Evaluation of Efficacy of Intraligamentary Injection Technique for Extraction of Mandibular Teeth-A Prospective Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 1
Abstract
Introduction: Fear of dental pain is one of the most common reasons for delaying dental treatment. Local Anaesthesia (LA) is the most commonly employed technique of achieving pain control in dentistry. Pterygomandibular Nerve Block (PNB), for achieving mandibular anaesthesia has been the traditional technique used and is associated with a few set of complications which include pain, nerve injury, trismus, and rarely facial nerve palsy, and sustained soft tissue anaesthesia. These complications have resulted in a rapid need for research on alternative local anaesthetic techniques. Aim: This study was undertaken with the objective to determine pain, duration, profoundness and complications associated with administration of Intraligamentary Injection Technique (ILT). Materials and Methods: This study was conducted on 194 patients (male=122, female=72) who reported for dental extractions in mandibular posteriors. The ILT was administered with ligajet intraligamentary jet injector using cartridge containing lignocaine hydrochloride 2% with adrenaline 1:80000 and a 30 gauge needle at buccal (mesiobuccal), lingual, mesial and distal aspect of the mandibular molars. The data was analyzed by using statistical computer software SPSS 11.0 (Statistical package for social sciences 11.O version of SPSS Inc.). Median was derived for Pain on Injection (PI) and Pain during Procedure (PP). Mean and standard deviation was derived for Duration of Anaesthesia (DA). Results: Various advantages were seen such as, localized soft tissue anaesthesia, decreased PI (SD=0.83), and minimal PP (SD=0.94). The DA (SD=4.62) and mean value of 24.06 minutes. Conclusion: This study is one of its kinds where intraligamentary injection has been used for extraction of mandibular molars. It was also successfully used in patients with exaggerated gag reflex and patients suffering from trismus due to oral submucous fibrosis. The intraligamentary injection technique can thus be used effectively to anaesthetize mandibular molars, as a primary technique for extraction of mandibular posterior teeth.
Authors and Affiliations
Raunak Pradhan, Deepak Kulkarni, Lakshmi Shetty
Keywords
Related Articles
- EP ID EP329096
- DOI 10.7860/JCDR/2017/22204.9302
- Views 137
- Downloads 0
B12 Deficiency in a Breastfed Infant Due to Maternal B12 Deficiency: A Case Report
ABSTRACT We report a case of eight-month-old breastfed male infant presented with developmental delay and knuckle pigmentation. Peripheral smear examination showed microcytic hypochromic anaemia. Knuckle pigmentation has...
Comparison of Paediatric Patient Flow Following Presentations of Fever in the Community Versus Hospital Setting
ABSTRACT Introduction: Fever is a common paediatric presentation in both the hospital and community setting. However, there is a widespread perception that febrile children who present to community or hospital settings r...
Implant Abutment Screw Loosening: A Review of Effective Factors
ABSTRACT One of the prevalent complications of dental implants is screw loosening. It has been revealed that screw loosening is a matter of concern for both manufacturers and dental professionals, and this complication i...
Primary Squamous Cell Carcinoma of the Renal Pelvis: Unexpected Diagnosis of an Uncommon Malignancy- A Case Report
ABSTRACT Squamous Cell Carcinoma (SCC) of the renal pelvis represents a rare malignancy associated with nephrolithiasis. The aim of this report is to describe an unexpected diagnosis of renal pelvis SCC. We report a case...
Menstrual Disorders from Puberty to Early Adult Age: A Cross-Sectional Survey
Introduction: A female encounters various menstrual disorders from puberty to menopause. We evaluated menstrual disturbances in post-menarche age and young adult age. Aim: To know the prevalence and impact of menstrual a...