scholarly journals Inferior Alveolar Nerve Block Injection Pain Using a Computer-Controlled Local Anesthetic Device (CCLAD): A Prospective, Randomized Study

2018 ◽  
Vol 65 (4) ◽  
pp. 231-236
Author(s):  
Sara Fowler ◽  
Chase Crowley ◽  
Melissa Drum ◽  
Al Reader ◽  
John Nusstein ◽  
...  
Keyword(s):  
Nerve Block ◽  
Local Anesthetic ◽  
Supine Position ◽  
Inferior Alveolar Nerve ◽  
Needle Insertion ◽  
Injection Pain ◽  
Inferior Alveolar Nerve Block ◽  
Needle Placement ◽  
Solution Deposition ◽  
Computer Controlled

There is evidence that the Computer-Controlled Local Anesthetic Device (CCLAD) decreases the pain of oral injections. The purpose of this study was to evaluate injection pain of the inferior alveolar nerve block (IANB) using the CCLAD in an upright position versus a supine position. Additionally, we evaluated solution deposition pain with the CCLAD when compared to previous studies using a traditional syringe. One hundred ten asymptomatic subjects were randomly given IANBs using 2% lidocaine with 1:100,000 epinephrine while in an upright sitting position and supine position, at 2 different appointments, spaced at least 2 weeks apart. Each subject rated the pain for needle insertion, needle placement, and solution deposition on a Heft-Parker visual analogue scale. Pain ratings were compared between the upright and supine positions using a repeated-measures analysis of variance with post hoc testing using the Tukey-Kramer procedure. Moderate to severe pain was reported by 10% to 13% of the patients for needle insertion, 74% to 75% for full needle placement, and 8% to 10% for solution deposition. There was no significant difference between groups for phases of the injection. When comparing the injection phases within the groups, the needle placement phase of the injection was statistically more painful than both the needle insertion phase and solution deposition phase (p = .0001). Using the CCLAD, IANB injection pain of the supine and upright positions was not statistically different. Needle placement was the most painful phase of the injection. Solution deposition pain was less with the CCLAD when compared to other studies of the IANB using a traditional syringe.

Effects of Two Different Anesthetic Solutions on Injection Pain, Efficacy, and Duration of Soft-Tissue Anesthesia with Inferior Alveolar Nerve Block for Primary Molars

2016 ◽  
Vol 40 (6) ◽  
pp. 456-463 ◽  
Author(s):  
Ülkü Şermet Elbay ◽  
Mesut Elbay ◽  
Emine Kaya ◽  
Sinem Yıldırım
Keyword(s):  
Soft Tissue ◽  
Postoperative Complications ◽  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Injection Pain ◽  
Primary Tooth ◽  
Inferior Alveolar Nerve Block ◽  
Double Blind ◽  
Mandibular Molars ◽  
Pain Duration

Objectives: The purpose of the study was to compare the efficacy, injection pain, duration of soft tissue anesthesia, and postoperative complications of two different anesthetics (2% lidocaine with 1:80,000 epinephrine and 3% plain mepivacaine) in pediatric patients in inferior alveolar nerve block (IANB) administered by a computer-controlled delivery system (CCDS). Study Design: The study was conducted as a randomized, controlled-crossover, double-blind clinical trial with 60 children requiring bilateral pulpotomy or extraction of primary mandibular molars. A CCDS was used to deliver 3% mepivacaine to 1 primary tooth and 2% lidocaine to the contralateral tooth with an IANB technique. Severity of pain and efficacy of anesthesia were evaluated using the Face, Legs, Activity, Cry, Consolability Scale, and comfort and side effects were assessed using a questionnaire. Data were analyzed using the Mann–Whitney U, Wilcoxon t, and Fisher exact tests. Results: Patients receiving 2% lidocaine experienced significantly less pain during injection than those receiving 3% mepivacaine, and no significant differences were found in the pain scores during treatments or in postoperative complications between the two anesthetics. The mean durations of anesthesia for 3% mepivacaine and 2% lidocaine were 139.68 minutes and 149.10 minutes, respectively. Conclusions: Plain mepivacaine and 2% lidocaine were similarly effective in pulpotomy and the extraction of primary mandibular molars. Although the use of 3% mepivacaine provided a shorter duration of anesthesia than 2% lidocaine, both solutions showed similar results in terms of postoperative complications.

