Comparing Etizolam and Music Distraction on Inferior Alveolar Nerve Block Success in Patients With Symptomatic...

Area of Science:

• Dentistry
• Anesthesiology
• Pain Management

Background:

• High dental anxiety is linked to increased pain during endodontic therapy.
• Effective local anesthesia is crucial for successful endodontic treatment, especially in anxious patients.

Purpose of the Study:

• To evaluate the efficacy of etizolam versus music distraction in improving inferior alveolar nerve block (IANB) success.
• To assess pain management during endodontic therapy in patients with high dental anxiety.

Main Methods:

• A randomized clinical trial involving 110 patients with symptomatic irreversible pulpitis.
• Patients were assigned to placebo, etizolam (0.5 mg), or music distraction (MD) groups.
• IANB success was measured by pain levels using the Heft Parker visual analogue scale (HP-VAS).

Main Results:

• Music distraction group showed significantly higher IANB success rates compared to placebo and etizolam groups (P < .01).
• No significant difference in IANB success was observed between the etizolam and placebo groups.
• Lower intraoperative pain was reported in the MD group.

Conclusions:

• Music distraction is a more effective strategy than etizolam or placebo for achieving IANB success in anxious patients.
• Non-pharmacological interventions like music can enhance dental anxiety management and treatment outcomes.
• Further research may explore combined approaches for optimal pain control.