Study Comparing Distolingual Infiltration Plus Conventional Nerve Blocks Versus Conventional Nerve Blocks Alone for Lower Wisdom Tooth Removal

What this Trial Is About

Researchers are evaluating the effectiveness of adding a distolingual infiltration technique to the conventional inferior alveolar and buccal nerve blocks during mandibular third molar wisdom tooth extraction. This randomized controlled trial aims to determine if this additional infiltration can better control pain during the surgery, particularly in the distolingual gingiva, which may not be fully anesthetized with traditional nerve blocks. The study will enroll 120 healthy adult patients aged 18 to 45 years. Participants will be randomly assigned to one of two groups. One group will receive the standard inferior alveolar and buccal nerve block with 2% lignocaine and adrenaline, while the other group will receive the same conventional nerve block plus an additional small dose 0.2 ml of distolingual infiltration. The study focuses on comparing pain levels during two specific surgical steps mucoperiosteal flap elevation and bone guttering. During the surgery, pain will be measured using a Visual Analogue Scale from 0 to 10. Patients will be closely monitored on the day of surgery to assess their pain experience. The research team will collect data specifically on pain during flap elevation and bone guttering. This trial is sponsored by Watim Medical & Dental College and is expected to be completed by April 2026.

Distolingual Infiltration Verses Conventional Nerve Block in Mandibular Third Molar Extraction