Efficacy of IANB and Gow-Gates Techniques in Mandibular Molars with Symptomatic Irreversible Pulpitis: A Prospective Randomized Double Blind Clinical Study

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GHODDUSI JAMILEH; ZARRABI MOHAMMAD HASAN; DANESHVAR FARZANEH; NAGHAVI NEDA

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Journal: Iranian Endodontic Journal Year:2018 | Volume:13 | Issue:2 Page(s): 143-148

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Information Journal Paper

Title

Efficacy of IANB and Gow-Gates Techniques in Mandibular Molars with Symptomatic Irreversible Pulpitis: A Prospective Randomized Double Blind Clinical Study

Author(s)

GHODDUSI JAMILEH | ZARRABI MOHAMMAD HASAN | DANESHVAR FARZANEH | NAGHAVI NEDA | Issue Writer Certificate

Keywords

Buccal Infiltration

Gow-Gates Technique

Inferior Alveolar Nerve Block

Irreversible Pulpitis

Lingual Infiltration

Abstract

Introduction: The aim of the present study was to compare the efficacy of the Inferior Alveolar Nerve Block (IANB) and Gow-Gates Techniques in mandibular molars with symptomatic Irreversible Pulpitis. Methods and Materials: In this randomised, double-blind clinical trial, 80 patients referred to Mashhad Dental School, were randomly divided into two groups: IANB and Gow-Gates anaesthetic techniques using 2% lidocaine with 1: 100000 epinephrine. After injection, if pain during caries/dentin removal and access cavity preparation was reported in each group, the patients once again were randomly allocated to receive buccal or lingual supplementary infiltration. Pain severity was evaluated using a visual analogue scale. The rates of positive aspiration and changes in heart rate were compared between the IANB and Gow-Gates. Paired and individual t-tests and the Mann-Whitney U-test were used to compare the reduction in pain severity. The level of significance was set at 0. 05. Results: The success rates of anaesthesia in the Gow-Gates and IANB techniques were 50% and 42. 5%, respectively with no significant difference (P=0. 562). Supplementary infiltrations significantly reduced pain severity in all subgroups (P<0. 05). Lingual Infiltration resulted in a significantly greater reduction in pain severity in the IANB group than in the Gow-Gates group (P<0. 05). No significant difference in heart rate or positive aspiration results was observed between groups (P>0. 05). Conclusions: In the present study, the efficacy of the IANB and Gow-Gates Techniques was comparable in mandibular molars with symptomatic Irreversible Pulpitis. Supplementary buccal and Lingual Infiltration significantly reduced pain severity.

Cites

Evaluation of knowledge and experience on the success of inferior alveolar nerve block technique

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APA: Copy

GHODDUSI, JAMILEH, ZARRABI, MOHAMMAD HASAN, DANESHVAR, FARZANEH, & NAGHAVI, NEDA. (2018). Efficacy of IANB and Gow-Gates Techniques in Mandibular Molars with Symptomatic Irreversible Pulpitis: A Prospective Randomized Double Blind Clinical Study. IRANIAN ENDODONTIC JOURNAL (IEJ), 13(2), 143-148. SID. https://sid.ir/paper/303055/en

Vancouver: Copy

GHODDUSI JAMILEH, ZARRABI MOHAMMAD HASAN, DANESHVAR FARZANEH, NAGHAVI NEDA. Efficacy of IANB and Gow-Gates Techniques in Mandibular Molars with Symptomatic Irreversible Pulpitis: A Prospective Randomized Double Blind Clinical Study. IRANIAN ENDODONTIC JOURNAL (IEJ)[Internet]. 2018;13(2):143-148. Available from: https://sid.ir/paper/303055/en

IEEE: Copy

JAMILEH GHODDUSI, MOHAMMAD HASAN ZARRABI, FARZANEH DANESHVAR, and NEDA NAGHAVI, “Efficacy of IANB and Gow-Gates Techniques in Mandibular Molars with Symptomatic Irreversible Pulpitis: A Prospective Randomized Double Blind Clinical Study,” IRANIAN ENDODONTIC JOURNAL (IEJ), vol. 13, no. 2, pp. 143–148, 2018, [Online]. Available: https://sid.ir/paper/303055/en

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