Evaluation of a modified two-stage inferior alveolar nerve block technique: A preliminary investigation
Author(s):
Abstract:
Introduction
The two-stage technique of inferior alveolar nerve block (IANB) administration does not address the pain associated with needle insertion and local anesthetic solution deposition in the first stage of the injection. This study evaluated a modified two stage technique to the reaction of children during needle insertion and local anesthetic solution deposition during the first stage and compared it to the first phase of the IANB administered with the standard one-stage technique.Materials And Methods
This was a parallel, single-blinded comparative study. A total of 34 children (between 6 and 10 years of age) were randomly divided into two groups to receive an IANB either through the modified two-stage technique (MTST) (Group A; 15 children) or the standard one-stage technique (SOST) (Group B; 19 children). The evaluation was done using the Face Legs Activity Cry Consolability (FLACC; which is an objective scale based on the expressions of the child) scale. The obtained data was analyzed using Fishers Exact test with the P value set at Results
73.7% of children in Group B indicated moderate pain during the first phase of SOST and no children indicated such in the first stage of group A. Group A had 33.3% children who scored 0 indicating relaxed/comfortable children compared to 0% in Group B. In Group A, 66.7% of children scored between 13 indicating mild discomfort compared to 26.3% in group B. The difference in the scores between the two groups in each category (relaxed/comfortable, mild discomfort, moderate pain) was highly significant (P Conclusion
Reaction of children in Group A during needle insertion and local anesthetic solution deposition in the first stage of MTST was significantly lower than that of Group B during the first phase of the SOST.Keywords:
Language:
English
Published:
Dental Hypotheses, Volume:8 Issue: 2, Apr-Jun 2017
Page:
34
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