Comparison of Clinical Efficacy of Classical Inferior Alveolar Nerve Block and Vazirani–Akinosi Technique in Bilateral Mandibular Premolar Teeth Removal: A Split-Mouth Randomized Study

Bhat, Preethi; Chanu, Hijam Thoithoibi; Radhakrishna, Sathish; Kumar, KR Ashok; Marimallappa, T. R.; Ravikumar, R

doi:10.1007/s12663-020-01374-3

Cited by 4 publications

(11 citation statements)

References 21 publications

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“…The success rate of IANB was 96.1% in the current study. According to previous studies, IANB had a success rates ranging from 71.5% to 100% 1,5,13,17–21,25,26 . It has been shown that intern trainers achieve a 97.6% success rate.…”

Section: Discussionmentioning

confidence: 94%

“…Previous studies found that positive aspirations of IANB ranged from 0% to 46.4% 9,12–20 . Several factors may explain this wide range, including the skills of the operator, the types of dental syringes and the gauge of the needle used in different studies.…”

Section: Discussionmentioning

confidence: 99%

“…Prabhu et al found that the Vazirani‐Akinosi technique was easier to master by dental students, had a higher success rate, and was more comfortable for patients than the traditional IANB 1 . Moreover, the Vazirani‐Akinosi technique performed better than conventional IANB in terms of anaesthesia duration, quality, and overall success, despite not being statistically significant 20 . Furthermore, the Gow‐Gates technique has also been shown to be more reliable and more successful than the classical IANB technique 18 .…”

Section: Discussionmentioning

confidence: 99%

“…Positive aspiration rates differ according to injection techniques and locations 13 . Previous studies found that the positive aspiration rate during IANB varied between 0% and 46.4% 9,12–20 …”

Section: Introductionmentioning

confidence: 99%

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The performance of inferior alveolar nerve block technique among undergraduate students

Alsaegh

Azzawi

Marouf

2022

Eur J Dental Education

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AimsThis study aimed at evaluating the ability to feel bone touch, positive aspirations, and frequency of the success rate during the direct inferior alveolar nerve block (IANB) among dental students.MethodsThis prospective cross‐sectional study involved 203 cases of IANB injections for patients requiring extraction of mandibular posterior teeth who visited student dental clinics at Ajman University, Fujairah Campus. Students' performance of direct IANB including ability to perceive bone touch, frequency of positive aspirations, and success rate were reported.ResultsStudents reported feeling bone contact in 148 (72.9%), 43 (21.2%), and 12 (5.9%) of the first, second, and third attempts during the IANB, respectively. Positive aspiration was found in 46 (22.7%) of the injections. The success was in 195 (96.1%) of the total injections. Spearman's correlation coefficient indicated that there was no significant correlation between the success rate and the result of aspiration (rho = .054, p = .440). Additionally, there was no correlation between attempts to touch the bone and the outcome of the aspiration (rho = −.091, p = .198) or success rate (rho = −.083, p = .240).ConclusionThere is a relatively high success rate of direct IANB technique among dental students. This confirms the inclusion of this technique in the curriculum. Furthermore, the high rate of positive aspiration reflects the awareness and competency of dental students with the aspiration technique. In turn, this will reduce the failure of anaesthesia and the subsequent systemic complications.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The performance of inferior alveolar nerve block technique among undergraduate students

Alsaegh

Azzawi

Marouf

2022

Eur J Dental Education

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“…This is due the pain not only during treatment, but also during an anesthetic injection (Ushnitsky et al, 2018). According to Iwanaga et al, 2018 andBhat et al, 2020, the most common mandible local anesthesia method is the inferior alveolar nerve blockage (IANB) (Iwanaga et al, 2018), (Bhat et al, 2020). A study by Rajvanshi, 2016 and Howait and Basunbul, 2019 showed a high efficiency of this method -85% (Rajvanshi H., Ernest S., Hafsa Effendi H., Afridi S., Chhabra M., 2016), (Howait M., Basunbul, 2019).…”

Section: Introductionmentioning

confidence: 99%

Inferior Alveolar Nerve Block by Injection Into the Pterygomandibular Space Using Guiding Devices: A Systematic Review

