Comparison of Inferior Alveolar Nerve Block and Infiltration Anesthesia Techniques for Pain Control in Pediatric Primary Mandibular Molar Extractions

Authors : Ezgi Murat, Cansu Şahin, Ferit Bayram

Pages : 59-65

Doi:10.29228/erd.72

View : 66 | Download : 62

Publication Date : 2024-08-29

Article Type : Research Paper

Abstract :Objective: This study aimed to compare the effectiveness of inferior alveolar nerve block (IANB) and infiltration anesthesia in managing pain during primary mandibular molar extractions in pediatric patients. Methods: This prospective observational study at the Marmara University Faculty of Dentistry included children referred for routine primary molar tooth extraction. Participants were divided into two groups: the IANB group and the infiltration anesthesia group. The primary outcome measure was pain severity, which was measured using the visual analog scale (VAS). The covariates for this study were anesthesia group, remaining tooth root length, and the stage of resorption. Descriptive statistics summarized demographic and clinical characteristics. Mann‒Whitney and Kruskal‒Wallis tests compared VAS scores between groups and resorption stages, while Pearson correlation and multiple linear regression analyses evaluated relationships and predictors of pain severity. Results: The mean age of participants was 8.3 years (SD = 1.8). No significant differences in VAS scores were found between sexes, anesthesia groups, or resorption stages. Correlation analysis showed no significant relationship between pain severity and the percentage of remaining tooth roots. Multiple linear regression indicated that none of the predictors significantly affected pain severity. Conclusion: Infiltration anesthesia is at least as effective as IANB for managing pain during primary mandibular molar extraction in children. The findings support the potential use of infiltration anesthesia as a viable alternative to IANB, given its simpler application and fewer complications.
Keywords : İnfiltrasyon anestezisi, rejyonal anestezi, mandibular sinir, süt dişi