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.

scholarly journals COMPARISON OF PAIN PERCEIVED BY PATIENTS UNDERGOING INTRA ORAL LOCAL ANESTHESIA USING DIFFERENT NEEDLE GAUGES

2020 ◽  
Vol 70 (6) ◽  
pp. 1702-06
Author(s):  
NoorUlSabah Hussain ◽  
Shoaib Younus ◽  
Uzair Bin Akhtar ◽  
Malik Ali Hassan Sajjad ◽  
Muhammad Salman Chishty ◽  
...  
Keyword(s):  
Local Anesthesia ◽  
Nerve Block ◽  
Oral Surgery ◽  
Maxillofacial Surgery ◽  
Inferior Alveolar Nerve ◽  
Oral And Maxillofacial Surgery ◽  
Inferior Alveolar Nerve Block ◽  
Group A ◽  
The Difference ◽  
Group B

Objective: To compare the difference in pain perceived by patients undergoing intra-oral local anesthesia withdifferent gauge needles. Study Design: Qausi experimental study. Place and Duration of Study: Oral and Maxillofacial surgery department of Institute of Dentistry, CombinedMilitary Hospital, Lahore Medical College, Lahore, from July 2019 to August 2019. Methodology: One hundred patients were selected by consecutive sampling from the oral surgery OPD clinic.They were divided into two groups A and B randomly. Twenty three gauge needle on a 3cc disposable syringewas used for inferior alveolar nerve block and buccal nerve block for group A and 27 gauge needle on a metaldental syringe was used for the same in group B. Patients gave a verbal pain score, from 0-10 for each injection. Results: One Hundred participants were included in study, 37 (37%) males and 63 (63%) females. Mean painscore for group A for the inferior alveolar nerve block was 4.50 ± 2.1 and group B was 3.86 ± 2. The mean painscore for the buccal nerve block in group A was 4.02 ± 1.7, while that of group B was 3.94 ± 1.8. There was nosignificant difference (p=0.167 & 0.855) in pain perceived by patients undergoing intra oral local anesthesia using needles of different gauges. Conclusion: There is no difference in pain perceived by patients undergoing intra oral local anesthesia usingneedles of different gauges.

scholarly journals Self-confidence in oral and maxillofacial surgery: a cross-sectional study of undergraduate dental students at Kuwait University

2021 ◽  
Author(s):  
Mohammad Kamal ◽  
Mohammad Abdulwahab
Keyword(s):  
Maxillofacial Surgery ◽  
Dental Students ◽  
The Self ◽  
Oral And Maxillofacial Surgery ◽  
Independent Practice ◽  
Cross Sectional ◽  
Kuwait University ◽  
Self Confidence ◽  
Validated Questionnaire ◽  
Surgical Extraction

Abstract Background: To evaluate the self-confidence of undergraduate dental students in relation to oral and maxillofacial surgery (OMFS) in order to assess the teaching curriculum at Kuwait University using a validated questionnaire originally developed by the Association of British Academic Oral Maxillofacial Surgeons (ABAOMS).Methods: A cross-sectional survey of 6th year (n=20) and 7th- year (n=19) dentistry students was conducted Kuwait University Faculty of Dentistry between the 1st and 15th May 2020. The ABAOMS questionnaire is composed of 17 questions assessing various areas of the undergraduate OMFS curriculum. The response options to the questionnaire utilised a Likert scale. Independent sample t-tests were performed to assess the difference in responses between the two year groups. Spearman’s Rho correlations were calculated to measure the strength of association between confidence in all aspects of surgical and forceps exodontia.Results: A total of 39 questionnaires were completed by the students. The majority of students expressed that they feel confident that they have enough knowledge to undertake independent practice (61%). General aspects of the questionnaire were answered favourably except for surgical extraction of teeth, in which both classes reported a lower level of self-confidence.Conclusions: This survey revealed the students’ self-confidence in undertaking independent practice and preforming basic oral surgery procedures. Students felt comfortable with exodontia using forceps and elevators, root removal, managing acute pericoronitis, managing haemorrhage from a socket, assessing impacted teeth, and recognising the clinical features of potentially malignant and malignant lesions of the oral cavity. They reported a lower level of confidence for performing surgical procedures. The ABAOMS survey instrument is a useful and thorough tool to assess the self-confidence of dental students according to their undergraduate oral and maxillofacial surgery teaching.

scholarly journals Anesthetic technique for inferior alveolar nerve block: a new approach

