Novel Modifications in Administration of Local Anesthetics for Dentoalveolar Surgery

Lassemi, Esshagh; Navi, Fina; KalantarMotamedi, Mohammad Hosein; Jafari, Seyyed Mehdi; Talesh, Kourosh Taheri; KamalQaranizade,; Lasemi, Reza

doi:10.5772/59235

Cited by 1 publication

(1 citation statement)

References 12 publications

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“…This technique was described by Dr. Mendel Nevin and was further modified by Dr. Borris Levill and Dr. I.R. Brownle in which the needle is penetrated at a point midway between the maxillary and mandibular occlusal planes [13].…”

Section: Group Frequency Of the Incidence Of Trismus Pearson Chi-squa...mentioning

confidence: 99%

Efficacy of Different Techniques of the Inferior Alveolar Nerve Block for Mandibular Anesthesia: A Comparative Prospective Study

Krishna,

Selvarasu,

Kumar

et al. 2024

Cureus

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BackgroundThe inferior alveolar nerve block (IANB) is a commonly employed technique in oral surgery for achieving profound anesthesia in the mandibular teeth and associated structures. Several techniques have been developed to enhance the success rate and patient comfort during the IANB. The aim of this study was to compare and evaluate the efficacy of different IANB techniques for mandibular anesthesia. Materials and methodsThe participants included in the study were adults requiring surgical extraction of an impacted mandibular third molar teeth. A total of 100 participants were randomly assigned to five different groups representing various techniques of IANB, i.e., conventional Halsted technique, Vazirani-Akinosi technique, Gow-Gates technique, Fischer 1-2-3, and extraoral Kurt-Thoma technique, with 20 participants in each group. The participants were evaluated for the onset of anesthesia using subjective and objective methods, pain perception during the administration of local anesthesia using a 10-point visual analogue scale (VAS), and the incidence of trismus postoperatively. Data were analyzed using IBM SPSS Statistics for windows, version 23.0 (released 2015; IBM Corp Armonk, United States) with p-values less than 0.05 considered as statistically significant. Descriptive statistics, Kruskal-Wallis, and post-hoc tests were included in the data analysis for intergroup comparisons. ResultsThe primary outcomes evaluated were the onset of anesthesia, the patient's perception of pain during the administration of local anesthesia, and the secondary outcome included in the incidence of trismus. In this study, it was found that the Kurt-Thoma technique had the fastest onset of anesthesia (2.25 minutes), higher incidence of trismus (25%), and higher pain perception (6.5 score on VAS). The conventional Halstead technique (3.55 minutes), Fischer 1-2-3 technique (3.5 minutes), and Vazirani-Akinosi technique (3.1 minutes) had an almost similar mean duration of anesthesia. The onset of anesthesia was delayed in the Gow-Gates technique (5.1 minutes). Patient perception of pain during administration of local anesthesia was higher in the Kurt-Thoma (6.5) and Gow-Gates techniques (4.95), and it was least in the Fischer 1-2-3 technique (0.75) in the VAS scores. The incidence of trismus was highest with the Kurt-Thoma technique (25%), then the Gow-Gates technique (20%), followed by the conventional Halstead technique (5%). ConclusionIn this study, it was found that the conventional Halsted technique was the best among the different techniques of IANB and remains the gold standard.

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Section: Group Frequency Of the Incidence Of Trismus Pearson Chi-squa...mentioning

confidence: 99%

Efficacy of Different Techniques of the Inferior Alveolar Nerve Block for Mandibular Anesthesia: A Comparative Prospective Study

Krishna,

Selvarasu,

Kumar

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

Novel Modifications in Administration of Local Anesthetics for Dentoalveolar Surgery

Cited by 1 publication

References 12 publications

Efficacy of Different Techniques of the Inferior Alveolar Nerve Block for Mandibular Anesthesia: A Comparative Prospective Study

Efficacy of Different Techniques of the Inferior Alveolar Nerve Block for Mandibular Anesthesia: A Comparative Prospective Study

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