Effectiveness of Two Flavored Topical Anesthetic Agents in Reducing Injection Pain in Children: A Comparative Study

2012 ◽  
Vol 37 (1) ◽  
pp. 15-18 ◽  
Author(s):  
A Deepika ◽  
R Chandrasekhar Rao ◽  
C Vinay ◽  
KS Uloopi ◽  
VV Rao
Keyword(s):  
Nerve Block ◽  
Primary Teeth ◽  
Inferior Alveolar Nerve ◽  
Clinical Effectiveness ◽  
Pediatric Dentistry ◽  
Pain Scale ◽  
Injection Pain ◽  
Inferior Alveolar Nerve Block ◽  
Topical Anesthetic ◽  
Anesthetic Agents

Topical anesthesia is widely advocated in pediatric dentistry practice to reduce pain and anxiety produced by administration of local anesthesia. There are different combinations of topical anesthetic agents that are marketed worldwide. However, sparse literature reports exist regarding clinical efficacy of these agents. Aim: To compare the clinical effectiveness of two strawberry flavored topical anesthetics viz. Precaine⁰ (8% Lidocaine + 0.8% Dibucaine) and Precaine⁰ B (20% Benzocaine) in children before intra oral local anesthetic injections and for extraction of mobile primary teeth. Study Design: This triple blind clinical study included sixty children divided equally under three techniques — palatal injections, inferior alveolar nerve block and extraction of mobile primary teeth. Both the products were used alternately using split mouth design in two visits and the child's pain response was assessed using VAS and SEM pain scale. The scores obtained were subjected to statistical analysis. Results: Precaine⁰ has shown lower mean scores in all the techniques under both the pain scales, but were statistically insignificant. Gender wise comparison has also shown lower mean scores for Precaine⁰ for both males and females, however these were statistically insignificant. On visit wise comparison, Precaine⁰ B reported significant lower scores (p<0.05) in visit 2 compared to visit 1 for inferior alveolar nerve block and extraction of mobile primary teeth under SEM pain scale. Conclusion: Precaine⁰ (8% Lidocaine + 0.8% Dibucaine) can be used as effectively as Precaine⁰ B (20% Benzocaine).

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

2021 ◽  
Vol 15 (4) ◽  
pp. 269-272
Author(s):  
Balamurugan Rajendran ◽  
Sahana Pushpa Thaneraj
Keyword(s):  
Nerve Block ◽  
Local Anesthetic ◽  
Pain Assessment ◽  
Inferior Alveolar Nerve ◽  
Anesthetic Technique ◽  
Inferior Alveolar Nerve Block ◽  
Drug Injection ◽  
Anesthetic Drug ◽  
Anesthetic Effect ◽  
Injection Techniques

Background. 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. Methods. 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. The effect of anesthesia between the two techniques was compared and evaluated by ANOVA using SPSS. Results. INF was successful in 78% of cases, whereas IANB was successful only in 22% of cases. Furthermore, INF had a significantly better anesthetic effect than IANB (P<0.05). During pain assessment during the anesthetic drug injection and the procedure, two patients in the INF and five patients in the IANB group reported minimal pain during extraction (P>0.05). The onset of the anesthetic effect was faster in the INF group, while the duration of the effect was longer in the IANB group. Conclusion. INF was a more efficacious local anesthetic technique with high success rate than the IANB technique.

scholarly journals The Use of Panoramic and Cephalometric Images to Guide Needle Placement for Inferior Alveolar Nerve Block in 7- to 12-Years-Old Children

2019 ◽  
Vol 10 (2) ◽  
pp. 40
Author(s):  
Amin Askary ◽  
Forough Akbari ◽  
TaranehZeynalzadeh Ghoochani ◽  
Adel Sharifi-Rayeni ◽  
MahshidSadat Hosseini
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Inferior Alveolar Nerve Block ◽  
Needle Placement ◽  
Guide Needle

scholarly journals Onset and Duration Period of Pulpal Anesthesia of Articaine and Lidocaine in Inferior Alveolar Nerve Block

2013 ◽  
Vol 24 (4) ◽  
pp. 371-374 ◽  
Author(s):  
Isabel Peixoto Tortamano ◽  
Marcelo Siviero ◽  
Sara Lee ◽  
Roberta Moura Sampaio ◽  
Jose Leonardo Simone ◽  
...  
Keyword(s):  
Nerve Block ◽  
Local Anesthetic ◽  
Inferior Alveolar Nerve ◽  
Double Blind Study ◽  
Inferior Alveolar Nerve Block ◽  
Double Blind ◽  
Significant Difference ◽  
The Mean ◽  
Mean Time ◽  
Pulpal Anesthesia

The purpose of this prospective, randomized, double blind study was to compare the onset and duration periods of pulpal anesthesia using 2% lidocaine with 1:100,000 epinephrine, 4% articaine with 1:100,000 epinephrine and 4% articaine with 1:200,000 epinephrine in inferior alveolar nerve block (IANB). Thirty subjects received 1.8 mL of each of the three local anesthetic solutions in IANB. Onset and duration periods of pulpal anesthesia were determined using electric pulp stimulation. The mean time of onset of pulpal anesthesia was 8.7, 7.4 and 7.7 min and the mean duration of pulpal anesthesia was 61.8, 106.6 and 88.0 min for 2% lidocaine with 1:100,000 epinephrine, 4% articaine with 1:100,000 epinephrine and 4% articaine with 1:200,000 epinephrine, respectively. For onset, there was only a significant difference between 2% lidocaine with 1:100,000 epinephrine and 4% articaine with 1:100,000 epinephrine (p=0.037). For duration, there was significant difference for all the local anesthetic solutions (p≤0.05). In conclusion, 4% articaine with 1:100,000 epinephrine exhibited faster onset and also had longest duration of pulpal anesthesia in IANB.

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