Efficacy and complications associated with a modified inferior alveolar nerve block technique. A randomized, triple-blind clinical trial

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 r...

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Autores: Montserrat Bosch, Marta, Barbosa de Figueiredo, Rui Pedro, Nogueira Magalhães, Pedro, Arnabat Domínguez, Josep, Valmaseda Castellón, Eduardo, Gay Escoda, Cosme
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2014
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/67883
Acceso en línea:https://hdl.handle.net/2445/67883
Access Level:acceso abierto
Palabra clave:Dent molar
Anestèsia en odontologia
Nervi facial
Injeccions
Extracció dental
Molar
Anesthesia in dentistry
Facial nerve
Injections
Teeth extraction
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spelling Efficacy and complications associated with a modified inferior alveolar nerve block technique. A randomized, triple-blind clinical trialMontserrat Bosch, MartaBarbosa de Figueiredo, Rui PedroNogueira Magalhães, PedroArnabat Domínguez, JosepValmaseda Castellón, EduardoGay Escoda, CosmeDent molarAnestèsia en odontologiaNervi facialInjeccionsExtracció dentalMolarAnesthesia in dentistryFacial nerveInjectionsTeeth extractionObjectives: 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.Medicina Oral SL2015201520142015info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion7 p.application/pdfhttps://hdl.handle.net/2445/67883Articles publicats en revistes (Odontoestomatologia)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: http://dx.doi.org/doi:10.4317/medoral.19554Medicina Oral, Patología Oral y Cirugia Bucal, 2014, vol. 19, num. 4, p. 391-397http://dx.doi.org/doi:10.4317/medoral.19554(c) Medicina Oral SL, 2014info:eu-repo/semantics/openAccessoai:recercat.cat:2445/678832026-05-29T05:05:01Z
dc.title.none.fl_str_mv Efficacy and complications associated with a modified inferior alveolar nerve block technique. A randomized, triple-blind clinical trial
title Efficacy and complications associated with a modified inferior alveolar nerve block technique. A randomized, triple-blind clinical trial
spellingShingle Efficacy and complications associated with a modified inferior alveolar nerve block technique. A randomized, triple-blind clinical trial
Montserrat Bosch, Marta
Dent molar
Anestèsia en odontologia
Nervi facial
Injeccions
Extracció dental
Molar
Anesthesia in dentistry
Facial nerve
Injections
Teeth extraction
title_short Efficacy and complications associated with a modified inferior alveolar nerve block technique. A randomized, triple-blind clinical trial
title_full Efficacy and complications associated with a modified inferior alveolar nerve block technique. A randomized, triple-blind clinical trial
title_fullStr Efficacy and complications associated with a modified inferior alveolar nerve block technique. A randomized, triple-blind clinical trial
title_full_unstemmed Efficacy and complications associated with a modified inferior alveolar nerve block technique. A randomized, triple-blind clinical trial
title_sort Efficacy and complications associated with a modified inferior alveolar nerve block technique. A randomized, triple-blind clinical trial
dc.creator.none.fl_str_mv Montserrat Bosch, Marta
Barbosa de Figueiredo, Rui Pedro
Nogueira Magalhães, Pedro
Arnabat Domínguez, Josep
Valmaseda Castellón, Eduardo
Gay Escoda, Cosme
author Montserrat Bosch, Marta
author_facet Montserrat Bosch, Marta
Barbosa de Figueiredo, Rui Pedro
Nogueira Magalhães, Pedro
Arnabat Domínguez, Josep
Valmaseda Castellón, Eduardo
Gay Escoda, Cosme
author_role author
author2 Barbosa de Figueiredo, Rui Pedro
Nogueira Magalhães, Pedro
Arnabat Domínguez, Josep
Valmaseda Castellón, Eduardo
Gay Escoda, Cosme
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv Dent molar
Anestèsia en odontologia
Nervi facial
Injeccions
Extracció dental
Molar
Anesthesia in dentistry
Facial nerve
Injections
Teeth extraction
topic Dent molar
Anestèsia en odontologia
Nervi facial
Injeccions
Extracció dental
Molar
Anesthesia in dentistry
Facial nerve
Injections
Teeth extraction
description 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.
publishDate 2014
dc.date.none.fl_str_mv 2014
2015
2015
2015
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/67883
url https://hdl.handle.net/2445/67883
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: http://dx.doi.org/doi:10.4317/medoral.19554
Medicina Oral, Patología Oral y Cirugia Bucal, 2014, vol. 19, num. 4, p. 391-397
http://dx.doi.org/doi:10.4317/medoral.19554
dc.rights.none.fl_str_mv (c) Medicina Oral SL, 2014
info:eu-repo/semantics/openAccess
rights_invalid_str_mv (c) Medicina Oral SL, 2014
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 7 p.
application/pdf
dc.publisher.none.fl_str_mv Medicina Oral SL
publisher.none.fl_str_mv Medicina Oral SL
dc.source.none.fl_str_mv Articles publicats en revistes (Odontoestomatologia)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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