Logo-joddd
J Dent Res Dent Clin Dent Prospects. 2019;13(4): 321-326.
doi: 10.15171/joddd.2019.048
  Abstract View: 31
  PDF Download: 40

Original Article

Anesthetic efficacy of articaine/epinephrine plus mannitol in comparison with articaine/epinephrine anesthesia for inferior alveolar nerve block in patients with symptomatic irreversible pulpitis: A randomized controlled clinical trial

Sahar Shakoui 1,2, mostafa ghodrati 1,2 * , Negin Ghasemi 1,2, Tannaz Pourlak 3, Amir Ardalan Abdollahi 4

1 Oral and Periodontal Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Department of Periodontics, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran
3 Department of Oral and Maxillofacial Surgery, Dental School, Tabriz University of Medical Sciences, Tabriz, Iran
4 Assistant Professor, Department of Endodontics, Dental School, Urmia University of Medical Sciences, Urmia, Iran.
*Corresponding Author; E-mail: mostafa.ghodrati@yahoo.com

Abstract

Background. It is difficult to achieve successful pulpal anesthesia in mandibular posterior teeth with symptomatic irreversible pulpitis. The present study aimed to compare the effect of articaine/epinephrine anesthesia with articaine/epinephrine at a combination of 0.5 mol/mL of mannitol for the inferior alveolar nerve block (IANB) in patients presenting with symptomatic irreversible pulpitis in the mandibular first molar tooth.

Methods. One hundred patients with symptomatic irreversible pulpitis in the mandibular first molar tooth were selected and randomly divided into two groups based on the injection method. The first group underwent an IANB technique with 1.8 mL of articaine, whereas the second group received 2.9 mL of a formulation, consisting of 1.8 mL of articaine plus 1.1 mL of 0.5 mol/L of mannitol. Fifteen minutes after injections and anesthesia of the lip, the access cavity was prepared. According to the visual analog scale (VAS) criteria, no pain or mild pain for caries removal, pulp exposure and canal instrumentation were regarded as success. Chi-squared test was used for the analysis of data. The level of significance was set at 0.05.

Results. The success rate in the group with articaine/epinephrine anesthesia plus mannitol was higher than that in the group with articaine/epinephrine anesthesia, with no significant difference between the two groups (P>0.05).

Conclusion. It was concluded, under the limitations of this study, that adding mannitol to articaine/epinephrine anesthesia did not increase the success of IANB in mandibular posterior teeth with symptomatic irreversible pulpitis.

Keywords: Articaine, irreversible pulpitis, mannitol
First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 31

Your browser does not support the canvas element.


PDF Download: 40

Your browser does not support the canvas element.

Submitted: 31 Jul 2019
Accepted: 22 Dec 2019
ePublished: 23 Dec 2019
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)