Inferior alveolar nerve block 2% mepivacaine versus 4% articaine – trial

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This well conducted randomised controlled trial assessed inferior alveolar nerve block (IANB) success of 2% mepivacaine and 4% articaine in patients with symptomatic irreversible pulpitis (SIP) in mandibular molars during access cavity preparation and instrumentation.

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Additives to lidocaine and the success of the inferior alveolar nerve block

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This review of the effect of additives incorporated into lidocaine solution on the success of inferior alveolar nerve block (IANB) included 12 RCTs. The findings suggest that additives did not improve the success rate of IANB but the evidence is of low to very low certainty.

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Intraosseous injection or inferior alveolar nerve block for third molar surgery?

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This review comparing the anaesthetic efficacy of intraosseous injection(IO) and conventional inferior alveolar nerve block (INAB) in mandibular third molar surgery included 4 small RCTs. The findings suggest no significant difference between IO and INAB techniques.

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Anaesthetic techniques for mandibular posterior teeth with symptomatic irreversible pulpitis

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This review of the most effective method of anaesthesia for mandibular posterior teeth with symptomatic irreversible pulpitis included 22 RCTs. The findings suggest that buccal infiltraion and inferior alveolar nerve block ,Vazirani-Akinosi nerve block and introsseus injections performed better but the evidence was only of low to very low certainty.

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Articaine: Safety and efficacy compared to lidocaine

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This review assessing the safety and efficacy of articaine for routine dental treatment compared to lidocaine included 12 RCTs involving a total of 919 patients. The findings indicate that articaine is is a safe and efficacious local anaesthetic for all routine dental procedures.

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Irreversible pulpitis: Do larger volumes of local anaesthetic improve success of inferior alveolar nerve blocks?

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This review of the efficacy of 1.8 and 3.6 mL of the same anaesthetic solution for inferior alveolar nerve blocks (IANBs) for treating mandibular teeth with irreversible pulpitis included 4 RCTs (280 teeth). The findings show arger volumes of local anaesthetic solutions significantly increase the success rate of IANBs.

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Vibration devices: Do they reduce pain linked to dental injections in children?

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This review evaluating the effect of vibration devices on paediatric dental injection pain reduction identified 6 RCTs. The findings suggest that the use of the DentalVibe was not effective but the evidence ws of low quality.

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Third molar extractions: Which anaesthetic solution for the best pain control?

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This review of the effectiveness of different anaesthetic solutions for pain control immediately after the extraction of lower third molars included 45 studies.13 studies were included in a network meta-analys whch suggested 5% bupivacaine reduces pain in patients during and immediately after the removal of lower third molars.

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Top Dental Elf Blogs: Jul – Sep 2020

The Dental Elf

Our most popular blogs in July August and September covered periodontal surgery, Interproximal caries detection and local anaesthesia for inferior alveolar nerve blocks.

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Top Dental Elf Blogs: Jan – Mar 2020

The Dental Elf

Our most popular blogs from January, February and March 2020 were about the FiCTION trial, local anaesthesia and factors associated with third molar surgical difficulty.

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