This study aims to compare the effectiveness of inferior alveolar nerve block (IANB) and computer-controlled digital anesthesia in achieving adequate anesthesia in pediatric patients presenting with acute dental pain and requiring emergency endodontic treatment of mandibular permanent molars. Achieving profound anesthesia in such cases can be challenging due to acute inflammation.
Participants will be randomly assigned to receive either conventional IANB or digital anesthesia. Pain perception during the procedure will be assessed using validated pain scales. In addition, physiological parameters including heart rate and blood pressure will be recorded to evaluate the stress response associated with each anesthesia technique. Anesthesia success will be determined based on the absence of pain during treatment and the need for supplemental anesthesia.
The findings of this study are expected to provide evidence-based guidance for selecting the most effective and comfortable anesthesia technique in pediatric dental patients.
Children aged 6-14 years
Patients presenting with acute dental pain
Patients requiring emergency endodontic treatment in mandibular permanent molars
Cooperative patients who allowed clinical procedures
Patients with systemic diseases affecting pain perception
Patients with known allergy to local anesthetic agents
Patients who used analgesics within 12 hours before treatment
Patients with non-restorable teeth
Parallel
Computer-Controlled Digital Anesthesia
Procedure/SurgeryParticipants requiring emergency endodontic treatment for mandibular permanent molars will receive conventional inferior alveolar nerve block anesthesia using a conventional dental syringe and 4% articaine hydrochloride with 1:100,000 epinephrine.
Inferior Alveolar Nerve Block
Procedure/SurgeryParticipants requiring emergency endodontic treatment for mandibular permanent molars will receive computer-controlled intraosseous digital anesthesia using the SleeperOne computer-controlled local anesthesia delivery system and 4% articaine hydrochloride with 1:100,000 epinephrine.
Anesthesia success during endodontic treatment
Anesthetic success will be defined as completion of endodontic treatment without the need for supplemental anesthesia. Pain during treatment will be assessed using the Visual Analog Scale (VAS; 0-10) and will be considered in the evaluation of anesthetic success. Higher VAS scores indicate greater pain perception and lower anesthetic success.
Heart rate changes
Heart rate will be recorded at predefined time points to evaluate physiological stress response during anesthesia administration and treatment.
Blood pressure changes
Blood pressure will be measured at predefined time points to assess the physiological stress response associated with the anesthesia techniques.
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