الفهرس 
AcknowledgementOnly 14 pages are availabe for public view
 |  | from | 137 |  |  |
| | | from | 137 | | |
Abstract
This study was conducted to compare the efficacy of the buccal infiltration technique with inferior alveolar nerve block technique for alleviation of intraoperative pain during pulpal treatment of second mandibular primary molars using 4% Articaine 1:100000.
The study started with 22 cooperative medically free patients in each group, one group includes 6 to 7 years old participants and the second group includes <7 to 8 years old participants seeking treatment for bilateral deep carious lesions in their second primary molars with no previous history of irreversible pulpitis, swelling, sinus tract or tooth mobility.
All candidates fulfilled the eligibility criteria. At the end of the study two patients in the first age group (6-7) years and four patients of the second age group (>7-8) years failed to attend the second visit.
Randomization was achieved when each candidate was instructed to pick an opaque and sealed envelope from two separate black and opaque boxes. First box contained two envelopes to identify the side on which the operator will perform the treatment. While the second box contained another two envelopes describing which anesthetic technique will be implemented with the previously chosen side.
After clinical and radiographic examination, the patient received the pulpal treatment under the identified side and injecting technique. The patient was asked to fill in the Wong Baker Face Pain scale for the pain experienced during injecting the local anesthetic agent. Videotaping of the pulpal treatment procedure was initiated after numbness was experienced by the child which is recorded as a secondary
outcome by a stop watch for both techniques. A blind assessor was assigned to review the videos and fill in the SEM pain scale to identify the pain and level of discomfort experienced by the child during the pulpal treatment.
The results of the study showed that there was a statistical significance favoring the buccal infiltration technique over the inferior alveolar nerve block technique regarding the time of onset of lip numbness.
Buccal infiltration technique was less painful and with less complications when compared with the inferior alveolar nerve block technique.
Buccal infiltration technique can be used as an alternative to the inferior alveolar nerve block technique to anesthetize lower second primary molars undergoing pulpotomies.