Inferior alveolar nerve block by intraosseous injection with Quicksleeper® at the retromolar area in mandibular third molar surgery
| Autor: | Sam Sovatdy, Chakorn Vorakulpipat, Chavengkiat Saengsirinavin, Sirichai Kiattavorncharoen, Natthamet Wongsirichat |
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| Rok vydání: | 2018 |
| Předmět: |
Molar
medicine.medical_specialty Mandible Inferior alveolar nerve Articaine law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Inferior Alveolar Nerve Block medicine Quicksleeper® Intraosseous injection business.industry 030206 dentistry Surgery Third Molar Surgery Epinephrine Computer-assisted Intraosseous Injection 030220 oncology & carcinogenesis Anesthetic Original Article business medicine.drug |
| Zdroj: | Journal of Dental Anesthesia and Pain Medicine |
| ISSN: | 2383-9317 2383-9309 |
| DOI: | 10.17245/jdapm.2018.18.6.339 |
| Popis: | Background There are many techniques of inferior alveolar nerve block injection (IANBI); one among them is the computer-assisted intraosseous injection (CAIOI). Here we aim to evaluate the effectiveness of CAIOI with Quicksleeper® in mandibular third molar surgery. Methods This study is a clinical, single-blind, randomized, split-mouth, controlled trial including 25 patients (10 males and 15 females, mean age 21 years). The patients underwent surgical removal of bilateral mandibular third molars with two different IANBI techniques. One side was injected using Quicksleeper®, and the other side was injected using a conventional IANBI. Both techniques used one cartridge (1.7 ml) of 1:100,000 epinephrine 4% articaine. A supplementary injection was used if necessary. All volumes of anesthetic agent used were recorded. Statistical analysis was performed using paired t-test and Wilcoxon test. Results This research showed that CAIOI has faster onset and shorter duration of action than IANBI (P < 0.05). The pain was similar in both techniques. In the CAIOI group, one-third of the cases could be completed without additional anesthesia. The remaining two-thirds required minimal supplementary volume of anesthesia. The success rates were 68% for CAIOI and 72% for IANBI, respectively. Conclusion CAIOI is an advantageous anesthetic technique. It can be used as an alternative to conventional IANBI for mandibular third molar surgery. |
| Databáze: | OpenAIRE |
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