Journal of Dental Anesthesia and Pain Medicine

  • 제24권5호
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  • Pages.341-350
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  • 2024
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  • 2383-9309(pISSN)
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  • 2383-9317(eISSN)
대한치과마취과학회 (The Korean Dental Society of Anesthsiology)
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Photobiomodulation by soft laser irradiation with and without ibuprofen improves success rate of inferior alveolar nerve block using 2% lignocaine with adrenaline in symptomatic irreversible pulpitis of mandibular molar teeth: a double-blind, randomized placebo-controlled trial

  • Shahnaz (Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Jamia Millia Islamia) ;
  • Sweta Rastogi (Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Jamia Millia Islamia) ;
  • Vivek Aggarwal (Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Jamia Millia Islamia) ;
  • Sanjay Miglani (Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Jamia Millia Islamia)
  • 투고 : 2024.05.22
  • 심사 : 2024.08.12
  • 발행 : 2024.10.01
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Background: Achieving successful pain control and adequate anesthesia through an inferior alveolar nerve block for endodontic treatment in cases with symptomatic irreversible pulpitis (SIP) is difficult, especially in mandibular molars. This study was designed to compare the effect of oral medication with ibuprofen and soft laser therapy on inferior alveolar nerve block during endodontic treatment. Methods: The trial comprised 180 patients (45 each group) with SIP. Four groups of patients were created: group 1 received 400 mg of ibuprofen; group 2 received soft laser irradiation; group 3 received a combination of soft laser and ibuprofen 400 mg; and group 4 received a placebo 1 h prior to local anesthesia. Patients recorded their pain scores on the Heft-Parker visual analog scale (VAS) before the start of intervention, 15 min after anesthesia, during access cavity preparation, and ultimately during root canal instrumentation. Each patient also rated their level of discomfort on a VAS. Every stage with no or minimal discomfort was deemed successful. The chi-square, Kruskal-Wallis, and one-way analysis of variance tests were used to evaluate the data. Results: The best success rate was achieved for soft laser ibuprofen combination, ibuprofen and soft laser groups reported similar success results, and control group recorded the least pain scores. The mean pain scores were lowest for group 3 and highest for group 4 (P < 0.001). Ibuprofen and soft laser combination was significantly better than control group (P < 0.001). There was no significant difference between ibuprofen and laser groups (P = 0.24). Conclusions: For teeth with irreversible pulpitis, preoperative ibuprofen treatment combined with soft laser irradiation greatly improved the success rates of inferior alveolar nerve block anesthesia.

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참고문헌

  1. McLean C, Reader A, Beck M, Meryers WJ. An evaluation of 4% prilocaine and 3% mepivacaine compared with 2% lidocaine (1:100,000 epinephrine) for inferior alveolar nerve block. J Endod 1993; 19: 146-50.  https://doi.org/10.1016/S0099-2399(06)80510-8
  2. Yared GM, Dagher FB. Evaluation of lidocaine in human inferior alveolar nerve block. J Endod 1997; 23: 575-8.  https://doi.org/10.1016/S0099-2399(06)81125-8
  3. DeSantis JL, Liebow C. Four common mandibular nerve anomalies that lead to local anesthesia failures. J Am Dent Assoc 1996; 127: 1081-6.  https://doi.org/10.14219/jada.archive.1996.0333
  4. Epars JF, Mavropoulos A, Kiliaridis S. Changes in the location of the human mandibular foramen as a function of growth and vertical facial type. Acta Odontol Scand 2015; 73: 375-9.  https://doi.org/10.3109/00016357.2014.968871
  5. Gazal G. Overcoming the failure of anesthesia in the mandibular teeth. Saudi Med J 2019; 40: 425. 
  6. Khoury JN, Mihailidis S, Ghabriel M, Townsend G. Applied anatomy of the pterygomandibular space: improving the success of inferior alveolar nerve blocks. Aust Dent J 2011; 56: 112-21.  https://doi.org/10.1111/j.1834-7819.2011.01312.x
  7. Lee CR, Yang HJ. Alternative techniques for failure of conventional inferior alveolar nerve block. J Dent Anesth Pain Med 2019; 19: 125-34.  https://doi.org/10.17245/jdapm.2019.19.3.125
  8. Madan GA, Madan SG, Madan AD. Failure of inferior alveolar nerve block: exploring the alternatives. J Am Dent Assoc 2002; 133: 843-6.  https://doi.org/10.14219/jada.archive.2002.0298
  9. Nortje CJ, Farman AG, Grotepass FW. Variations in the normal anatomy of the inferior dental (mandibular) canal: a retrospective study of panoramic radiographs from 3612 routine dental patients. Br J Oral Surg 1977; 15: 55-63.  https://doi.org/10.1016/0007-117X(77)90008-7