Kashtanov¹,

Darawsheh²,

Vasil’ev³

et al. 2021

ArveMED

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The aim of our research was to analyze and compare different inferior alveolar nerve blocking techniques and the effectiveness of various guiding devices. Methods: A search was conducted on specialized databases for search and selection of works in which a guiding device for lower alveolar nerve block (IANB) was described. The propriated articles were evaluated and selected in 3 stages for final review based on predefined criteria, followed by a critical evaluation stage. As the research result - various types of IANB guide devices and the results of its using were recorded and analyzed. Results: The systematic review of devices for conducting IANB was done. The success of IANB can be achieved by adjusting the syringe with the anesthetic needle trajectory — it increased the probability of a successful hit in the area of the mandible foramen. Examples of devices in which the syringe is fixed at the moment when the tip of the needle is injected into the medial side of the branch of the lower alveolar nerve are considered. And also, the special techniques based on orientation on the soft tissues are described. However, when creating a device of this type, the following factors must be taken into account: the angle of the needle to the insertion point, the position of the insertion point relative to the anatomical landmarks (taking into account individual characteristics), and the insertion depth. Also, other IANB guiding blockade methods are considered: 3D navigation while local anesthetic injection. Thus, the patient's discomfort, the risk of nerve damage and the risk of unsuccessful mandible anesthesia could be minimized. Conclusion: The advantages and disadvantages of these anesthesia methods, the success rate, and patient comfort were analyzed. Prospects for further research in this area were identified.

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Comparative evaluation of efficacy of 2% lidocaine containing adrenaline with and without hyaluronidase in inferior alveolar nerve blocks for patients requiring bilateral mandibular extractions

Lunkad,

Shah,

Rudagi

et al. 2024

Oral Surgery

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PurposeTo evaluate and compare the efficacy of 2% lidocaine containing adrenaline with and without hyaluronidase in inferior alveolar nerve blocks for patients requiring bilateral mandibular extractions.Patients and MethodsThis was the split‐mouth study conducted on 26 patients requiring bilateral mandibular teeth extraction. All the patients were assigned randomly to one of the two groups: (i) 2% lignocaine HCl + 1:2,00,000 adrenaline + hyaluronidase (75 IU) solution will be administered on one side which is the experimental side and (ii) 2% lignocaine HCl + 1:2,00,000 adrenaline solution on the other side is control side. In the first session, the patients randomly received the inferior alveolar nerve block with or without hyaluronidase in one side of the oral cavity. One week later, the same patient received the other technique which was not received in the first session. We also evaluated the onset, duration and need of any supplementary anaesthesia in both the groups.ResultsComparison of VAS score in the control group (2.73 ± 0.724) and experimental group (3 ± 0.693) showed statistically insignificant results (p = 0.177). Whereas the onset of local anaesthesia showed a statistically significant difference between the two groups (p < 0.001) mean of control group (2.73 ± 0.47) and experimental group (1.15 ± 0.23). Comparison of duration of anaesthesia showed a statistically significant difference (p < 0.001) with the mean duration of the experimental group being higher (106 ± 7.94) than the control group (86.27 ± 3.90). Comparison for the need for supplementary anaesthesia showed no statistically significant difference between the two groups.ConclusionWe conclude that if hyaluronidase is used, better blocks with smaller volumes are produced. LAs with hyaluronidase have been shown to improve the quality and effectiveness of anaesthetic blocks and shorten the time it takes for anaesthesia to begin, accelerate the onset of akinesia and lessen the need for additional anaesthesia. It also increases the duration of anaesthesia.

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Comparison of Clinical Efficacy of Classical Inferior Alveolar Nerve Block and Vazirani–Akinosi Technique in Bilateral Mandibular Premolar Teeth Removal: A Split-Mouth Randomized Study

Cited by 4 publications

References 21 publications

The performance of inferior alveolar nerve block technique among undergraduate students

The performance of inferior alveolar nerve block technique among undergraduate students

Inferior Alveolar Nerve Block by Injection Into the Pterygomandibular Space Using Guiding Devices: A Systematic Review

Comparative evaluation of efficacy of 2% lidocaine containing adrenaline with and without hyaluronidase in inferior alveolar nerve blocks for patients requiring bilateral mandibular extractions

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