The purpose of this study was to evaluate the effect of submucous tramadol as adjuvant of mepivacaine with epinephrine in inferior alveolar nerve block. A double-blind, randomized, placebo-controlled, crossover clinical trial was conducted. Twenty healthy young volunteers were randomized into two treatment sequences using a series of random numbers. Sequence 1: Group A, 2% mepivacaine with 1:10...

AIM The purpose of this study was to determine the anesthetic efficacy of inferior alveolar nerve block (IANB) using 4% articaine and 2% lidocaine supplemented with buccal infiltration. MATERIALS AND METHODS Forty five patients, diagnosed with irreversible pulpitis of a mandibular posterior tooth were included in the study. The first group of 15 patients received 2% lidocaine with 1:200000 ep...

BACKGROUND There have been few studies on the effect of an elevated concentration of lidocaine hydrochloride in the surgical removal of an impacted lower third molar. This study aimed to examine the efficacy of 4% lidocaine along with 1:100,000 epinephrine compared to 2% lidocaine along with 1:100,000 epinephrine as inferior alveolar nerve block for the removal of an impacted lower third molar....

Introduction: The mandibular foramen is located on the medial surface of ramus mandible through which inferior alveolar nerve and vessels pass supply lower jaw. For dentists block important to anesthetize jaw for conducting various surgical procedures.
 Aims: To determine accurate position were passing its clinical importance.
 Methods: This study was conducted 35 dry bones consisting...

OBJECTIVES To investigate the effectiveness of topical anesthetic, 20% benzocaine in relieving pain and stress in patients following deep cavity restoration and extraction of teeth under local anesthesia (LA). METHODS A prospective clinical trial was conducted from October 2014 until April 2015 at Taibah University, Al Madinah Al Munawarah, Kingdom of Saudi Arabia. Forty-five patients were in...

background: dental procedures in the maxilla typically require multiple injections and may inadvertently anesthetize facial structures and affect the smile line. to minimize these inconveniences and reduce the number of total injections, a relatively new injection technique has been proposed for maxillary procedures, the anterior and middle superior alveolar (amsa) nerve block, which achieves p...

Background: The surgical extractions of impacted mandibular third molars are sometimes associated with nerve morbidity. Objective: To determine the incidence of nerve morbidity after mandibular third molar surgery and compare the complications from the inferior alveolar and lingual nerves in two cohorts of patients. Patients and methods: This prospective study was an investigation of two cohort...

OBJECTIVES The purpose of present study was to assess the surgical management of impacted third molar with proximity to the inferior alveolar nerve and complications associated with coronectomy in a series of patients undergoing third molar surgery. MATERIAL AND METHODS The position of the mandibular canal in relation to the mandibular third molar region and mandibular foramen in the front pa...

There is a debate in the literature about the need for Computed Tomagraphy (CT) before removing third molars, even if positive radiographic signs are present. In few cases, the third molar is so close to the inferior alveolar nerve that its extraction might expose patients to the risk of post-operative neuro-sensitive alterations of the skin and the mucosa of the homolateral lower lip and chin....