Year : 2016

Volume : Volume 6

Issue : Issue 2s

Address for correspondence :
Dr Manish Kumar
mr078242@gmail.com

Abstract

Background:  The mandibular block is the local anesthesia technique of choice when treating mandibular primary or permanent molars. One of the most common complaints following I.A nerve block is soft-tissue injury due to biting lips, tongue, and buccal mucosa. Therefore, the necessity of an alternative method is felt. The aim of present study was to comparatively analyze the efficacy of Inferior alveolar nerve block and infiltration techniques for anesthetizing mandibular primary molar.  Material and Methods: For the sample of study group, we selected 35 children, belonging to age group 3 to 9 years. The subjects were administered intraosseous infiltration on one side of the mandible and inferior alveolar nerve block on the other. The treatment was completed in two appointments, one appointment for each side. The subjects were randomly placed into the group 1 and group 2. On the first appointment, subjects in the group 1 received infiltration for mandibular right first molar and in group 2 received I.A. nerve block for the left side.  Results: While comparing SEM scores of injections and extractions of two groups with infiltration technique, no significant difference was observed. The efficacy of block induced anesthesia between two groups did not show significant differences. The SEM score of infiltration injection was significantly lower than a block in both groups regardless the order of injections but was not significant on extraction. The scores of SEM in infiltration technique were significantly lower than block. Therefore, infiltration technique is more acceptable for children. No significant difference was seen between block and infiltration induced anesthesia on extraction.  Conclusion: It was concluded by the authors that infiltration anesthesia can be effectively used as an alternative to block anesthesia as this technique is easier and soft tissue trauma is also comparatively less.

Keywords: Inferior alveolar nerve block, infiltration, primary molars, anesthesia.