Efficacy of Combining An Inferior Alveolar Nerve Block with A Buccal Infiltration For Mandibular Molars with Irreversible Pulpitis-A Randomized Controlled Study

Mehvish Abbas; Ayesha Ahmed; Dil Rasheed; Muzammil Jamil Rana; Iram Ramzan

doi:10.51253/pafmj.v75i1.10347

Authors

Mehvish Abbas Department of Operative Dentistry, 20 Military Dental Multan Pakistan
Ayesha Ahmed Department of Operative Dentistry, CIMS Dental College Multan Pakistan
Dil Rasheed Department of Operative Dentistry, 20 Military Dental Multan Pakistan
Muzammil Jamil Rana Department of Operative Dentistry, Armed Forces Institute of Dentistry Rawalpindi /National University of Medical Sciences (NUMS) Pakistan
Iram Ramzan Department of Operative Dentistry, 20 Military Dental Multan Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75i1.10347

Keywords:

Anesthesia, inferior alveolar nerve block, infiltration

Abstract

Objective: To compare the effectiveness of a combined technique using an inferior alveolar nerve (IAN) block and buccal infiltration versus an IAN block alone in performing endodontic treatment on mandibular molars with irreversible pulpitis.

Study Design: Randomized clinical trial (ClinicalTrials.gov: NCT06276842).

Place and Duration of Study: Department of Operative Dentistry, Armed Forces Institute of Dentistry Rawalpindi, Pakistan from Apr-Sep 2020.

Methodology: There were 120 participants participating in this study. The study participants were divided into 2 groups, Group-A included sixty patients who received conventional IAN block, and sixty patients of Group-B received buccal infiltration along with conventional IAN block.

Results: Median age of the patients is 31.50 (37.00-23.25) years. There were 72(60%) male and 48(40%) female patients. Effectiveness of anesthesia in Group-B was statistically (p-value < 0.05) significant than Group-A.

Conclusion: The combination of IAN block with buccal infiltration as a supplementary anesthesia technique has significant effect in controlling pain among patients suffering from irreversible pulpitis of lower molar as compared to conventional IAN block technique alone.

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