J Dent Anesth Pain Med.  2018 Dec;18(6):339-347. 10.17245/jdapm.2018.18.6.339.

Inferior alveolar nerve block by intraosseous injection with Quicksleeper® at the retromolar area in mandibular third molar surgery

• Sovatdy S
• Vorakulpipat C
• Kiattavorncharoen S
• Saengsirinavin C
• Wongsirichat N

• KMID: 2430211
• DOI: http://doi.org/10.17245/jdapm.2018.18.6.339

Abstract

BACKGROUND
There are many techniques of inferior alveolar nerve block injection (IANBI); one among them is the computer-assisted intraosseous injection (CAIOI). Here we aim to evaluate the effectiveness of CAIOI with Quicksleeper® in mandibular third molar surgery.
METHODS
This study is a clinical, single-blind, randomized, split-mouth, controlled trial including 25 patients (10 males and 15 females, mean age 21 years). The patients underwent surgical removal of bilateral mandibular third molars with two different IANBI techniques. One side was injected using Quicksleeper®, and the other side was injected using a conventional IANBI. Both techniques used one cartridge (1.7 ml) of 1:100,000 epinephrine 4% articaine. A supplementary injection was used if necessary. All volumes of anesthetic agent used were recorded. Statistical analysis was performed using paired t-test and Wilcoxon test.
RESULTS
This research showed that CAIOI has faster onset and shorter duration of action than IANBI (P < 0.05). The pain was similar in both techniques. In the CAIOI group, one-third of the cases could be completed without additional anesthesia. The remaining two-thirds required minimal supplementary volume of anesthesia. The success rates were 68% for CAIOI and 72% for IANBI, respectively.
CONCLUSION
CAIOI is an advantageous anesthetic technique. It can be used as an alternative to conventional IANBI for mandibular third molar surgery.

Keyword

Articaine; Computer-assisted Intraosseous Injection; Inferior Alveolar Nerve Block; Mandible; Quicksleeper®; Third Molar Surgery

MeSH Terms

Anesthesia
Carticaine
Epinephrine
Female
Humans
Male
Mandible
Mandibular Nerve*
Molar, Third*
Carticaine
Epinephrine