863 results match your criteria Nerve Block Inferior Alveolar


EFFICACY OF 4% ARTICAINE BUCCAL INFILTRATION VERSUS INFERIOR ALVEOLAR NERVE BLOCK FOR MANDIBULAR MOLARS WITH SYMPTOMATIC IRREVERSIBLE PULPITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS.

J Evid Based Dent Pract 2022 06 6;22(2):101712. Epub 2022 Mar 6.

Faculty of Dental Medicine and Oral Health Sciences, McGill University, Montreal, QC, Canada. Electronic address:

Objectives: To compare the anesthetic efficacy of buccal infiltration (BI) using 4% articaine vs 4% articaine or 2% lidocaine inferior alveolar nerve block (IANB) for mandibular molars with symptomatic irreversible pulpitis.

Methods: PubMed, Cochrane, Web of Science, Scopus, and ClinicalTrials.gov were searched using MESH terms and specific keywords. Read More

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Programmed-release intraosseus anesthesia as an alternative to lower alveolar nerve block in lower third molar extraction: a randomized clinical trial.

J Dent Anesth Pain Med 2022 Jun 27;22(3):217-226. Epub 2022 May 27.

Oral Surgery Unit, Dentistry Section, Department of Surgical Sciences, University of Turin, Dental School, Turin, Italy.

Background: Intraosseous anesthesia is the process by which an anesthetic solution, after penetration of the cortical bone, is directly injected into the spongiosa of the alveolar bone supporting the tooth. This study aimed to compare the effectiveness of the traditional inferior alveolar nerve block (IANB) and computerized intraosseous anesthesia in the surgical extraction of impacted lower third molars, compare their side effects systemically by monitoring heart rate, and assess patients' a posteriori preference of one technique over the other.

Methods: Thirty-nine patients with bilaterally impacted third molars participated in this study. Read More

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Effectiveness of Pre-administered Natural Sweet-tasting Solution for Decreasing Pain Associated with Dental Injections in Children: A Split-mouth Randomized Controlled Trial.

J Contemp Dent Pract 2021 Dec 1;22(12):1434-1437. Epub 2021 Dec 1.

Department of Paediatric and Preventive Dentistry, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai, Tamil Nadu, India.

Aim: This study aimed to discern if a prior intake of a natural sweet remedy (honey) impacted pain perception during intraoral injections.

Materials And Methods: One hundred healthy children who needed the same treatment bilaterally in either arch which required local anesthetic administration (infiltration in maxillary arch and inferior alveolar nerve block in mandibular arch) were recruited. The patients' demographic details were recorded. Read More

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December 2021

Computer-controlled Intraligamentary local anaesthesia in extraction of mandibular primary molars: randomised controlled clinical trial.

BMC Oral Health 2022 May 20;22(1):194. Epub 2022 May 20.

Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.

Background: Local anesthesia (LA) poses a threat in children more than the treatment process itself, so pediatric dentists are always demanding less painful techniques. Computer-controlled Intraligamentary anaesthesia (CC-ILA) is designed to reduce injection pain and side effects of conventional techniques. The present study aims to assess the pain experience using Computer-controlled Intraligamentary anaesthesia (CC-ILA) during injection and its effectiveness in controlling pain during extraction of mandibular primary molars in pediatric patients. Read More

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Comparative evaluation of the effect of two pulpal medicaments on pain and bleeding status of mandibular molars with irreversible pulpitis post-failure of inferior alveolar nerve block: a double-blind, randomized, clinical trial.

PeerJ 2022 13;10:e13397. Epub 2022 May 13.

Department of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlingga, Surabaya City, East Java, Indonesia.

