The efficacy of supplemental intraseptal and buccal infiltration anesthesia in mandibular molars of patients with symptomatic irreversible pulpitis

Dianat, Omid; Mozayeni, Mohammad Ali; Layeghnejad, Mohammad Karim; Shojaeian, Shiva

doi:10.1007/s00784-019-03006-8

Cited by 18 publications

(20 citation statements)

References 27 publications

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“…In the final interpretation, twenty-six studies [ 5 28 29 30 32 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 ] were involved, which were related to the success of infiltration injection as a primary or supplemental technique in patients with irreversible pulpitis in mandibular molars.…”

Section: Resultsmentioning

confidence: 99%

“…Risk of bias was indicated as low, high, or unclear. Thirteen studies [ 28 29 30 32 34 37 38 39 42 43 44 45 46 ] that were involved in the meta-analysis were part of the risk of bias assessment. The first analysis involved studies comparing a primary IANB versus a secondary infiltration injection given after the failure of the first injection [ 28 32 42 43 44 45 46 ].…”

Section: Resultsmentioning

confidence: 99%

“…The first analysis involved studies comparing a primary IANB versus a secondary infiltration injection given after the failure of the first injection [ 28 32 42 43 44 45 46 ]. The other analysis involved studies comparing the infiltration injections given along a primary IANB versus IANB given alone [ 29 30 34 37 38 39 ].…”

Section: Resultsmentioning

confidence: 99%

“…A randomized clinical trial by Dianat et al (2020) [ 34 ] compared the anesthetic success of three types of techniques in patients diagnosed with symptomatic irreversible pulpitis in their mandibular molars. Ninety patients were randomly divided into three groups according to anesthetic techniques.…”

Section: Resultsmentioning

confidence: 99%

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Anesthetic efficacy of primary and supplemental buccal/lingual infiltration in patients with irreversible pulpitis in human mandibular molars: a systematic review and meta-analysis

Gupta

Sahai

Aggarwal

et al. 2021

J Dent Anesth Pain Med

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Achieving profound anesthesia in mandibular molars with irreversible pulpitis is a tedious task. This review aimed at evaluating the success of buccal/lingual infiltrations administered with a primary inferior alveolar nerve block (IANB) injection or as a supplemental injection after the failure of the primary injection in symptomatic and asymptomatic patients with irreversible pulpitis in human mandibular molars. The review question was “What will be the success of primary and supplemental infiltration injection in the endodontic treatment of patients with irreversible pulpitis in human mandibular molars?” We searched electronic databases, including Pubmed, Scopus, and Ebsco host and we did a comprehensive manual search. The review protocol was framed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. We included clinical studies that evaluated and compared the anesthetic outcomes of primary IANB with primary and/or supplementary infiltration injections. Standard evaluation of the included studies was performed and suitable data and inferences were assessed. Twenty-six studies were included, of which 13 were selected for the meta-analysis. In the forest plot representation of the studies evaluating infiltrations, the combined risk ratio (RR) was 1.88 (95% CI: 1.49, 2.37), in favor of the secondary infiltrations with a statistical heterogeneity of 77%. The forest plot analysis for studies comparing primary IANB + infiltration versus primary IANB alone showed a low heterogeneity (0%). The included studies had similar RRs and the combined RR was 1.84 (95% CI: 1.44, 2.34). These findings suggest that supplemental infiltrations given along with a primary IANB provide a better success rate. L'Abbe plots were generated to measure the statistical heterogeneity among the studies. Trial sequential analysis suggested that the number of patients included in the analysis was adequate. Based on the qualitative and quantitative analyses, we concluded that the infiltration technique, either as a primary injection or as a supplementary injection, given after the failure of primary IANB, increases the overall anesthetic efficacy.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Anesthetic efficacy of primary and supplemental buccal/lingual infiltration in patients with irreversible pulpitis in human mandibular molars: a systematic review and meta-analysis

Gupta

Sahai

Aggarwal

et al. 2021

J Dent Anesth Pain Med

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“…Such modifications include changing the type of anesthetic solution [9,10], its injected volume [11], composition e.g. buffering / twin mixing [12][13][14], combination with other supplemental anesthetic techniques [15,16], changing patients' position during injection [17], preceding the injection with oral premedication e.g. ibuprofen / ketorolac / meloxicam / tramadol / dexamethasone [11,[18][19][20][21][22][23][24], and/or following it with cryotherapy application [25].…”

Section: Introductionmentioning

confidence: 99%

The success of using 2% lidocaine in pain removal during extraction of mandibular premolars: a prospective clinical study

2020

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Background: The purpose of this study was to evaluate the anesthetic effectiveness of a buccal infiltration technique combined with local massage (using 2% lidocaine) in the extraction of mandibular premolars to be utilized as an alternative to the conventional inferior alveolar nerve block. Methods: Patients eligible included any subject with a clinical indication for tooth extraction of the mandibular 1st or 2nd premolars. All patients were anesthetized buccally by local infiltration technique followed by an external pressure applied for 1 min directly over the injection area. In each case, another local injection was given lingually. All operations were started at approximately 5 min after the buccal injection. The collected data included age, gender, pain perception and its intensity during treatment at three checkpoints, apical tenderness, and the type of extraction. Any associated complications or difficulties were also recorded. Then the results were analyzed and interpreted using appropriate statistical tests. The significance level was set at P ≤ 0.05. Results: A total of 247 cases (1st premolar, n = 119; 2nd premolar, n = 128), predominantly male, were included. In 95% of study sample, the patients were satisfied with the dental extraction without any pain. However, in 5% of cases, pain was reported at the stage of tooth removal. Apical tenderness was found to be present in 11% of the total cases. Three teeth required surgical removal. Upon analysis, no significant differences in the success rates were detected between the 2 premolar groups or amongst the various age groups. Minor and transient side effects were reported in this study. Conclusion: The technique is simple and effective as well. It might be considered as an alternative anesthetic injection to the inferior alveolar nerve block for dental extraction of the mandibular premolars.

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BiodentineTM Applications in Irreversible Pulpitis Management in Children and Adults

Taha

Chompu-inwai

2021

Biodentine™

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The efficacy of supplemental intraseptal and buccal infiltration anesthesia in mandibular molars of patients with symptomatic irreversible pulpitis

Cited by 18 publications

References 27 publications

Anesthetic efficacy of primary and supplemental buccal/lingual infiltration in patients with irreversible pulpitis in human mandibular molars: a systematic review and meta-analysis

Anesthetic efficacy of primary and supplemental buccal/lingual infiltration in patients with irreversible pulpitis in human mandibular molars: a systematic review and meta-analysis

The success of using 2% lidocaine in pain removal during extraction of mandibular premolars: a prospective clinical study

BiodentineTM Applications in Irreversible Pulpitis Management in Children and Adults

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