Ninety patients with irreversible pulpitis in mandibular molars received conventional IANB with 1.8 mL or 3. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0219536PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6668778PMC
July 2019
3 Reads

Role of 0.5 M mannitol as an adjuvant with lidocaine with or without epinephrine for inferior alveolar nerve block: A randomized control trial.

J Clin Exp Dent 2019 Jun 1;11(6):e500-e505. Epub 2019 Jun 1.

BDS, Jr. Resident, Dept. of Periodontology, Chandra Dental College & Hospital, Barabanki, U.P., India.

Background: The most commonly used local anesthetic in dentistry is lidocaine. For decades, mannitol is the most widely used agent in the management of raised intracranial pressure and as prophylaxis against acute renal failure surgeries.

Material And Methods: 120 patients were randomly divided into four groups, 30 patients in each group. Read More

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http://dx.doi.org/10.4317/jced.55583DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6645255PMC
June 2019
2 Reads

Effect of vibration during local anesthesia administration on pain, anxiety, and behavior of pediatric patients aged 6-11 years: A crossover split-mouth study.

J Dent Anesth Pain Med 2019 Jun 30;19(3):143-149. Epub 2019 Jun 30.

Department of Pediatric ad Preventive Dentistry, MR Ambedkar Dental College and Hospital, Bengaluru, Karnataka, India.

Background: Uncooperative behavior of children due to dental anxiety may interfere with the effective delivery of dental care and compromise the quality of treatment provided. Injection of local anesthesia is one of the most anxiety-inducing stimuli in pediatric dentistry. This study aimed to compare the efficacy of a child-friendly device, having a combined effect of vibration and distraction, with the conventional method of injection on pain, anxiety, and behavior of pediatric patients aged 6-11 years. Read More

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http://dx.doi.org/10.17245/jdapm.2019.19.3.143DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620534PMC
June 2019
2 Reads

Making inferior alveolar nerve block more comfortable via computer-controlled local anesthetic delivery: A prospective clinical study.

J Dent Anesth Pain Med 2019 Jun 30;19(3):135-141. Epub 2019 Jun 30.

Department of Oral & Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth, Pune, India.

Background: The fear of needle insertion and pain during anesthesia is a source of patient dissatisfaction in dentistry. Inferior alveolar nerve block (IANB) remains the most common type of block and is in itself painful. Computer-controlled local anesthetic delivery (CCLAD) has been proven to reduce the pain associated with injection of anesthetics in various blocks. Read More

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http://dx.doi.org/10.17245/jdapm.2019.19.3.135DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620535PMC
June 2019
5 Reads

Alternative techniques for failure of conventional inferior alveolar nerve block.

J Dent Anesth Pain Med 2019 Jun 30;19(3):125-134. Epub 2019 Jun 30.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University, Korea.

Successful local anesthesia in dental treatment is the most important prerequisite for pain control of patients. However, unlike that in the maxilla, it is difficult to administer local anesthesia in the mandible, and the success rate of conventional inferior alveolar nerve block (IANB) is only 80-85%. It is attributed to various causes such as anatomical variations, extreme anxiety, and technical errors; thus, various alternatives have been devised to improve this. Read More

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http://dx.doi.org/10.17245/jdapm.2019.19.3.125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620537PMC
June 2019
3 Reads

Measurement of mandibular lingula location using cone-beam computed tomography and internal oblique ridge-guided inferior alveolar nerve block.

J Korean Assoc Oral Maxillofac Surg 2019 Jun 28;45(3):158-166. Epub 2019 Jun 28.

Medical & Scientific Affairs Team, CGBio Research Center, Seongnam, Korea.

Objectives: Inferior alveolar nerve block (IANB) is the most frequently used treatment for mandibular molars. Successful IANB requires insertion of the dental needle near the mandibular foramen. In this study, we aimed to analyze the anatomic location of the mandibular lingula and evaluate the effects of internal oblique ridge (IOR)-guided IANB. Read More

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http://dx.doi.org/10.5125/jkaoms.2019.45.3.158DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6620308PMC
June 2019
3 Reads