About this trial
* For both groups, local anaesthesia will be administered by one single surgeon and the extraction will be performed by another single surgeon across all subjects. The surgeon performing the extraction will be blinded with regard to the local anaesthesia technique used in this study * A buccal infiltration injection of 1.5 ml of 4% articaine with 1:100,000 adrenaline (Septocaine, Septodont, New Castle, Del.) plus 1.5 ml of hyaluronidase enzyme (7.5IU/1ml) will be used in the study group while use 4% articaine with 1:100,000 adrenaline (Septocaine, Septodont, New Castle, Del.)only in traditional inferior alveolar nerve block in the control group * In study and control groups, VAS (visual analogue scale=is an unmarked, continuous, horizontal,100-mm line, anchored by the end points of "no pain" on the left and "worst pain" on the right ) will be used to evaluate the pain levels of the patients associated with the injection and during extraction
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Medically stable patients
Seeking for non surgical extraction of mandibular molar tooth
Disqualifiers
history of metabolic or systemic diseases affecting bone or healing process,
local infection
Grade III mobility
Neurological disorder
Trial design
Parallel
Treatments tested in this trial
traditional inferior alveolar nerve block by articaine
Druguse articaine for inferior alveolar nerve block with buccal infiltration to anesthetized lower molar teeth
hyaluronidase plus articain buccal infilteration
Druguse of articain plus hyaluronidase enzyme buccal infiltration to anesthetized lower molar teeth
Treatment groups
Trial outcomes
Primary outcomes
visual analogue scale (VAS)0_10
Ask the patient to scoring his pain during the extraction by visualanalogue scale0\_10 as 0 no pain and 10 sever pain
Locations
Sponsors and contacts
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