  10. Sawyer DR, Kiely ML. Retromolar foramen: a mandibular variant important to dentistry. Ann Dent 1991; 50: 16-8. 
  11. von Arx T, Hanni A, Sendi P, Buser D, Bornstein MM. Radiographic study of the mandibular retromolar canal: an anatomic structure with clinical importance. J Endod 2011; 37: 1630-5.  https://doi.org/10.1016/j.joen.2011.09.007
  12. You TM, Kim KD, Huh J, Woo EJ, Park W. The influence of mandibular skeletal characteristics on inferior alveolar nerve block anesthesia. J Dent Anesth Pain Med 2015; 15: 113-9.  https://doi.org/10.17245/jdapm.2015.15.3.113
  13. Hargreaves KM, Keiser K. Local anesthetic failure in endodontics. Endod Top 2002; 1: 26-39.  https://doi.org/10.1034/j.1601-1546.2002.10103.x
  14. Reisman D, Reader A, Nist R, Beck M, Weaver J. Anesthetic efficacy of the supplemental intraosseous injection of 3% mepivacaine in irreversible pulpitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 84: 676-82.  https://doi.org/10.1016/S1079-2104(97)90372-3
  15. Tortamano IP, Siviero M, Costa CG, Buscariolo IA, Armonia PL. A comparison of the anesthetic efficacy of articaine and lidocaine in patients with irreversible pulpitis. J Endod 2009; 35: 165-8.  https://doi.org/10.1016/j.joen.2008.10.020
  16. Bigby J, Reader A, Nusstein J, Beck M. Anesthetic efficacy of lidocaine/meperidine for inferior alveolar nerve blocks in patients with irreversible pulpitis. J Endod 2007; 33: 7-10. 
  17. Haase A, Reader A, Nusstein J, Beck M, Drum M. Comparing anesthetic efficacy of articaine versus lidocaine as a supplemental buccal infiltration of the mandibular first molar after an inferior alveolar nerve block. J Am Dent Assoc 2008; 139: 1228-35.  https://doi.org/10.14219/jada.archive.2008.0338
  18. Robertson D, Nusstein J, Reader A, Beck M, McCartney M. The anesthetic efficacy of articaine in buccal infiltration of mandibular posterior teeth. J Am Dent Assoc 2007; 138: 1104-12.  https://doi.org/10.14219/jada.archive.2007.0324
  19. Seymour RA, Ward-Booth P, Kelly PJ. Evaluation of different doses of soluble ibuprofen and ibuprofen tablets in postoperative dental pain. Br J Oral Maxillofac Surg 1996; 34: 110-4.  https://doi.org/10.1016/S0266-4356(96)90147-3
  20. Corbett IP, Kanaa MD, Whitworth JM, Meechan JG. Articaine infiltration for anesthesia of mandibular first molars. J Endod 2008; 34: 514-8.  https://doi.org/10.1016/j.joen.2008.02.042
  21. Okamoto H, Iwase T, Saito T, Morioka T. The possible application of He-Ne laser for dental plaque control. J Jpn Soc Laser Surg Med 1993; 14: 3-7. 
  22. Roberts-Harry DP. Laser etching of teeth for orthodontic bracket placement: a preliminary clinical study. Lasers Surg Med 1992; 12: 467-70.  https://doi.org/10.1002/lsm.1900120502
  23. Ferrante M, Petrini M, Trentini P, Perfetti G, Spoto G. Effect of low-level laser therapy after extraction of impacted lower third molars. Lasers Med Sci 2013; 28: 845-9.  https://doi.org/10.1007/s10103-012-1174-4
  24. Tanboga I, Eren F, Altinok B, Peker S, Ertugral F. The effect of low level laser therapy on pain during dental tooth-cavity preparation in children. Eur Arch Paediatr Dent 2011; 12: 93-5.  https://doi.org/10.1007/BF03262786
  25. Bjordal JM, Lopes-Martins RAB, Joensen J, Iversen VV. The anti-inflammatory mechanism of low level laser therapy and its relevance for clinical use in physiotherapy. Phys Ther Rev 2010; 15: 286-93.  https://doi.org/10.1179/1743288X10Y.0000000001
  26. Youssef M, Ashkar S, Hamade E, Gutknecht N, Lampert F, Mir M. The effect of low-level laser therapy during orthodontic movement: a preliminary study. Lasers Med Sci 2008; 23: 27-33. 
