Comparison of the anaesthetic efficacy of and heart rate changes after periodontal ligament or intraosseous X‐Tip injection in mandibular molars: a randomized controlled clinical trial

Zarei, Mina; Ghoddusi, Jamileh; Sharifi, E; Forghani, Maryam; Afkhami, Farzaneh; Marouzi, Parviz

doi:10.1111/j.1365-2591.2012.02050.x

Cited by 30 publications

(62 citation statements)

References 26 publications

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“…, Zarei et al . ). The intrapulpal injection technique can be very painful, and it requires the pulp to be exposed before the anaesthetic solution can be administered into the pulp.…”

Section: Discussionmentioning

confidence: 97%

Efficacy of supplementary buccal infiltrations and intraligamentary injections to inferior alveolar nerve blocks in mandibular first molars with asymptomatic irreversible pulpitis: a randomized controlled trial

et al. 2014

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“…, Zarei et al . ). The intrapulpal injection technique can be very painful, and it requires the pulp to be exposed before the anaesthetic solution can be administered into the pulp.…”

Section: Discussionmentioning

confidence: 97%

Efficacy of supplementary buccal infiltrations and intraligamentary injections to inferior alveolar nerve blocks in mandibular first molars with asymptomatic irreversible pulpitis: a randomized controlled trial

et al. 2014

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“…Zarei et al . () and Nusstein et al . () reported that intraligamentary injections did not cause a significant increase in heart rate.…”

Section: Discussionmentioning

confidence: 92%

“…Zarei et al . () reported success rates of 70% when an intraligamentary injection was given after a failed IANB.…”

Section: Discussionmentioning

confidence: 99%

“…, Zarei et al . ). The injection can be given by a conventional syringe, however specialized mechanical pressure syringes and computer controlled syringes are available (Kämmerer et al .…”

Section: Introductionmentioning

confidence: 97%

“…Zarei et al . () compared intraligamentary injections with intraosseous injections after a failed primary IANB. The authors injected 1.8 mL (0.9 mL per root) of 2% lidocaine with 1 : 100 000 with mesial and distal injections using a pressure syringe.…”

Section: Introductionmentioning

confidence: 99%

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Does the volume of supplemental intraligamentary injections affect the anaesthetic success rate after a failed primary inferior alveolar nerve block? A randomized‐double blind clinical trial

et al. 2017

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Aim To investigate the efficacy of 0.2 mL vs. 0.6 mL of 2% lidocaine when given as a supplementary intraligamentary injection after a failed inferior alveolar nerve block (IANB). Methodology Ninety-seven adult patients with symptomatic irreversible pulpits received an IANB and root canal treatment was initiated. Pain during treatment was recorded using a visual analogue scale (Heft-Parker VAS). Patients with unsuccessful anaesthesia (n = 78) randomly received intraligamentary injection of either 0.2 mL or 0.6 mL of 2% lidocaine with 1 : 80 000 epinephrine. Root canal treatment was reinitiated. Success after primary injection or supplementary injection was defined as no or mild pain (HP VAS score ≤54 mm) during access preparation and root canal instrumentation. Heart rate was monitored using a finger pulse oximeter. The anaesthetic success rates were analysed with Pearson chisquare test at 5% significance levels. The heart rate changes were analysed using t-tests.Results The intraligamentary injections with 0.2 mL solution gave an anaesthetic success rate of 64%, whilst the 0.6 mL was successful in 84% of cases with failed primary IANB. (v 2 = 4.3, P = 0.03). There was no significant effect of the volume of intraligamentary injection on the change in heart rate.Conclusions Increasing the volume of intraligamentary injection improved the success rates after a failed primary anaesthetic injection.

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Effect of Transcodent painless needles on injection pain in maxillary anterior infiltration: a split‐mouth controlled randomized clinical trial

Razmara

Baghi²,

Afkhami

2021

Clinical & Exp Dental Res

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Objectives: The present study aimed to determine the pain perceived during supraperiosteal (infiltration) injection in anterior maxillary region by Transcodent painless needle tips in comparison to the regular needle tips.Material and methods: In this split-mouth controlled randomised clinical trial, 30 patients were selected as candidates for cosmetic treatment who needed infiltration injections on both sides of canine area. They were each administered 0.9 mL of Lidocaine HCl 2% with epinephrine 1:100,000 in the buccal vestibules using two types of needle tips, Transcodent painless needle tip or regular needle tip. Immediately after the injection, the pain was measured using a 100 mm visual analog scale.The level of pain was statistically analyzed in the two groups using the parametric paired t-test. A 5% significance level was considered for statically significant difference between two means. Results:In accordance with the results, the patients' level of pain were estimated as 18.3 ± 10.7 mm with Transcodent painless needle tips and 43.1 ± 13.1 mm in regular needle tip (p < 0.05). Conclusion:The Transcodent painless needle showed considerable reduction of pain in the anterior maxillary infiltration when compared to the regular needle tips.

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Comparison of the anaesthetic efficacy of and heart rate changes after periodontal ligament or intraosseous X‐Tip injection in mandibular molars: a randomized controlled clinical trial

Abstract: Intraosseous injection using the X-Tip system was more effective than PDL injection as a supplementary anaesthetic for pulpectomy in mandibular molars or second premolars. However, the former resulted in a transient increase in heart rate.

Cited by 30 publications

References 26 publications

Efficacy of supplementary buccal infiltrations and intraligamentary injections to inferior alveolar nerve blocks in mandibular first molars with asymptomatic irreversible pulpitis: a randomized controlled trial

Efficacy of supplementary buccal infiltrations and intraligamentary injections to inferior alveolar nerve blocks in mandibular first molars with asymptomatic irreversible pulpitis: a randomized controlled trial

Does the volume of supplemental intraligamentary injections affect the anaesthetic success rate after a failed primary inferior alveolar nerve block? A randomized‐double blind clinical trial

Effect of Transcodent painless needles on injection pain in maxillary anterior infiltration: a split‐mouth controlled randomized clinical trial

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