Background: Complete relief of pain due to irreversible pulpitis is challenging to obtain with analgesic medications. The high incidence of an inferior alveolar nerve block (IANB) failure makes it difficult for practitioners to perform endodontic treatment without implementing other anesthetic techniques, especially mandibular molars. The aim of this study was to compare efficacies of two different quantities of paraformaldehyde based pulpal medicaments to relieve the pain and control hyperemic pulp post-failure of IANB and supplementary technique in patients experiencing this symptomatic irreversible pulpitis in the permanent mandibular tooth. Read More

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Cardiopulmonary Effects and Pharmacokinetics of Dexmedetomidine Used as an Adjunctive Analgesic to Regional Anesthesia of the Oral Cavity with Levobupivacaine in Dogs.

Animals (Basel) 2022 May 9;12(9). Epub 2022 May 9.

Small Animal Clinic, Veterinary Faculty, University of Ljubljana, 1000 Ljubljana, Slovenia.

This study investigated the cardiopulmonary effects and pharmacokinetics of dexmedetomidine (DEX) used as an adjunctive analgesic for regional anesthesia of the oral cavity with levobupivacaine in anesthetized dogs. Forty dogs were randomly assigned to four groups of 10 dogs. All dogs received levobupivacaine (4 blocks) with DEX IO (infraorbital block, = 10) or IA (inferior alveolar block, = 10) or placebo (PLC; = 10) or DEX ( = 10) was injected intravenously (IV) after administration of levobupivacaine. Read More

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Does dexmedetomidine combined with levobupivacaine in inferior alveolar nerve blocks among patients undergoing impacted third molar surgery control postoperative morbidity?

J Dent Anesth Pain Med 2022 Apr 25;22(2):145-153. Epub 2022 Mar 25.

The Grant Government Medical College, Nagpada, Mumbai Central, Mumbai, Maharashtra, India.

Background: Postoperative analgesia (POA) is an important determinant of successful treatment. Dexmedetomidine (DEX) has recently gained attention as a promising adjuvant to local anesthetics (LA). The present study aimed to evaluate the efficacy and safety of levobupivacaine (LB) as an adjuvant during inferior alveolar nerve block (IANB) in the extraction of lower impacted third molars (LITM). Read More

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Comparison of Clinical Efficacy of Classical Inferior Alveolar Nerve Block and Vazirani-Akinosi Technique in Bilateral Mandibular Premolar Teeth Removal: A Split-Mouth Randomized Study.

J Maxillofac Oral Surg 2022 Mar 3;21(1):191-202. Epub 2020 May 3.

Sri Siddhartha Dental College and Hospital, Agalkote, BH Road, Tumkur, 572107 India.

Purpose: To compare the clinical efficacy of classical inferior alveolar nerve block (CIANB) and Vazirani-Akinosi (VA) injection technique in patients indicated for bilateral mandibular premolar teeth extraction for orthodontic treatment.

Methods: This split-mouth comparative study was conducted on 20 patients randomly selected for bilateral extraction of mandibular premolar indicated for orthodontic treatment to receive CIANB and VA injection technique alternatively. The clinical parameters evaluated were pain during injection, onset of anesthesia, duration of anesthesia, quality of anesthesia, nerve anesthetized with single nerve block, need for re-injection and frequency of positive aspiration. Read More

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Anaesthetic efficacy of incorporating different additives into lidocaine for the inferior alveolar nerve block: A systematic review with meta-analysis and trial sequential analysis.

Int Endod J 2022 Jul 22;55(7):732-747. Epub 2022 Apr 22.

Dental Research Center and Department of Endodontics, School of Dentistry, Dental Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran.

Background: Incorporating an additive into lidocaine is a method to enhance the efficacy of the inferior alveolar nerve block (IANB) in mandibular posterior teeth.

Objectives: To assess the efficacy of incorporating additives into lidocaine in the success rate of IANB for teeth with the diagnosis of normal pulp (NP) or symptomatic irreversible pulpitis (SIP).

Methods: Randomized controlled trials (RCTs) assessing the incorporation of additives into lidocaine on the pulpal anaesthesia success rate of mandibular posterior teeth were searched in PubMed, Scopus, Web of Science, Ovid, EBSCO, Embase, and Cochrane databases up to 1 December 2021. Read More

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A Seldom Seen Complication in the Inferior Alveolar Nerve Block.

