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IRCT20230714058773N3 IRCT 2023-09-11 Armed forces institute of dentistry CMH Rawalpindi Comparison between the Use of Only Buccal Infiltration and with palatal infiltration Of 2% Lidocaine with Epinephrine for The Removal of Maxillary Teeth Comparison between the Use of Only Buccal Infiltration and with palatal infiltration Of 2% Lidocaine with Epinephrine for The Removal of Maxillary Teeth 2020-02-20 anticipated 260 Complete https://irct.ir/trial/72370 interventional Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Buccal Infiltration, Palatal infiltration, Maxillary Teeth. Intervention 1: Intervention group: 130 patients were selected according to inclusion criteria. Before administration of the local anaesthetic agent, each patient was instructed on the Visual Analog Scale (VAS) by a dental assistant. Patients were receive infiltration of 2 mL (2% lidocaine HCl with 1:100,000 epinephrine) in the mucobuccal fold adjacent to tooth, at a slow rate of administration, over approximately 1 minute under aseptic technique. Then, extraction was performed after the wait of 10 minutes in all the patients . During the latency period, patients were complete the VAS as their own control, to score on the 10 points Visual analog scale, to record the amount of pain they get experience on injection. Immediately after extraction, patients later on was asked again to record the experienced pain intensity during the extraction on data collection form on 10 points Visual Analog Scale (VAS). Intervention 2: Control group: 130 patients were selected according to inclusion criteria Before administration of the local anaesthetic agent, each patient was instructed on the Visual Analog Scale (VAS) by a dental assistant. Patients were receive infiltration of 2 mL (2% lidocaine HCl with 1:100,000 epinephrine in the mucobuccal fold adjacent to tooth and 0.25 mL infiltration palatally at a slow rate of administration, over approximately 1 minute under aseptic technique. Then, extraction was performed after the wait of 10 minutes in all the patients . During the latency period, patients were complete the VAS as their own control, to score on the 10 points Visual analog scale, to record the amount of pain they get experience on injection. For extraction, elevation and forced techniques were used but with minimal reflection of palatal gingiva. Immediately after extraction, patients later on was asked again to record the experienced pain intensity during the extraction on data collection form on 10 points Visual Analog Scale (VAS). No - There is not a plan to make this available Justification or reason for not sharing IPD is There is no further information
public Tehmina Maryam
AMC officers mess opposite to AFIMH gate no 5 abid majeed road Rawalpindi
Rawalpindi Pakistan 46000 +92 333 9576737 tehminamaryam@hotmail.com Armed forces institute of dentistry, combined military hospital, Rawalpindi, Pakistan scientific Tehmina Maryam
AMC officers mess opposite to AFIMH gate no 5 abid majeed road Rawalpindi
Rawalpindi Pakistan 46000 +92 333 9576737 tehminamaryam@hotmail.com Armed forces institute of dentistry, combined military hospital, Rawalpindi, Pakistan Pakistan non-restorable tooth due to extensive caries or periodontal disease or for orthodontic extractions Patients between the age of 18 and 45 years Patients having physical status 1 according to American Society of Anesthesiologists (ASA) classification. 18 years 45 years Both Pregnant women, nursing mothers Patient with non-localized odontogenic infection Tooth associated with pathologies i.e. cysts, fractures, tumors Patients on radiotherapy, chemotherapy, bisphosphonates, bone diseases e.g. Paget’s disease. Y48.3 Local anaesthetics Treatment - Surgery Treatment - Surgery Intervention group: 130 patients were selected according to inclusion criteria. Before administration of the local anaesthetic agent, each patient was instructed on the Visual Analog Scale (VAS) by a dental assistant. Patients were receive infiltration of 2 mL (2% lidocaine HCl with 1:100,000 epinephrine) in the mucobuccal fold adjacent to tooth, at a slow rate of administration, over approximately 1 minute under aseptic technique. Then, extraction was performed after the wait of 10 minutes in all the patients . During the latency period, patients were complete the VAS as their own control, to score on the 10 points Visual analog scale, to record the amount of pain they get experience on injection. Immediately after extraction, patients later on was asked again to record the experienced pain intensity during the extraction on data collection form on 10 points Visual Analog Scale (VAS). Control group: 130 patients were selected according to inclusion criteria Before administration of the local anaesthetic agent, each patient was instructed on the Visual Analog Scale (VAS) by a dental assistant. Patients were receive infiltration of 2 mL (2% lidocaine HCl with 1:100,000 epinephrine in the mucobuccal fold adjacent to tooth and 0.25 mL infiltration palatally at a slow rate of administration, over approximately 1 minute under aseptic technique. Then, extraction was performed after the wait of 10 minutes in all the patients . During the latency period, patients were complete the VAS as their own control, to score on the 10 points Visual analog scale, to record the amount of pain they get experience on injection. For extraction, elevation and forced techniques were used but with minimal reflection of palatal gingiva. Immediately after extraction, patients later on was asked again to record the experienced pain intensity during the extraction on data collection form on 10 points Visual Analog Scale (VAS). Pain. Timepoint: 10 minutes After infiltration of local anesthesia and immediately after extraction. Method of measurement: 10 point Visual Analog Scale as None, Weak, Moderate and Severe pain . If VAS ≥ 7 then it was considered pain. Armed forces institute of dentistry CMH Rawalpindi Approved 2021-01-30 Ethics committee of armed forces institute of dentistry CMH Rawalpindi Range road Rawalpindi Rawalpindi Punjab Pakistan