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A comparative study of anesthetic techniques for mandibular dental extraction
H B Dumbrigue1, M V Lim, R A Rudman
1Department of Prosthodontics, University of Florida College of Dentistry, Gainesville 32610, USA.
American Journal of Dentistry
|May 20, 1998
Summary
The inferior alveolar nerve block (IANB) provided better anesthesia for mandibular teeth extraction than the intraligamentary technique (ILA). IANB resulted in less discomfort during needle placement and extraction.
Area of Science:
- Dentistry
- Anesthesiology
- Oral Surgery
Background:
- Effective anesthesia is crucial for pain management during dental procedures.
- Inferior alveolar nerve block (IANB) is a common technique for mandibular anesthesia.
- Intraligamentary anesthesia (ILA) offers an alternative for localized anesthesia.
Purpose of the Study:
- To compare the effectiveness of intraligamentary anesthesia (ILA) versus inferior alveolar nerve block (IANB).
- To evaluate patient-reported discomfort and anesthesia quality for mandibular teeth extraction.
Main Methods:
- A comparative study involving 16 patients undergoing bilateral mandibular dental extractions.
- Both ILA and IANB techniques were administered using Citanest with Octapressin.
- Evaluated parameters included needle placement discomfort, anesthesia profoundness, and patient preference.
Main Results:
- More patients reported discomfort with ILA (62.5%) compared to IANB (18.75%) during needle placement (P = 0.031).
- Extractions were performed without patient discomfort in 50% of cases with ILA versus 85.7% with IANB (P = 0.027).
- No significant difference in patient preference between the two anesthetic techniques was observed.
Conclusions:
- IANB is more effective than ILA in providing adequate anesthesia for mandibular teeth extraction.
- IANB is associated with less discomfort during needle insertion and the extraction procedure.
- Further research may explore modifications to ILA technique to improve patient comfort.