scholarly journals Effectiveness comparison of inferior alveolar nerve block anesthesia using direct and indirect technique

2016 ◽  
Vol 1 (3) ◽  
pp. 171
Author(s):  
Rehatta Yongki ◽  
Netty N. Kawulusan ◽  
Iis Purwanti
Keyword(s):  
Nerve Block ◽  
Tooth Extraction ◽  
Inferior Alveolar Nerve ◽  
Anesthetic Technique ◽  
Aspiration Level ◽  
Inferior Alveolar Nerve Block ◽  
Direct Technique ◽  
Indirect Technique ◽  
Anesthesia Depth ◽  
Nerve Block Anesthesia

Local anesthesia is important to do prior to tooth extraction procedure to control the patient's pain. Local anesthetic technique in dentistry consists of topical, infiltration, and anesthetic blocks. For molar tooth extraction, mandibular block technique is used either direct or indirect. This study aimed to see if there are differences in effectiveness of inferior alveolar nerve block anesthesia techniques between direct and indirect. This clinical experimental design study used 20 patients as samples during February-April. 10 patients were taken as a group that carried out direct technique while 10 others group conducted indirect techniques. The sample selection using purposive sampling method. Pain level were measured using objective assessments (pain experienced by the patient after a given stimulus) and subjective evaluation (thick taste perceived by the patient). The average time of onset in direct and indirect techniques in each sample was 16.88 ± 5.30 and 102.00 ± 19.56 seconds (subjectively) and 22.50 ± 8.02 and 159.00 ± 25.10 (objectively). These results indicated direct techniques onset faster than indirect techniques. The average duration of direct and indirect techniques respectively was 121.63 ± 8.80 and 87.80 ± 9.96 minutes (subjectively) and 91.88 ± 8.37 and 60.20 ± 10.40 minutes (objectively). These results indicated the duration of direct technique is longer than indirect technique. There was no significant difference when viewed from anesthesia depth and aspiration level. This study indicated that direct technique had better effect than indirect technique in terms of onset and duration, while in terms of anesthesia depth and aspiration level was relatively equal. Insignificant differences were obtained when assessing anesthetic technique successful rate based on gender, age and extracted tooth.

scholarly journals Comparison between infiltration and inferior alveolar nerve block anesthesia for extraction of Advance periodontitis of mandibular molars

2020 ◽  
Vol 10 (1) ◽  
pp. 13-15
Author(s):  
Muhammad Mubashirul Haque ◽  
Mostafa Md Anisuzzaman ◽  
Sajid Hasan ◽  
Nubad Adnan
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Anesthetic Technique ◽  
P Value ◽  
Inferior Alveolar Nerve Block ◽  
Posterior Teeth ◽  
Dental Surgery ◽  
Mandibular Molars ◽  
Group 2 ◽  
Nerve Block Anesthesia

Aim: The focus of the education was to assess the success between localanesthetic infiltration injection and inferior alveolar nerve block anesthesia in extraction of Chronic periodontitis mandibular posterior teeth. Methods: 100 patients aged between 13 and 73 years who attended the Department of Dental surgery, BIRDEM General Hospital for extraction of advance periodontitis of mandibular molars were included in this study. For the infiltration anesthetic technique, patient’s approval was taken. The patients were equally divided into two groups. Group (1) received 0.6 ml out of 1.8 ml of 2% lidocaine with 1:80000 adrenaline injection bucally and the same amount infiltration lingually opposite the intended tooth. Group (2) received 1.5 ml out of 1.8 ml of 2% lidocaine with 1:80000 and the remaining 0.3 ml was injected for long buccal nerve anesthesia. Results: In this Study we found 88% patients were pain free and Group-2 94% patients were pain free During extraction of Advance periodontitis of mandibular molars. P-value was 0.138 and it was not < 0.05. So it was not significant. On the other side 103 patients out of 113 were pain free in male and 79 patients out of 87 were pain free in female and 6 patients out of 87 were feeling pain during tooth extraction of advance periodontitis of mandibular molars. P-value was 0.138 and it was not < 0.05. So it was not significant. Conclusion: Infiltration anesthesia for non-vital mandibular molars is effective as a substitute for inferior alveolar block technique. Update Dent. Coll. j: 2020; 10 (1): 13-15

Knowledge Level of Clinical Dental Students in Faculty of Dentistry, Universitas Sumatera Utara Regarding the Anesthetic Technique of Inferior Alveolar Nerve Block

2021 ◽  
Vol 24 (2) ◽  
pp. 39-47
Author(s):  
Hendry Rusdy ◽  
Abdullah Oes ◽  
Gostry Aldica Dohude ◽  
Indra Basar ◽  
Magdalena Lia Ignatita
Keyword(s):  
Nerve Block ◽  
Maxillofacial Surgery ◽  
Inferior Alveolar Nerve ◽  
Dental Students ◽  
Good Knowledge ◽  
Anesthetic Technique ◽  
Oral And Maxillofacial Surgery ◽  
Inferior Alveolar Nerve Block ◽  
Validated Questionnaire ◽  
Level Of Knowledge

The inferior alveolar nerve block technique (Fischer's method) is a local anesthetic technique that is often used in daily dental and surgical treatment. However, the failure rate reaches 15-20% because many factors affect the technique's success. Therefore, this descriptive study aims to determine the knowledge of clinical dental students regarding the inferior alveolar nerve block technique and the management of the failure associated with its characteristics. A cross-sectional approach was employed by using a validated questionnaire consisting of 2 parts, namely 6 general questions and 12 knowledge questions, which were distributed to 68 clinical dental students in the Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Universitas Sumatera Utara in 2019. The results showed that 51.5% of the students had good knowledge, 41.2% had fair knowledge and 7.4% had less knowledge. The highest percentage of students based on male gender had fair knowledge (10 people out of 15) and the female had good knowledge (30 people out of 53). The clinical dental students’ level of knowledge based on whether they have ever or never failed to perform an anesthetic block technique is in a good category. In conclusion, most of the clinical dental students at the Department of Oral Surgery in 2019 had a good level of knowledge about the inferior alveolar nerve block technique and its failure management.

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