A COMPARATIVE-STUDY OF ANESTHETIC TECHNIQUES FOR MANDIBULAR DENTAL EXTRACTION

Purpose: To compare the effectiveness of the intraligamentary techniqu e of anesthetic administration (ILA) with the inferior alveolar nerve block (IANB) in extraction of mandibular teeth. Materials and Methods: ILA and IANB injections using Citanest with Octapressin were administ ered on 16 patients requiring bilateral mandibular dental extractions. Discomfort during needle placement, profoundness of anesthesia obtain ed, and patient preference were evaluated for both techniques. Results : A total of 45 teeth were extracted. Ten patients (62.5%) reported di scomfort during needle placement with ILA injection compared to three patients (18.75%) with IANB (P=0.031). Fifty percent (12/24) of teeth extracted with ILA injection were removed without discomfort to the pa tient compared to 85.7% (18/21) using IANB (P=0.027). No difference in patient preference between the two techniques was noted.