Comparative Evaluation of Anesthetic Efficacy of Inferior Alveolar Nerve Block and Inferior Alveolar Nerve Block Plus Buccal or Lingual Infiltration Using Articaine in Mandibular Molars With Irreversible Pulpitis: A Preliminary Prospective Randomized Single-Blind Clinical Trial Publisher Pubmed



Afkhami F¹ ; Pirmoazen S¹ ; Ardestani A¹ ; Fard MJK¹ Show Affiliations
Source: Quintessence International Published:2021

Abstract

Objectives: This study was designed as a prospective random-jections. The subject’s pain during access preparation and pulp ized single-blind clinical trial to compare the anesthetic effiextirpation was recorded on the Heft-Parker visual analog cacy of inferior alveolar nerve block (IANB), IANB plus buccal scale. Success was defined as “none” or “mild” pain during treat-infiltration, and IANB plus lingual infiltration of 4% articaine ment. Kruskal-Wallis test was used to compare pain categories with 1:100,000 epinephrine in mandibular molars with irreversin three groups of interventions for each mandibular molar. ible pulpitis. Method and materials: Sixty healthy volunteers Results: IANB with a supplemented buccal infiltration pro-who had a first or second mandibular molar diagnosed with vided more success than IANB alone or IANB plus lingual infilirreversible pulpitis participated in the present study. This study tration, in first molars (P = .019). There were no significant difwas composed of three arms for the first molar and three arms ferences between the three injection techniques in second for the second molar. Subjects in test arm A received two IANB molars (P = .795). Conclusions: Adding a supplemental buccal injections (3.6 mL). Subjects in test arm B received 1.8 mL IANB infiltration to a standard IANB was more successful in providing injection plus 1.8 mL buccal infiltration. Subjects in test arm C pain-free treatment for patients experiencing irreversible pulreceived 1.8 mL IANB injection plus 1.8 mL lingual infiltration. pitis in mandibular first molars. (Quintessence Int 2021;52: Articaine (4%) with 1:100,000 epinephrine was used for all in-820–826; doi: 10.3290/j.qi.b1864321). © 2021 Quintessence Publishing Co., Ltd. All rights reserved.