Prevalence of Failed Inferior Alveolar Nerve Block (IANB) in Achieving Pulpal Anaesthesia in Mandibular Molars with Symptomatic Irreversible Pulpitis

Howait, Mohammed; Basunbul, Ghadeer I.

doi:10.21608/edj.2019.72859

Cited by 4 publications

(2 citation statements)

References 21 publications

(25 reference statements)

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“…Successful anaesthesia is a hallmark of painless endodontic treatment. It not only keeps the patient calm and relaxed but also allows the dentist to perform the endodontic procedure with ease (Subbiya & Pradeepkumar, 2016;Howait & Basunbul, 2019). Pulpal anaesthesia commences with the administration of traditional nerve blocks (NBs) or infiltration anaesthesia.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of 4% articaine vs 2% lidocaine in mandibular and maxillary block and infiltration anaesthesia in patients with irreversible pulpitis: a systematic review and meta-analysis

Miglani

Ansari

Patro³

et al. 2021

PeerJ

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Objective The goal of this systematic review and meta-analysis is to determine the performance of 4% Articaine vs. 2% Lidocaine for mandibular and maxillary block and infiltration anaesthesia in patients with irreversible pulpitis (IP). Methods PubMed/MEDLINE, Cochrane Central Register of Controlled Trials, Web of Science, Google Scholar, and Open Gray were used to conduct a thorough literature search. A manual search of the reference lists of the publications found was also carried out. Two reviewers critically evaluated the papers for inclusion and exclusion criteria, and data extraction was done on the selected publications. The Cochrane Collaboration Tool and the Minors checklist were used to assess the quality of the selected studies for randomised controlled trials (RCTs) and non-randomised studies, respectively. The RevMan software was used to perform a meta-analysis of the pooled data and subgroups according to the technique of anaesthetic solution delivery, as well as a sensitivity analysis (P < 0.05). Results A total of twenty-six papers were included in the qualitative synthesis, with twenty-two of them being included in the meta-analysis. There were fifteen studies with a low potential for bias, three with a moderate potential for bias, and seven with a high potential for bias. The combined results of the 19 trials in the tooth level unit revealed that 4% articaine had a success rate 1.37 times greater than 2% lidocaine for mandibular teeth (RR, 1.37; 95% CI [1.17–1.62]; P = 0.0002). For the maxillary buccal infiltration method, the combined results from the three trials revealed that 4% articaine resulted in a success rate 1.06 times greater than 2% lidocaine (RR, 1.06; 95% CI [0.95–1.2]; P = 0.3). Excluding subgroups with a single study in sensitivity analysis for mandibular teeth revealed a substantial improvement in the success rate of the articaine group in treating IP when compared to the lidocaine group. Conclusion The findings of this meta-analysis back up the claim that articaine is more effective than lidocaine in providing anaesthesia in patients with IP. PROSPERO Registration No.: CRD42020204606 (https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42020204606).

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Section: Introductionmentioning

confidence: 99%

Efficacy of 4% articaine vs 2% lidocaine in mandibular and maxillary block and infiltration anaesthesia in patients with irreversible pulpitis: a systematic review and meta-analysis

Miglani

Ansari

Patro³

et al. 2021

PeerJ

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“…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). The authors point out that the anesthesia success is an accurate hit in the pterygoid -maxillary space.…”

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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X-ray anatomical provement of the right trajectory choice during mandible regional anaesthesia

Darawsheh¹,

Vasil’ev²,

Kashtanov³

et al. 2022

Oper. khir.

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Prevalence of Failed Inferior Alveolar Nerve Block (IANB) in Achieving Pulpal Anaesthesia in Mandibular Molars with Symptomatic Irreversible Pulpitis

Cited by 4 publications

References 21 publications

Efficacy of 4% articaine vs 2% lidocaine in mandibular and maxillary block and infiltration anaesthesia in patients with irreversible pulpitis: a systematic review and meta-analysis

Efficacy of 4% articaine vs 2% lidocaine in mandibular and maxillary block and infiltration anaesthesia in patients with irreversible pulpitis: a systematic review and meta-analysis

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

X-ray anatomical provement of the right trajectory choice during mandible regional anaesthesia

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