Effect of Intraligamentary Anaesthesia in Reducing Pain During Primary Molars Extractions Under General Anesthesia: A randomized Clinical Trial.
El habashy, L., Gamal Eldine, H. (2020). Effect of Intraligamentary Anaesthesia in Reducing Pain During Primary Molars Extractions Under General Anesthesia: A randomized Clinical Trial.. EKB Journal Management System, 66(Issue 4 - October (Orthodontics, Pediatric & Preventive Dentistry)), 2035-2045. doi: 10.21608/edj.2020.40953.1233
Laila El habashy; Hisham Mohamed Gamal Eldine. "Effect of Intraligamentary Anaesthesia in Reducing Pain During Primary Molars Extractions Under General Anesthesia: A randomized Clinical Trial.". EKB Journal Management System, 66, Issue 4 - October (Orthodontics, Pediatric & Preventive Dentistry), 2020, 2035-2045. doi: 10.21608/edj.2020.40953.1233
El habashy, L., Gamal Eldine, H. (2020). 'Effect of Intraligamentary Anaesthesia in Reducing Pain During Primary Molars Extractions Under General Anesthesia: A randomized Clinical Trial.', EKB Journal Management System, 66(Issue 4 - October (Orthodontics, Pediatric & Preventive Dentistry)), pp. 2035-2045. doi: 10.21608/edj.2020.40953.1233
El habashy, L., Gamal Eldine, H. Effect of Intraligamentary Anaesthesia in Reducing Pain During Primary Molars Extractions Under General Anesthesia: A randomized Clinical Trial.. EKB Journal Management System, 2020; 66(Issue 4 - October (Orthodontics, Pediatric & Preventive Dentistry)): 2035-2045. doi: 10.21608/edj.2020.40953.1233

Effect of Intraligamentary Anaesthesia in Reducing Pain During Primary Molars Extractions Under General Anesthesia: A randomized Clinical Trial.

Egyptian Dental Journal
Article 15, Volume 66, Issue 4 - October (Orthodontics, Pediatric & Preventive Dentistry), October 2020, Page 2035-2045  XML PDF (1.14 MB)
Document Type: Original Article
DOI: 10.21608/edj.2020.40953.1233
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Authors
Laila El habashy email 1; Hisham Mohamed Gamal Eldine2
1Pediatric Dental Department Alexandria University
2lecturer anaesthesiology, Anaesthesia and Surgical Intensive Care Department, Faculty of Medicine, Alexandria University
Abstract
ABSTRACT
Dentist anesthetists are always recommending the use of local anesthesia (LA) during tooth extractions to block any noxious stimulus and maintain the child vital signs with minimal interference. Objective: To evaluate the effect of intraligamentry anaesthesia (ILA) in reducing child pain and maintaining the vital signs during mandibular primary molars extraction under general anaesthesia (GA). Study design: A split-mouth controlled randomized clinical study was performed on 20 healthy children age ranging from 4-5 years indicated for complete oral rehabilitation under GA, with at least two bilateral mandibular primary molars indicated for extractions. A total of 40 primary molars were extracted, teeth were randomly assigned into two groups: Group A (extraction with ILA) and Group B (extraction without LA). Heart rate (HR) and mean arterial blood pressure (MABP) were used as parameters of pain, they were recorded before extraction (baseline data), and during the extraction procedure. The need of anesthetist intervention during extractions was also recorded. Results: There was no statistically significant difference between the baseline vital parameters (HR, MABP) and during extraction using ILA (p= 0.195, p=0.133 respectively). There was a statistically significant increase in the vital parameters (HR, MABP) during extractions without LA compared to both the baseline and during extraction using ILA (p= 0.000*). The need of anaesthetist intervention was statistically greater when extracting without LA than during extraction with ILA (p=0.00026).
Keywords
primary molar; local anaesthesia; Intraligamentry anaesthesia; oral rehabilitation under GA
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