Risk Factors of Inferior Alveolar Nerve Block Failure: a Dental Student-centered Study

NCT05681546 | Completed

• 1 other identifier: Selcuk03
• Study Type: observational
• Target: 340
• Locations: 1 country
• Sites: 1

Brief Summary

Inferior alveolar nerve block anesthesia is one of the most commonly used regional block anesthesia in dentistry. The factors that determine the success of this type of anesthesia which is applied so frequently, are not reported in the literature. It is to reveal and evaluate patient and dentist-based factors, especially in anesthesia applied by trainee dentists who have just learned this anesthesia block.

Conditions

Anesthesia, Local

Keywords

anesteshia failure; mandibular nerve; dental student

Outcome Measures

Primary Outcomes (8)

• Patrient-BMI index

  Ask the patrients their weight and height then note that as their bmi index.This note guides us amount of bichat and how it affects the failure of block anesthasia.

  after 5 minutes, patrients come to our clinic and sit on the dental unit.

• Patrient-Height of mandibular ramus

  measuring of mandibular ramus on panoromic radyography from mandibular angulus to condylar head.

  after 5 minutes, patrients come to our clinic and sit on the dental unit.

• Patrient-Gender

  attending patrients sex

  after 5 minutes, patrients come to our clinic and sit on the dental unit.

• Patrient-Maximum mouth opening

  before the anesthasia, make the patrients open their mouth maximum then measure it from lower incisors incisal edge to upper incisors incisal edge.

  after 5 minutes, patrients come to our clinic and sit on the dental unit.

• Gender

  attending dental studens sex

  after 5 minutes, patrients come to our clinic and sit on the dental unit.

• Student-Class

  attending dental students in which period for the explanation of their experiment level

  after 5 minutes, patrients come to our clinic and sit on the dental unit.

• Dental student-Mandibular nerve block experience

  attending dental students in which period for the explanation of their experiment level

  after 5 minutes, patrients come to our clinic and sit on the dental unit.

• which side for the mandibular block anesthasia

  Does the side of anesthesia according to the hand used affect its success?

  after 5 minutes, patrients come to our clinic and sit on the dental unit.

Study Arms (1)

Observational Group

The investigators are going to observe the risk factors about inferior alveolar nerve block anesthesia.

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)
• Sampling Method: Probability Sample

Study Population

In this study, the investigators are going to observe 320 IANB anesthesia in our clinic, which is the Oral and Maxillofacial Surgery Department of Selçuk University.

You may qualify if:

• having an indication of mandibular first or second molar extraction,
• being between 18 and 50 years old,
• not having any nerve or nerve-related disease,
• having a mouth opening 35 millimeters and above,
• not having an infected or inflamed tooth for extraction,
• being cooperative,
• non-allergic to articaine
• being right-handed (for dental-students)
• being intern (for dental-students)

You may not qualify if:

• anesthesia-related complications,
• more than twice the needed needle insertion
• wishing to quit the study

Sponsors & Collaborators

• Selcuk University: lead

Study Sites (1)

Selcuk University, Dentistry Faculty

Selçuklu, Konya, 42250, Turkey (Türkiye)

Location

Related Publications (2)

• Thangavelu K, Kannan R, Kumar NS. Inferior alveolar nerve block: Alternative technique. Anesth Essays Res. 2012 Jan-Jun;6(1):53-7. doi: 10.4103/0259-1162.103375.

  PMID: 25885503 BACKGROUND

• Kohler BR, Castellon L, Laissle G. Gow-Gates technique: a pilot study for extraction procedures with clinical evaluation and review. Anesth Prog. 2008 Spring;55(1):2-8. doi: 10.2344/0003-3006(2008)55[2:GTAPSF]2.0.CO;2.

  PMID: 18327969 BACKGROUND

Study Officials

• Gökhan Gürses

  Selcuk University, Faculty of Dentistry

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: December 26, 2022
• First Posted: January 12, 2023
• Study Start: February 27, 2023
• Primary Completion: July 18, 2024
• Study Completion: September 17, 2024
• Last Updated: September 19, 2024

Record last verified: 2024-09

Locations

TU (1)