J Craniofac Surg 2021 Dec 16. Epub 2021 Dec 16.

Department of Stomatology, Ningbo First Hospital.

Purpose: Introduce Kuhn anemia as a complication during the inferior alveolar nerve block (IANB).

Methods: Here, the authors reported a lesser-known complication called Kuhn anemia during the IANB. Then, the authors searched and reviewed relevant literature on the Web of Science. Read More

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December 2021

Effect of active and passive distraction techniques while administering local anaesthesia on the dental anxiety, behaviour and pain levels of children: a randomised controlled trial.

Eur Arch Paediatr Dent 2022 Jun 10;23(3):417-427. Epub 2022 Mar 10.

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

Purpose: The aim of the study was to compare the effect of a stress ball, an active distraction technique with audio-visual eyeglasses, a passive distraction technique during local anaesthesia administration, on dental anxiety (primary outcome), behaviour and pain levels of children (secondary outcomes).

Methods: In this randomised controlled parallel arm trial involving 123 children aged 8-12 years, who required dental treatment under inferior alveolar nerve block, children were randomly allocated into the following three groups: Group 1: Stress ball, Group 2: Audio-visual eyeglasses, Group 3: Control group (basic behaviour guidance without distraction). Dental anxiety was measured using modified child dental anxiety scale and pulse rate, behaviour was rated using Venham's scale and pain was measured by both self-reporting and observational scales. Read More

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Efficacy of adding dexmedetomidine to lidocaine to enhance inferior alveolar nerve block in patients with asymptomatic irreversible pulpitis: double-blind randomized clinical trial.

Clin Oral Investig 2022 Mar 10. Epub 2022 Mar 10.

Department of Anesthesiology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Objectives: This randomized, double-blind study was to determine whether dexmedetomidine (DEX) helped to improve the inferior alveolar nerve block's (IANB) success in patients with asymptomatic irreversible pulpitis (AIP). We hypothesized that adding DEX to lidocaine enhances the anesthetic effect of lidocaine to a satisfactory level by localizing anesthesia in a safer way.

Materials And Methods: Fifty adult volunteers with AIP in a first or second mandibular molar were randomly assigned to two groups to either receive 1. Read More

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To evaluate the Efficacy of Buprenorphine and 2% lignocaine with adrenaline as postoperative analgesia following mandibular third molar surgery: A Comparative Study.

Ann Maxillofac Surg 2021 Jul-Dec;11(2):236-240. Epub 2022 Feb 1.

Department of Oral and Maxillofacial Surgery, Terna Dental College, Navi Mumbai, Maharashtra, India.

Introduction: Opioid analgesics have an advantage over nonsteroidal anti-inflammatory drugs in that they do not cause direct organ damage. Buprenorphine has an antinociceptive potency approximately 25-50 times greater than that of morphine. Hence, in this study, buprenorphine was added to local anaesthesia in relieving postoperative pain after lower third molar surgery when given as inferior alveolar nerve block. Read More

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February 2022

Jaw Manipulation Using Ultrasound-Guided Inferior Alveolar Nerve Block for Trismus in Temporomandibular Disorders.

Case Rep Dent 2022 26;2022:4436893. Epub 2022 Feb 26.

Department of Anesthesiology, Imakiire General Hospital, Kagoshima, Japan.

Temporomandibular disorders are a group of disorders with symptoms that include pain and clicking sounds in the temporomandibular joint and restricted mouth opening. For the treatment of temporomandibular disorders with trismus, herein, we suggest a new approach: "jaw manipulation using the ultrasound-guided inferior alveolar nerve block technique." A woman in her 60s developed temporomandibular disorders and presented with severe trismus owing to pain in the temporomandibular joint. Read More

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February 2022

A Novel Pain Relief Approach for the Treatment of Multiple Dental Caries and Pulpitis.

Cureus 2022 Jan 30;14(1):e21723. Epub 2022 Jan 30.

