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Although IANB technique is most widely used for mandibular molars before endodontic treatment, it has higher failure rate and success rate are even lower when treating the mandibular posterior teeth with irreversible pulpitis.
After 15 min three steps would be performed to check the IANB success in both groups (1) lip numbness (2) cold test (3)none or mild pain during endodontic access and initial instrumentation.
A posttest survey was conducted; the test and control groups were asked if they now felt more confident in delivering a successful IANB and if their opinion had changed on student-to-student administration or their preferred method for a first injection.
A successful IANB allows for comfort during the endodontic treatment.
Mandibular teeth are commonly anaesthetized by IANB. Other techniques such as intra-osseous, periodontal ligament anaesthesia and buccal infiltration anaesthesia may be used to supplement or replace IANB2.
The reluctance to use articaine for IANB in dentistry arose following initial reports of prolonged sensory disturbances with articaine use [Hass and Lennon, 1995].
This study was designed to compare the effect of ibuprofen and acetaminophen on success rate of IANB (local anesthesia 2% Lignocaine with epinephrine) in patients having irreversible pulpitis of mandibular posterior teeth.
With surveys undertaken to calculate the success/ failure rate of IANB and the understanding of reasons of failure to achieve adequate anesthesia at different levels of dental career, literature on regional anesthesia in faciomaxillary and oral surgery has emphasized on the importance of knowledge and clinical expertise under guidance to reduce discomfort and pain.7,8
The inferior alveolar, lingual, mylohyoid, mental, incisive, auriculotemporal, and buccal nerves are all blocked.1,11 Significant advantages of the Gow-Gates technique over IANB include its higher success rate, its lower incidence of positive aspiration (approximately 2% vs.
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- Iancu, Avram
- Iandiev, Dzhemaldin
- Iandiev, Dzhemaldin Khamurzaevich
- Ianenko, Nikolai
- Ianenko, Nikolai Nikolaevich
- Iangel, Mikhail Kuzmich