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IRCT20210515051306N3 IRCT 2023-07-16 Rafsanjan University of Medical Sciences The success rate of infiltrating anesthetic injection of 1.8 ml of Articaine, injection of 1.8 ml of Articaine as mental block and injection of 1.8 ml of Lidocaine as mental block in mandibular incisor teeth with irreversible pulpitis: A randomized clinical trial MINB,IP,PDL Investigating the success rate of infiltrating anesthetic injection of 1.8 ml of Articaine, injection of 1.8 ml of Articaine as mental block and injection of 1.8 ml of Lidocaine as mental block in mandibular incisor teeth with irreversible pulpitis: A randomized clinical trial 2023-08-06 anticipated 165 Complete https://irct.ir/trial/71303 interventional Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Simple randomization individually 3 categories (Infiltrating anesthetic injection of 1.8 ml of Articaine, injection of 1.8 ml of Articaine as mental block and injection of 1.8 ml of Lidocaine as mental block ) were written on 165 pieces of paper and kept in sealed envelopes, Blinding description: The papers are placed in the envelope and before each injection, another dentist colleague takes them out by chance, and written injection is done by him so that the operator and patient are not aware of the type of anesthesia technique. N/A Irreversible pulpitis of the mandibular incisor. Intervention 1: Intervention group: First intervention group: The first group of infiltrating anesthetic injection of 1.8 ml of 4% articaine solution with 1.100000 epinephrine, using the methods mentioned in Malamed. 10 minutes after the anesthetic injection, the patient is asked about the numbness of the lower lip, and if the answer is negative, he is excluded from the study, and if the answer is positive, the tooth is isolated by a rubber band, and the caries is removed. The access hole is prepared and root canal preparation is done. Patients are taught to report any pain during each stage of the preparation of the access hole and the entry of the instrument into the canal and cleaning to be recorded in the VAS form. Intervention 2: Intervention group: Second intervention group: The second group of mental nerve block is injected with 1.8 ml of 4% articaine solution with 1.100000 epinephrine, using the methods mentioned in Malamed. 10 minutes after the anesthetic injection, the patient is asked about the numbness of the lower lip, and if the answer is negative, he is excluded from the study, and if the answer is positive, the tooth is isolated by a rubber band, and the caries is removed. The access hole is prepared and root canal preparation is done. Patients are taught to report any pain during each stage of the preparation of the access hole and the entry of the instrument into the canal and cleaning to be recorded in the VAS form. Intervention 3: Intervention group: The third intervention group: The third group of mental nerve block is injected with 1.8 ml of 2% lidocaine solution with 1.100000 epinephrine, using the methods mentioned in Malamed. 10 minutes after the anesthetic injection, the patient is asked about the numbness of the lower lip, and if the answer is negative, he is excluded from the study, and if the answer is positive, the tooth is isolated by a rubber band, and the caries is removed. The access hole is prepared and root canal preparation is done. Patients are taught to report any pain during each stage of the preparation of the access hole and the entry of the instrument into the canal and cleaning to be recorded in the VAS form. No - There is not a plan to make this available Justification or reason for not sharing IPD is there is no more information
public Rafsanjan University of Medical Sciences
Dental school, Khalij-e fars Blvd.
Rafsanjan Iran (Islamic Republic of) 7717931136 +98 34 3428 0031 ram_aba@yahoo.com Ramin Abazarpoor scientific Ramin Abazarpoor
Khalij-e fars Blvd. Dentistry Faculty
Rafsanjan Iran (Islamic Republic of) 7717931136 +98 34 3424 2322 abazarpoor@rums.ac.ir Rafsanjan University of Medical Sciences Iran (Islamic Republic of) Healthy adult patients 18_60 years old Having a mandibular incisor tooth with symptomatic irreversible pulpitis Normal periapical radiographic appearance 18 years 60 years Both Patients under age of 18 and over the age of 60 years American Society of Anesthesiologists (ASA) III,IV patients Pregnancy or breasfeeding Any type of medication that could potentially interact with the anesthetic solution Spontaneous pain Periodontal disease or unable to get restoration Having pain killer late 12 hours History of sensititivity to 4% articaine, 2% lidocaine or epinephrine Widening PDL Radiolucency in radiography Incisor teeth sensitive to percussion Addicted K04.0 Pulpitis Treatment - Drugs Treatment - Drugs Treatment - Drugs Intervention group: First intervention group: The first group of infiltrating anesthetic injection of 1.8 ml of 4% articaine solution with 1.100000 epinephrine, using the methods mentioned in Malamed. 10 minutes after the anesthetic injection, the patient is asked about the numbness of the lower lip, and if the answer is negative, he is excluded from the study, and if the answer is positive, the tooth is isolated by a rubber band, and the caries is removed. The access hole is prepared and root canal preparation is done. Patients are taught to report any pain during each stage of the preparation of the access hole and the entry of the instrument into the canal and cleaning to be recorded in the VAS form. Intervention group: Second intervention group: The second group of mental nerve block is injected with 1.8 ml of 4% articaine solution with 1.100000 epinephrine, using the methods mentioned in Malamed. 10 minutes after the anesthetic injection, the patient is asked about the numbness of the lower lip, and if the answer is negative, he is excluded from the study, and if the answer is positive, the tooth is isolated by a rubber band, and the caries is removed. The access hole is prepared and root canal preparation is done. Patients are taught to report any pain during each stage of the preparation of the access hole and the entry of the instrument into the canal and cleaning to be recorded in the VAS form. Intervention group: The third intervention group: The third group of mental nerve block is injected with 1.8 ml of 2% lidocaine solution with 1.100000 epinephrine, using the methods mentioned in Malamed. 10 minutes after the anesthetic injection, the patient is asked about the numbness of the lower lip, and if the answer is negative, he is excluded from the study, and if the answer is positive, the tooth is isolated by a rubber band, and the caries is removed. The access hole is prepared and root canal preparation is done. Patients are taught to report any pain during each stage of the preparation of the access hole and the entry of the instrument into the canal and cleaning to be recorded in the VAS form. Pain score during treatment on Visual Analogue Scale (VAS). Timepoint: Before administration of the anesthetic solution and during root canal treatment. Method of measurement: Visual Analogue Scale (VAS). Rafsanjan University of Medical Sciences Approved 2023-06-24 Ethics committee of Rafsanjan University of Medical Sciences Imam Ali Blvd , Centeral Organization Rafsanjan Kerman Iran (Islamic Republic of)