Comparison of Conventional Buccal Nerve Block Versus Buccal Nerve Trunk Block for Anaesthesia of Buccal Mucosa During Extraction of Mandibular Posterior Teeth

What this Trial Is About

Researchers are evaluating the effectiveness of two anesthesia techniques, conventional buccal nerve block and buccal nerve trunk block, for numbing the buccal mucosa during extraction of lower back teeth (mandibular molars). The study aims to compare these methods by measuring pain levels using a visual analogue scale and the need for additional anesthesia during the procedure. This randomized control trial is sponsored by Watim Medical & Dental College and focuses on adults aged 20 to 60 years undergoing dental extractions. Participants will receive anesthesia through one of two methods: the conventional buccal nerve block involves injecting 1 ml of lidocaine with epinephrine at the level of occlusion lateral to the last mandibular molar until bone contact is reached. The buccal nerve trunk block involves administering the same dose 10 mm above the occlusal plane lateral to the last mandibular molar. Both methods are procedures to numb the buccal mucosa to allow for pain-free tooth extraction. During the study, pain will be assessed both while giving the injection and during the tooth extraction using a visual analogue scale, where scores above 4 indicate significant pain. Researchers will also note if supplemental anesthesia injections are needed, defined as using more than one cartridge during the procedure. All evaluations will occur within two hours of anesthesia administration. Participants are monitored closely throughout the process to compare the pain perception and effectiveness of the two nerve block techniques.

Comparison of Conventional Buccal Nerve Block Versus Buccal Nerve Trunk Block During Extraction of Posterior Mandibular Teeth