The Anesthetic Effect of Anterior Middle Superior Alveolar Technique

NCT01742559 | Completed DMC

• 1 other identifier: AMSA-0101
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Anesthesia of the soft and hard tissues in the maxilla may require up to five injections. Thus, the aim of the present study was to evaluate the anesthetic efficacy in buccal tissues after the use of the anterior middle superior alveolar (AMSA) and supraperiosteal techniques during subgingival scaling and root planning (SRP).

Conditions

Periodontal Diseases; Local Anesthesia; Pain

Keywords

Treatment

Outcome Measures

Primary Outcomes (1)

• Assessment of Severity of Pain

  Just after the anesthetic injection the scaling and root planing procedure was performed. The patients were followed by thirty minutes after the beginning of the procedure and the patients expressed pain by placing a vertical line on a visual analogue metric scale (VAS: Visual Analog Scale).

  30 minutes after the antesthetic injection

Secondary Outcomes (1)

• Assessment of the discomfort according to gender

  30 minutes after the antesthetic injection

Study Arms (2)

Anterior middle superior alveolar

EXPERIMENTAL

The AMSA technique was performed in the test group according to Friedman \& Hochman (1997). The needle was introduced with the bevel towards the palate tissue with a 45 ° angle and axially rotated (45° clockwise/45° counterclockwise) and 0.6 ml of the anesthetic was slowly infiltrated for 1 minute. In the control group a supraperiosteal infiltration (infiltrative) at the bottom of the vestibule was performed for one minute and 1.8 ml of anesthetic solution was administrated. This amount of anesthetic was divided into doses of 0.6 ml infiltrated, respectively, in the region of the incisors, canines and premolars. After the anesthetic technique, two minutes were expected for the beginning of the periodontal procedure.

Procedure: Anterior middle superior alveolar

Supraperiosteal technique

ACTIVE COMPARATOR

The supraperiosteal technique at the bottom of the vestibule was performed for one minute and 1.8 ml of anesthetic solution was administrated. This amount of anesthetic was divided into doses of 0.6 ml infiltrated, respectively, in the region of the incisors, canines and premolars. After the anesthetic technique, two minutes were expected for the beginning of the SRP procedure.

Procedure: Supraperiosteal technique

Interventions

Anterior middle superior alveolar PROCEDURE

The AMSA technique is performed according to Friedman \& Hochman (1997). The needle is introduced with the bevel towards the palate tissue with a 45 ° angle and axially rotated (45° clockwise/45° counterclockwise) and 0.6 ml of the anesthetic was slowly infiltrated for 1 minute. In the control group a supraperiosteal infiltration (infiltrative) at the bottom of the vestibule is performed for one minute and 1.8 ml of anesthetic solution is administrated. This amount of anesthetic is divided into doses of 0.6 ml infiltrated, respectively, in the region of the incisors, canines and premolars. After the anesthetic technique, two minutes would be expected for the beginning of the periodontal procedure.

Anterior middle superior alveolar

Supraperiosteal technique PROCEDURE

The supraperiosteal technique is performed at the bottom of the vestibule for one minute and 1.8 ml of anesthetic solution is administrated. This amount of anesthetic is divided into doses of 0.6 ml infiltrated, respectively, in the region of the incisors, canines and premolars. After the anesthetic technique, two minutes would be expected for the beginning of the scaling and root planning procedure.

Also known as: Infiltrative technique

Supraperiosteal technique

Eligibility Criteria

• Age: 27 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• localized or generalized periodontal disease;
• ≥ 3 teeth with probing depth ≥ 5 mm in anteroposterior teeth in each maxillary dental arch of the maxilla; a minimum of 6 natural teeth in the maxilla (incisors, canines and premolars);
• good overall systemic health and absence of allergy to any component of the anesthetic used.

You may not qualify if:

• Patients who had any type of systemic condition that counter indicated periodontal treatment;
• Patients who had taken, within the last 72 hours prior to procedure, any central nervous system depressant, such as alcohol, non-opioid and opioid.

Sponsors & Collaborators

• State University of Maringá: lead

Study Sites (1)

State University of Maringá

Maringá, Paraná, 87020-000, Brazil

Location

MeSH Terms

Conditions

Periodontal Diseases; Pain

Condition Hierarchy (Ancestors)

Mouth Diseases; Stomatognathic Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Maurício Araújo, PhD

  State University of Maringá

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: The anesthetic effect of anterior middle superior alveolar technique (AMSA) for non-surgical periodontal procedures: a randomized controlled clinical study

Study Record Dates

• First Submitted: October 30, 2012
• First Posted: December 5, 2012
• Study Start: January 1, 2009
• Primary Completion: August 1, 2010
• Study Completion: July 1, 2011
• Last Updated: December 5, 2012

Record last verified: 2012-12

Locations

BR (1)