2011 ◽  
Vol 19 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Dafna Geller Palti ◽  
Cristiane Machado de Almeida ◽  
Antonio de Castro Rodrigues ◽  
Jesus Carlos Andreo ◽  
José Eduardo Oliveira Lima
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Anesthetic Technique ◽  
Inferior Alveolar Nerve Block ◽  
New Approach

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 Dental students’ perceptions of undergraduate Oral and Maxillofacial Surgery teaching in an integrated curriculum at Kuwait University

2020 ◽  
Author(s):  
Mohammad Kamal ◽  
Mohammad Abdulwahab
Keyword(s):  
Statistical Significance ◽  
Maxillofacial Surgery ◽  
Dental Students ◽  
Oral And Maxillofacial Surgery ◽  
Independent Practice ◽  
Kuwait University ◽  
Self Confidence ◽  
Level Of Confidence ◽  
Validated Questionnaire ◽  
Surgical Extraction

Abstract Background: To evaluate dental students’ perceptions of the undergraduate oral and maxillofacial surgical training teaching curriculum according to a validated questionnaire originally developed by the Association of British Academic Oral Maxillofacial Surgeons (ABAOMS) to assess their self-confidence. Methods: A cross-sectional survey of all 6th-year (n=22) and 7th-year (n=21) dentistry students that was conducted Kuwait University Faculty of Dentistry between 1 and 15 May 2020. A previously implemented and validated questionnaire by ABAOMS was used in the study, which is made of 17 questions assessing various areas of the undergraduate OMFS curriculum in the clinical years. The response options to the questionnaire questions were on a Likert scale. Independent sample t-tests were performed to assess the difference in responses between the two groups. Spearman’s Rho correlations were calculated to measure the strength of association between confidence in all aspects of surgical and forceps exodontia. Statistical significance was considered to be a p-value <0.05. Results: A total of 39 questionnaires were completed by the students. The majority of students expressed that they feel confident that they have enough knowledge to undertake independent practice (61%). General aspects of the questionnaire were answered favourably except for the step of surgical extraction of teeth, in which both classes reported a lower level of confidence. Conclusions: This survey revealed the students’ self-confidence undertaking independent practice and preforming basic oral surgery procedures. Students felt comfortable with exodontia using forceps and elevators, root removal, managing acute pericoronitis, managing haemorrhage from a socket, assessing impacted teeth, and recognising the clinical features of potentially malignant and malignant lesions of the oral cavity. They reported a lower level of confidence for performing the steps of surgical procedures. The ABAOMS survey instrument is a useful and thorough tool to assess the self-confidence of dental students according to their undergraduate oral and maxillofacial surgery teaching.

scholarly journals Self-confidence in oral and maxillofacial surgery: a cross-sectional study of undergraduate dental students at Kuwait University

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mohammad Kamal ◽  
Mohammad Abdulwahab
Keyword(s):  
Maxillofacial Surgery ◽  
Dental Students ◽  
Oral And Maxillofacial Surgery ◽  
Independent Practice ◽  
Cross Sectional ◽  
Kuwait University ◽  
Response Options ◽  
Self Confidence ◽  
Validated Questionnaire ◽  
Surgical Extraction

Abstract Background To evaluate the self-confidence of undergraduate dental students in relation to oral and maxillofacial surgery (OMFS) to assess the teaching curriculum at Kuwait University using a validated questionnaire originally developed by the Association of British Academic Oral Maxillofacial Surgeons (ABAOMS). Methods A cross-sectional survey of sixth year (n = 20) and seventh year (n = 19) dentistry students was conducted by Kuwait University Faculty of Dentistry between the 1st and 15th of May 2020. The ABAOMS questionnaire is composed of 17 questions assessing various areas of the undergraduate OMFS curriculum. The response options to the questionnaire utilised a Likert scale. Independent sample t-tests were performed to assess the difference in responses between the 2 year groups. Spearman’s rho correlations were calculated to measure the strength of association between confidence in all aspects of surgical and forceps exodontia. Results A total of 39 questionnaires were completed by the students. The majority of students expressed feelings of confidence that they have enough knowledge to undertake independent practice (61%). General aspects of the questionnaire were answered favourably except for surgical extraction of teeth, in which both classes reported a lower level of self-confidence. Conclusions The ABAOMS survey revealed the students’ self-confidence in undertaking independent practice and preforming basic oral surgery procedures. Students felt comfortable with exodontia using forceps and elevators, root removal, managing acute pericoronitis, managing haemorrhage from a socket, assessing impacted teeth, and recognising the clinical features of potentially malignant and malignant lesions of the oral cavity. They reported a lower level of confidence in performing surgical procedures.

