Pain Perception between local infiltration and inferior alveolar nerve block (IANB) injection techniques in patients undergoing orthodontic lower premolar extractions

Authors

  • Aiman Shah Agha Khan University Hospital, Karachi, Pakistan
  • Maqsood Ahmed Siddiqui Ghulam Muhammad Mahar Medical College/Hospital, Sukkur, Pakistan
  • Muzaffar Shah Umair Dow University Hospital, Karachi Pakistan
  • Adnan Sukkarwalla Dow University of health Sciences, Karachi Pakistan
  • Tahir Shoaib Dow dental college (DUHS), Karachi, Pakistan
  • Muhammad Raza Qureshi Niazi Medical College, Sargodha, Pakistan

DOI:

https://doi.org/10.61581/MJSP.VOL05/01/07

Abstract

Objective: to compare the effectiveness of local anesthesia delivered via IANB and local infiltration techniques specifically for lower premolar teeth extraction in the context of orthodontic treatment.

Methodology: Randomized clinical trial was conducted at the Department of Oral and Maxillofacial Surgery, Niazi Medical College, Sargodha, Pakistan, spanning six months from January 2023 to June 2023. The study included patients aged 12 to 25, of any gender, referred for extraction of lower premolars due to any orthodontic issue and therapeutic reason.

Results: Mean pain score in the time of extracting the teeth by using Wong-Baker faces pain rating scale and mean pain score in the time of extracting the teeth using visual analogue scale (VAS) for Group A and Group B was 2.32±0.62 and 2.38±0.58 and 1.55±0.55 and 1.53±0.54, respectively.

Conclusion: Infiltration technique is simpler, offering shorter and sufficient anesthesia compared to IANB. It's easier and more comfortable for patients, avoiding collateral innervations and nerve harm. Injection of local infiltration is comparatively less painful and as effective as nerve block for lower premolar orthodontic extractions, making it a routine choice.

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Published

22-03-2024

Issue

Vol. 5 No. 01 (2024): Medical Journal of South Punjab

Section

Dental Section

License

Copyright (c) 2024 Aiman Shah, Maqsood Ahmed Siddiqui, Muzaffar Shah Umair, Adnan Sukkarwalla, Tahir Shoaib, Muhammad Raza Qureshi

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This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution (CC-BY) 4.0 License that allows others to share the work with an acknowledgment of the work’s authorship and initial publication in this journal.