Please use this identifier to cite or link to this item: http://hdl.handle.net/2445/67883
Title: Efficacy and complications associated with a modified inferior alveolar nerve block technique. A randomized, triple-blind clinical trial
Author: Montserrat Bosch, Marta
Barbosa de Figueiredo, Rui Pedro
Nogueira Magalhães, Pedro
Arnabat Domínguez, Josep
Valmaseda Castellón, Eduardo
Gay Escoda, Cosme
Keywords: Dent molar
Anestèsia en odontologia
Nervi facial
Injeccions
Extracció dental
Molar
Anesthesia in dentistry
Facial nerve
Injections
Teeth extraction
Issue Date: 1-Jul-2014
Publisher: Medicina Oral SL
Abstract: Objectives: To compare the efficacy and complication rates of two different techniques for inferior alveolar nerve blocks (IANB). Study Design: A randomized, triple-blind clinical trial comprising 109 patients who required lower third molar removal was performed. In the control group, all patients received an IANB using the conventional Halsted technique, whereas in the experimental group, a modified technique using a more inferior injection point was performed. Results: A total of 100 patients were randomized. The modified technique group showed a significantly higher onset time in the lower lip and chin area, and was frequently associated to a lingual electric discharge sensation. Three failures were recorded, 2 of them in the experimental group. No relevant local or systemic complications were registered. Conclusions: Both IANB techniques used in this trial are suitable for lower third molar removal. However, performing an inferior alveolar nerve block in a more inferior position (modified technique) extends the onset time, does not seem to reduce the risk of intravascular injections and might increase the risk of lingual nerve injuries.
Note: Reproducció del document publicat a: http://dx.doi.org/doi:10.4317/medoral.19554
It is part of: Medicina Oral, Patología Oral y Cirugia Bucal, 2014, vol. 19, num. 4, p. 391-397
Related resource: http://dx.doi.org/doi:10.4317/medoral.19554
URI: http://hdl.handle.net/2445/67883
ISSN: 1698-4447
Appears in Collections:Articles publicats en revistes (Odontostomatologia)
Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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