This randomised control trial will compare the efficacy of conventional buccal nerve block versus buccal trunk block using visual analogue scale to evaluate pain and additional anesthesia injection during extraction of mandibular molars.
Patients aged 20 to 60 years
Patients of both gender
Patient requiring extraction of mandibular molars
Pregnant women
Pathologies associated with teeth i.e. cysts, tumors
Patients on radiotherapy or chemotherapy
Patients with mandibular fracture
Parallel
Conventional Buccal Nerve Block
Procedure/SurgeryArm Description: Administration of anesthesia at the level of occlusion lateral to last mandibular molar. Needle is inserted until bone contact is achieved. 1ml lidocaine with 1:100000 anesthesia is administered.
Buccal Nerve Trunk Block
Procedure/SurgeryArm Description: Administration of anesthesia 10 mm above occlusal plane lateral to last mandibular molar. 1ml lidocaine with 1:100000 anesthesia is administered.
Intraoperative pain perception
It was assessed while giving injection and during extraction of the tooth using the visual analog scale (VAS) scores. Facial pain scale uses facial expression to evaluate the amount of pain. It has scores ranging from 0 to 10 with 0 as the least pain and 10 as the worst pain. Score of more than 4 will be labelled as positive pain perception.
Need for supplemental infiltration
Use of more than 1 anesthesia cartridges during procedure will be labelled as need for supplemental infiltration.
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