scholarly journals Dental Students’ Perceptions of Undergraduate Oral and Maxillofacial Surgery Teaching in an Integrated Curriculum at Kuwait University

2020 ◽  
Author(s):  
Mohammad Kamal ◽  
Mohammad Abdulwahab
Keyword(s):  
Statistical Significance ◽  
Maxillofacial Surgery ◽  
Dental Students ◽  
Oral And Maxillofacial Surgery ◽  
Independent Practice ◽  
Kuwait University ◽  
Self Confidence ◽  
Level Of Confidence ◽  
Validated Questionnaire ◽  
Surgical Extraction

Abstract Background:To evaluate dental students’ perceptions of the undergraduate oral and maxillofacial surgical training teaching curriculum according to a validated questionnaire originally developed by the Association of British Academic Oral Maxillofacial Surgeons (ABAOMS) to assess their self-confidence.Methods:A cross-sectional survey of all 6th-year (n=22) and 7th-year (n=21) dentistry students that was conducted Kuwait University Faculty of Dentistry between 1 and 15 May 2020. A previously implemented and validated questionnaire by ABAOMS was used in the study which is made of 17 questions assessing various areas of the undergraduate OMFS curriculum in the clinical years. The response options to the questionnaire questions were on a Likert scale. Independent sample t-tests were performed to assess the difference in responses between the two groups. Spearman’s Rho correlations were calculated to measure the strength of association between confidence in all aspects of surgical and forceps exodontia. Statistical significance was considered to be a p-value <0.05.Results:A total of 39 questionnaire were completed by the students, with a response rate of 90,90% for the sixth-year students and 90,47% of the seventh-year students. 37 respondents were female (94.9%) reflecting the majority of female students at the faculty. The majority of students expressed that they feel confident that they have enough knowledge to undertake independent practice (61%). General aspects of the questionnaire were answered favourably except for the step of surgical extraction of teeth, in which both classes reported lower level of confidence.Conclusions:This survey revealed the students’ self-confidence undertaking independent practice and preforming basic oral surgery procedures. Students felt comfortable with exodontia using forceps and elevators, root removal, managing acute pericoronitis, managing haemorrhage from a socket, assessing impacted teeth, and recognizing the clinical features of potentially malignant and malignant lesions of the oral cavity. They reported lower level of confidence for performing the steps of surgical procedures. The ABAOMS survey instrument is a useful and thorough tool to assess the self-confidence of the dental students according to their undergraduate oral and maxillofacial surgery teaching.

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

Pain assessment after application of 4% articaine with epinephrine 1:100000 during mandibular dental procedures

2021 ◽  
Vol 12 (46) ◽  
pp. 76-80
Author(s):  
Adel Martínez-Martínez ◽  
Samuel Urbano del Valle ◽  
Johnatan Zambrano Trespalacios
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Latency Period ◽  
Anesthetic Technique ◽  
Dental Practice ◽  
Inferior Alveolar Nerve Block ◽  
Dental Procedures ◽  
Mandibular Molar ◽  
The University ◽  
Buccal Infiltration

Inferior alveolar nerve block in the mandibular technique is the blockade that presents most failures in the dental practice, so this technique is considered the less effective of those used in Dentistry and the most frustrating to the dentist. This study aimed to determine pain intensity during dental procedures after using 4% articaine with epinephrine 1:100000 in the inferior alveolar nerve block with buccal infiltration in patients who were attended in the dental clinic of the University of Cartagena, Colombia. A clinical randomized trial was performed. The sample was of patients who required dental procedures in the jaw with local anesthesia. After standardization of the anesthetic technique, and use of 4% articaine with epinephrine 1:100000, the inferior alveolar nerve was blocked with 0.9 mL (half cartridge) followed by buccal infiltration with 0.9 mL in the first mandibular molar. Fifty patients (30 men - 60% and 20 women - 40%), with an average age of 25.3 years old (mean ± standard deviation [SD]: 25.3 ± 6.6) were included in the study. When assessing the pain puncture and during the injection, 92% of patients classified it as mild pain according to VAS. When evaluating the latency period, the average time was less than two minutes and the perioral soft tissue anesthesia was 97%. Only a small percentage of patients required complementary anesthesia. The authors recommend the use of 4% of articaine with epinephrine in mandibular procedures that require deep pulp anesthesia, using this with a buccal infiltration.

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