RCT on the effectiveness of the intraligamentary anesthesia and inferior alveolar nerve block on pain during dental treatment.
Dentistry
Inferior alveolar nerve block
Local anesthetic
Pain
RCT
Journal
Clinical oral investigations
ISSN: 1436-3771
Titre abrégé: Clin Oral Investig
Pays: Germany
ID NLM: 9707115
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
02
10
2020
accepted:
07
01
2021
pubmed:
3
2
2021
medline:
10
8
2021
entrez:
2
2
2021
Statut:
ppublish
Résumé
To compare the effectiveness and complications of intraligamentary anesthesia (ILA) with conventional inferior alveolar nerve block (IANB) during injection and dental treatment of mandibular posterior teeth. In this randomized, prospective clinical trial, 72 patients (39 males, 33 females), scheduled for dental treatment of mandibular posterior teeth, were randomly allocated to ILA group (n = 35) received ILA injection or IANB group (n = 37) received the conventional IANB. Our primary outcome was to assess pain and stress (discomfort) during the injection and dental treatment, using the numeric rating scale (NRS) from 0 to 10 (0 = no pain, 10= the worst pain imaginable), whereas recording 24-h postoperative complications was our secondary outcomes. Patients in ILA group reported significantly less pain during injection when compared with IANB group (p = 0.03), while pain during dental treatment was similar in both groups (p = 0.2). Patients in both groups also reported similar law values of discomfort during treatment (p = 0.7). Although no signs of nerve contact or any other postoperative complications were observed, five patients in IANB group (none in ILA group) reported temporary irritations. This study showed equivalent effectiveness of both intraligamentary anesthesia and conventional inferior alveolar nerve block, for pain control during routine dental treatment of mandibular posterior teeth. Nevertheless, ILA showed significantly less pain during injection. No major postoperative complications in both groups were observed. ILA could be considered as an effective alternative for routine dental treatment. NCT04563351.
Identifiants
pubmed: 33527192
doi: 10.1007/s00784-021-03787-x
pii: 10.1007/s00784-021-03787-x
pmc: PMC8342397
doi:
Substances chimiques
Anesthetics, Local
0
Banques de données
ClinicalTrials.gov
['NCT04563351']
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Pagination
4825-4832Informations de copyright
© 2021. The Author(s).
Références
Pradhan R, Kulkarni D, Shetty L (2017) Evaluation of efficacy of intraligamentary injection technique for extraction of mandibular teeth-a prospective study. J Clin Diagn Res 11:ZC110–ZC113
pubmed: 28274058
pmcid: 5324483
Williamson A, Hoggart B (2005) Pain: a review of three commonly used pain rating scales. J Clin Nurs 14:798–804
doi: 10.1111/j.1365-2702.2005.01121.x
Siegel K, Schrimshaw EW, Kunzel C et al (2012) Types of dental fear as barriers to dental care among African American adults with oral health symptoms in Harlem. J Health Care Poor Underserved 1:23(3)
Bahl R (2004) Local anesthesia in dentistry. Anesth Prog 51:138–142
pubmed: 15675263
pmcid: 2007495
Shabazfar N, Daubländer M, Al-Nawas B et al (2014) Periodontal intraligament injection as alternative to inferior alveolar nerve block—meta-analysis of the literature from 1979 to 2012. Clin. Oral Investig 18:351–358
doi: 10.1007/s00784-013-1113-1
Malamed SF (2004) Clinical action of specific agents. In: Handbook of local anesthesia, 5th edn. St. Louis, Mo, Elsevier Mosby, pp 55–81
Kaufman E, Weinstein P, Milgrom P (1984) Difficulties in achieving local anesthesia. J Am Dent Assoc 108:205–208
doi: 10.14219/jada.archive.1984.0470
Pogrel MA (2007) Permanent nerve damage from inferior alveolar nerve block- an update to include articaine. J Calif Dent Assoc 35:271–273
pubmed: 17612365
Kämmerer PW, Palarie V, Schiegnitz E et al (2012) Clinical and histological comparison of pulp anaesthesia and local diffusion after periodontal ligament injection and intrapapillary infiltration anaesthesia. J Pain Relief 1:1–5
doi: 10.4172/2167-0846.1000108
Kämmerer PW, Adubae A, Buttchereit I, Thiem DGE, Daubländer M, Frerich B (2018) Prospective clinical study comparing intraligamentary anesthesia and inferior alveolar nerve block for extraction of posterior mandibular teeth. Clin Oral Investig 22:1469–1475
doi: 10.1007/s00784-017-2248-2
Kämmerer PW, Schiegnitz E, von Haussen T, Shabazfar N, Kämmerer P, Willershausen B, al-Nawas B, Daubländer M (2015) Clinical efficacy of a computerised device (STA™) and a pressure syringe (VarioJect INTRA™) for intraligamentary anaesthesia. Eur J Dent Educ 19:16–22
doi: 10.1111/eje.12096
Walton RE, Garnick JJ (1982) The periodontal ligament injection: histologic effects on the periodontium in monkeys. J. Endod 8:22–26
doi: 10.1016/S0099-2399(82)80312-9
Dreyer WP, van Heerden JD, de V et al (1983) The route of periodontal ligament injection of local anesthetic solution. J Endod 9:471–474
doi: 10.1016/S0099-2399(83)80161-7
Meechan JG (1992) Intraligamentary anaesthesia. J Dent 20:325–332
doi: 10.1016/0300-5712(92)90018-8
Endo T, Gabka J, Taubenheim L (2008) Intraligamentary anesthesia: benefits and limitations. Quintessence Int 39:15–25
Reed KL, Malamed SF, Fonner AM (2012) Local anesthesia part 2: technical considerations. Anesth Prog 59:127–136
doi: 10.2344/0003-3006-59.3.127
Prama R, Padhye L, Pawar H et al (2013) Efficacy of intraligamentary injections as a primary anesthetic technique for mandibular molars & a comparison with inferior alveolar nerve block. Indian J of Multidisc Dent 3:785–791
Dumbrigue HB, Lim MV, Rudman RA et al (1997) A comparative study of anesthetic techniques for mandibular dental extraction. Am J Dent 10(275):278