Anesthesiology, Imakiire General Hospital, Kagoshima, JPN.

Anxiety and stress toward treatment can hamper treatment completion in patients with dental caries and pulpitis. Therefore, effective management of post-treatment pain is important because poor pain management can lead to patient dissatisfaction. Ultrasound-guided nerve blocks provide good postoperative analgesia in maxillofacial surgeries. Read More

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January 2022

Effectiveness of dexamethasone or adrenaline with lignocaine 2% for prolonging inferior alveolar nerve block: a randomized controlled trial.

J Korean Assoc Oral Maxillofac Surg 2022 Feb;48(1):21-32

Department of Community Dentistry, MB Kedia Dental College, Birgunj, Nepal.

Objectives: Inferior alveolar nerve block (IANB) is commonly used for mandibular dentoalveolar surgery. The objective of this study was to evaluate and compare the effectiveness of coadministration of dexamethasone (4 mg/mL) or adrenaline (0.01 mg/mL) as an adjuvant with lignocaine 2% in IANB during third molar surgery (TMS). Read More

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February 2022

Anesthetic efficacy of supplemental intraligamentary injection in human mandibular teeth with irreversible pulpitis: a systematic review and meta-analysis.

J Dent Anesth Pain Med 2022 Feb 24;22(1):1-10. Epub 2022 Jan 24.

Department of Conservative Dentistry and Endodontics, Manav Racha Dental College, Faridabad, Haryana, India.

Background: Inferior alveolar nerve block (IANB) is known to have a lower success rate for anesthesia in patients with irreversible pulpitis. This calls for supplementary techniques to effectively anesthetize such patients. This systematic review aimed to evaluate the published literature for determining the success rate of anesthesia induction using post-IANB intraligamentary (IL) injection in the mandibular teeth of patients with symptomatic irreversible pulpitis. Read More

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February 2022

A Systematic Review on Nerve-Related Adverse Effects following Mandibular Nerve Block Anesthesia.

Int J Environ Res Public Health 2022 01 31;19(3). Epub 2022 Jan 31.

Department of Clinical Specialistic and Dental Sciences, Università Politecnica delle Marche, Via Tronto 10/A, 60126 Ancona, Italy.

Inferior alveolar nerve (IAN) block injections are commonly used in clinical practice, but they are not free from complications. The aim of the present systematic review is to assess the nerve-related adverse effects of IAN block anesthesia. A structured and systematic search was performed on the major electronic databases (PubMed, Cochrane Library, Web of Science, Scopus and CINAHL) for studies published in English until 30 September 2021. Read More

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January 2022

Comparative evaluation of anesthetic efficacy of 4% articaine infiltration versus 2% lignocaine inferior alveolar nerve block for extraction of primary mandibular molars: A prospective, split-mouth, randomized controlled trial.

J Indian Soc Pedod Prev Dent 2021 Oct-Dec;39(4):409-415

Department of Public Health Dentistry, Terna Dental College, Navi Mumbai, Maharashtra, India.

Context: Control of pain during dental treatment is an essential aspect of pediatric dentistry.

Aims: This study was conducted to evaluate and compare the anesthetic efficacy of 4% articaine buccal infiltration with 2% lignocaine inferior alveolar nerve block (IANB) for primary mandibular molar extractions.

Settings And Design: The study was a prospective, split-mouth, randomized controlled trial. Read More

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February 2022

The Effect of Breathing Exercise Using Bubble Blower on Anxiety and Pain during Inferior Alveolar Nerve Block in Children Aged 7 to 10 Years: A Crossover Randomized Clinical Trial.

Pain Res Manag 2022 17;2022:7817267. Epub 2022 Jan 17.

Department of Pediatric Dentistry, Dentistry Faculty, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Introduction: The aim of this study was to evaluate the effect of breathing exercise using bubble blower on anxiety and pain during inferior alveolar nerve block (IANB) in children aged 7 to 10 years.

