COMPARISON OF ANESTHETIC EFFICACY OF CONVENTIONAL INFERIOR ALVEOLAR NERVE BLOCK AND GOW GATES TECHNIQUE IN PATIENTS WITH SYMPTOMATIC IRREVERSIBLE PULPITIS RANDOMIZED CONTROL TRAIL

Authors

  • Rizwan Ullah Afridi Department of Operative Dentistry, Sardar Begam Dental College, Peshawar.
  • Shafqat Ali Shah Department of Operative Dentistry, Sardar Begam Dental College, Peshawar.
  • Inam Ullah Jan Khattak Department of Operative Dentistry, Khyber College of Dentistry, Peshawar.
  • Fawad Ali Shah Department of Operative Dentistry, Khyber College of Dentistry, Peshawar.
  • Muhammad Zain Department of Operative Dentistry, Peshawar Dental College, Peshawar.
  • Farhad Ali Biostatistics, Khyber College of Dentistry, Peshawar.

DOI:

https://doi.org/10.33279/jkcd.v9i02.857

Keywords:

Irreversible pulpitis, inferior alveolar nerve block, Gow gates technique

Abstract

Objective: The purpose of this study was to evaluate the anesthetic efficacy of the Gow-Gates techniques using 1.8 mL 2% lidocaine with 1:100,000 epinephrine in mandibular posterior teeth in patients presenting with symptomatic irreversible pulpitis.
Materials and Methods: A Randomized clinical trial was carried from January 2018 to December 2018 at Department of Operative Dentistry, Sardar Begum Dental College Peshawar. One hundred and six emergency patients with mandibular posterior teeth diagnosed with symptomatic irreversible pulpitis participated in the study and were randomly divided by lottery method into
two groups (fifty three in each group). Group A received inferior alveolar nerve block and group B received Gow-Gates injection to block the inferior alveolar nerve before endodontic access.Successful anesthesia of the technique was defined as no pain on interdental probing and lip numbness and no response to electric pulp tester (EPT).
Results: Subjective lip numbness was obtained 100% of the time with both the techniques and there was no pain on interdental probing in both the groups. Anesthesia was successful in 38 out of 53 subjects (72%) in inferior alveolar nerve block group while it was successful in 45 out of 53 subjects (85%) in Gow gates technique group. There was no statistically significant difference in the anesthetic efficacy of both techniques (p=0.099).
Conclusions: We concluded that in mandibular posterior teeth diagnosed with symptomatic irreversible pulpitis, the conventional inferior alveolar nerve block is similar to the Gow-Gates technique regarding anesthetic efficacy. There was no statistical significant difference in the anesthetic efficacy of both technique (p=0.099)

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Published

2019-06-30

How to Cite

Afridi, R. U. ., Shah, S. A. ., Khattak, I. U. J. ., Shah, F. A. ., Zain, M. ., & Ali, F. . (2019). COMPARISON OF ANESTHETIC EFFICACY OF CONVENTIONAL INFERIOR ALVEOLAR NERVE BLOCK AND GOW GATES TECHNIQUE IN PATIENTS WITH SYMPTOMATIC IRREVERSIBLE PULPITIS RANDOMIZED CONTROL TRAIL. JOURNAL OF KHYBER COLLEGE OF DENTISTRY, 9(02), 58–64. https://doi.org/10.33279/jkcd.v9i02.857

Issue

Vol. 9 No. 02 (2019): Journal of Khyber College of Dentistry

Section

Original Article

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Copyright (c) 2019 Rizwan Ullah Afridi, Shafqat Ali Shah, Inam Ullah Jan Khattak, Fawad Ali Shah, Muhammad Zain, Farhad Ali

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