Open AccessOriginal Article Anesthetic Efficacy of Supplemental Buccal Infiltration as Compared to Intraligamentary Injection in Treating Mandibular Second Molars with Irreversible Pulpitis

Syed Shan E Haider Naqvi; Nadeem Ahmad  Rana; Hafiz  Rabbi ul  Ehsan; Shumaila  Maryum; Talha  Khurshid; Naseem  Azad

doi:10.51253/pafmj.v75iSUPPL-6.13193

Authors

Syed Shan E Haider Naqvi Department of Operative Dentistry and Endodontics, Armed Forces Institute of Dentistry, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Nadeem Ahmad Rana Department of Operative Dentistry and Endodontics, Armed Forces Institute of Dentistry, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Hafiz Rabbi ul Ehsan Department of Operative Dentistry and Endodontics, Armed Forces Institute of Dentistry, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Shumaila Maryum Department of Operative Dentistry and Endodontics, Armed Forces Institute of Dentistry, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Talha Khurshid Department of Operative Dentistry and Endodontics, Armed Forces Institute of Dentistry, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Naseem Azad Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75iSUPPL-6.13193

Keywords:

Anesthetic efficacy, Buccal infiltration, Intraligamentary injection, Irreversible pulpitis, Mandibular molars, Visual Analogue Scale.

Abstract

Objective: To compare the anesthetic efficacy of supplemental buccal infiltration (BI) and intraligamentary (IL) injections in treating mandibular second molars with irreversible pulpitis in the Pakistani population.

Study Design: Quasi experimental study.

Place and Duration: Department of Operative Dentistry and Endodontics, Armed Forces Institute of Dentistry, Rawalpindi, Pakistan, from Apr 2024 to Oct 2024.

Methodology: This study included 100 participants (median age: 30 years) divided into two groups: IL group and BI group. Patients received standardized local anesthesia protocols, and pain levels were recorded using the Visual Analog Scale (VAS). Pain levels were classified as mild, moderate, or severe, and the success rate of anesthesia was evaluated.

Results: The IL group showed significantly lower pain levels (median VAS: 38.00(31.00–41.00)) compared to the BI group (median VAS: 65.50(40.00–87.00)). Severe pain was reported by 21(42.0%) participants in the BI group versus none in the IL group (p<0.001). The IL technique had a higher success rate of 45(90.0%) compared to 22(44.0%) in the BI group (p<0.001), indicating its superior efficacy.

Conclusion: Intraligamentary injections with 4% Articaine provide more effective anesthesia and higher success rates compared to buccal infiltrations for mandibular second molars with irreversible pulpitis. These findings suggest that IL injections are a preferable supplemental technique for profound anesthesia in such cases. Further studies are recommended to validate these findings.

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