Materials And Methods: In this randomized crossover clinical trial, thirty-five children with moderate to severe anxiety requiring bilateral pulp therapy of mandibular primary molars were enrolled. Based on random lists, 18 children received the BE + IANB and 17 children received a routine IANB at the first session. Read More

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Comparison of infiltration (INF) and inferior alveolar nerve block (IANB) injection techniques in bilateral therapeutic removal of mandibular premolars.

J Dent Res Dent Clin Dent Prospects 2021 5;15(4):269-272. Epub 2021 Dec 5.

Department of Dentistry, RYA COSMO Foundation, Chennai, India.

The present study aimed to evaluate and compare the anesthetic effect of infiltration (INF) and inferior alveolar nerve block (IANB) techniques for bilateral therapeutic extraction of mandibular premolars. One hundred patients requiring bilateral therapeutic removal of mandibular premolars were included in the study. For the extraction of the mandibular right premolar tooth, INF was used, and after one week, the mandibular left premolar tooth was extracted using the IANB. Read More

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December 2021

Morphometric Analysis of Mandibular Foramen in Saudi Children Using Cone-Beam Computed Tomography.

J Pharm Bioallied Sci 2021 Nov 10;13(Suppl 2):S1717-S1722. Epub 2021 Nov 10.

Department of Biomedical Sciences, College of Dentistry, King Faisal University, Al Ahsa, Saudi Arabia.

Objectives: This study evaluated the position of the mandibular foramen (MF) with regard to the occlusal plane (OP) and the anterior border (AB) of the mandibular ramus (AB) in a sample of 7-12-year-old Saudi children using cone-beam computed tomography (CBCT) images.

Materials And Methods: In this descriptive, observational study, 155 CBCT scans were selected and analyzed for positional changes in the MF. Reconstructed panoramic and axial sections were used to measure the MF-OP and MF-AB distances, respectively, on both the right and left sides of the mandible. Read More

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November 2021

Comparative Evaluation of Classical Inferior Alveolar Nerve Block and Gow-gates Nerve Block for Surgical Removal of Mandibular Third Molar: A Prospective Study.

J Pharm Bioallied Sci 2021 Nov 10;13(Suppl 2):S1011-S1014. Epub 2021 Nov 10.

Department of Oral and Maxillofacial Surgery, MES Dental College, Perinthalmanna, Kerala, India.

Background: The most commonly used nerve block procedure to anesthetize the mandibular arch is the classical inferior alveolar nerve block (IANB). In 1973, Gow-Gates developed a new procedure known as the Gow Gates nerve block, to achieve anesthesia in the same area with fewer complications.

Methodology: The study comprised 80 patients who reported for the surgical removal of impacted third molar. Read More

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November 2021

TNF-α-Mediated RIPK1 Pathway Participates in the Development of Trigeminal Neuropathic Pain in Rats.

Int J Mol Sci 2022 Jan 3;23(1). Epub 2022 Jan 3.

Department of Oral Physiology, School of Dentistry, Kyungpook National University, 2177 Dalgubeol-daero, Chung-gu, Daegu 41940, Korea.

Receptor-interacting serine/threonine-protein kinase 1 (RIPK1) participates in the regulation of cellular stress and inflammatory responses, but its function in neuropathic pain remains poorly understood. This study evaluated the role of RIPK1 in neuropathic pain following inferior alveolar nerve injury. We developed a model using malpositioned dental implants in male Sprague Dawley rats. Read More

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January 2022

Correlation between the Mandibular Lingula Position and Some Anatomical Landmarks in Cone Beam CT.

Healthcare (Basel) 2021 Dec 17;9(12). Epub 2021 Dec 17.

School of Dentistry, Department of Clinical Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy.

Background: the position of the mandibular lingula (Li) affects the success rate of the inferior alveolar nerve block (IANB) and ramus osteotomies. This study evaluated the position of the Li, to investigate the anatomical relationship between the Li and some anatomical measurements using cone beam computed tomography (CBCT).

Methods: 201 hemimandibular CBCTs of 111 patients (43 males and 68 females; 18 to 88 years old) were retrospectively evaluated. Read More

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December 2021

A digital workflow for the inferior alveolar nerve block in the edentulous mandible.

J Prosthet Dent 2021 Nov 30. Epub 2021 Nov 30.

Professor, State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Department of Oral Implantology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China. Electronic address:

The inferior alveolar nerve block is the most frequently used anesthetic method for implant placement in the completely edentulous mandible. However, achieving a successful inferior alveolar nerve block in edentulous mandibles is challenging. The present clinical report describes a novel digital workflow for precise local anesthetic injections at the mandibular foramen. Read More

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November 2021

An Ancient Science to Improve Today's Clinical Practice: Oral Surgery Meets Human Anatomy.

Int J Environ Res Public Health 2021 11 13;18(22). Epub 2021 Nov 13.

Oral Surgery, Department of Biomedical and Neuromotor Sciences, University of Bologna, 40125 Bologna, Italy.

Human body dissection was a ubiquitous practice in the past, to better understand anatomy and to develop medicine. Today, its role could still be important to answer everyday clinical queries and help surgeons. The example of the possible lack of anesthesia during symphysis surgeries can emphasize the usefulness of dissection. Read More

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November 2021

Comparison of anaesthetic efficacy of 4% articaine buccal infiltration versus 2% lidocaine inferior alveolar nerve block for pulpotomy in mandibular primary second molars.

J Indian Soc Pedod Prev Dent 2021 Jul-Sep;39(3):299-302

Department of Prosthodontics Dentistry, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.

Background: Pain control and proper anesthesia during pulp therapy is one of the most important aspects of behavior management in pediatric dentistry. Aims: This study compared the success rate of inferior alveolar nerve block (IANB) using 2% lidocaine and infiltration using 4% articaine for pulpotomy of mandibular primary second molars.

Settings And Design: The present clinical trial was conducted on 40 children aged 5-8 referred to the Department of Pediatric Dentistry, Guilan University of Medical Sciences, who needed pulpotomy treatment in both mandibular second molars. Read More

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November 2021

Efficacy of four local anaesthesia protocols for mandibular first molars with symptomatic irreversible pulpitis: A randomized clinical trial.

Int Endod J 2022 Mar 5;55(3):219-230. Epub 2021 Dec 5.

Division of Endodontics, School of Dentistry, University of Minnesota, Minneapolis, Minnesota, USA.

Aim: To examine the efficacy rate of four anaesthetic protocols in mandibular first molars with symptomatic irreversible pulpitis (SIP).

Methodology: One hundred and sixty patients with a diagnosis of SIP were included in this randomized clinical trial. Patients were randomly allocated into four treatment groups (N = 40) according to the administered technique: Group 1 (IANB): standard inferior alveolar nerve block (IANB) injection; Group 2 (IANB + IO): standard IANB followed by a supplemental intraosseous infusion (IO) injection; Group 3 (IANB + PDL): standard IANB followed by a supplemental periodontal ligament (PDL) injection; Group 4 (IANB + BI): standard IANB followed by a supplemental buccal infiltration. Read More

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Is Inferior Alveolar Nerve Block Needed to Perform Implant Surgery in the Posterior Mandible? A Randomized Controlled Trial.

J Oral Maxillofac Surg 2022 Mar 10;80(3):490-500. Epub 2021 Oct 10.

Private Practice, Master Degree in Biotechnology and Bioengineering in Bioengineering Institute, Miguel Hernández University of Elche, Spain. Electronic address:

Purpose: There is no agreement in the literature on whether inferior alveolar nerve block (IANB) or infiltration (INF) is the anesthetic technique of choice for placing implants in the posterior mandible. This study aimed to compare the efficacy of the 2 techniques using articaine 4% with epinephrine 1:100,000.

Material And Methods: The trial was a comparison between 2 parallel groups of patients, who received implants distal to the mental foramen, either with IANB or INF. Read More

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