  27. Falaki F, Nejat AH, Dalirsani Z. The effect of low-level laser therapy on trigeminal neuralgia: a review of literature. J Dent Res Dent Clin Dent Prospects 2014; 8: 1-5. 
  28. Sgolastra F, Petrucci A, Severino M, Gatto R, Monaco A. Lasers for the treatment of dentin hypersensitivity: a meta-analysis. J Dent Res 2013; 92: 492-9.  https://doi.org/10.1177/0022034513487212
  29. Claffey E, Reader A, Nusstein J, Beck M, Weaver J. Anesthetic efficacy of articaine for inferior alveolar nerve blocks in patients with irreversible pulpitis. J Endod 2004; 30: 568-71.  https://doi.org/10.1097/01.DON.0000125317.21892.8F
  30. Mikesell P, Nusstein J, Reader A, Beck M, Weaver J. A comparison of articaine and lidocaine for inferior alveolar nerve blocks. J Endod 2005; 31: 265-70.  https://doi.org/10.1097/01.don.0000140576.36513.cb
  31. Gould HJ 3rd, England JD, Soignier RD, Nolan P, Minor LD, Liu ZP, et al. Ibuprofen blocks changes in Na v 1.7 and 1.8 sodium channels associated with complete freund's adjuvant-induced inflammation in rat. J Pain 2004; 5: 270-80.  https://doi.org/10.1016/j.jpain.2004.04.005
  32. Ianiro SR, Jeansonne BG, McNeal SF, Eleazer PD. The effect of preoperative acetaminophen or a combination of acetaminophen and ibuprofen on the success of inferior alveolar nerve block for teeth with irreversible pulpitis. J Endod 2007; 33: 11-4.  https://doi.org/10.1016/j.joen.2006.09.005
  33. Asnaashari M, Safavi N. Application of low level lasers in dentistry (endodontic). J Lasers Med Sci 2013; 4: 57-66. 
  34. Bjordal JM, Johnson MI, Iversen V, Aimbire F, Lopes-Martins RA. Low-level laser therapy in acute pain: a systematic review of possible mechanisms of action and clinical effects in randomized placebo-controlled trials. Photomed Laser Surg 2006; 24: 158-68.  https://doi.org/10.1089/pho.2006.24.158
  35. Mezawa S, Iwata K, Naito K, Kamogawa H. The possible analgesic effect of soft-laser irradiation on heat nociceptors in the cat tongue. Arch Oral Biol 1988; 33: 693-4.  https://doi.org/10.1016/0003-9969(88)90125-2
  36. Sato T, Kawatani M, Takeshige C, Matsumoto I. Ga-Al-As laser irradiation inhibits neuronal activity associated with inflammation. Acupunct Electrother Res 1994; 19: 141-51.  https://doi.org/10.3727/036012994816357312
  37. Yang WZ, Chen JY, Yu JT, Zhou LW. Effects of low power laser irradiation on intracellular calcium and histamine release in RBL-2H3 mast cells. Photochem Photobiol 2007; 83: 979-84.  https://doi.org/10.1111/j.1751-1097.2007.00116.x
  38. Lizarelli R. Low level laser therapy in dentistry preventive performance. NILO-Nucleo Integr Laser Odontol 2000; 8: 49-56. 
  39. Kreisler MB, Haj HA, Noroozi N, Willershausen Bd. Efficacy of low level laser therapy in reducing postoperative pain after endodontic surgery-a randomized double blind clinical study. Int J Oral Maxillofac Surg 2004; 33: 38-41.  https://doi.org/10.1054/ijom.2002.0449
  40. Nabi S, Amin K, Masoodi A, Farooq R, Purra AR, Ahangar FA. Effect of preoperative ibuprofen in controlling postendodontic pain with and without low-level laser therapy in single visit endodontics: a randomized clinical study. Indian J Dent Res 2018; 29: 46-50.  https://doi.org/10.4103/ijdr.IJDR_327_15
  41. Esnouf A, Wright PA, Moore JC, Ahmed S. Depth of penetration of an 850nm wavelength low level laser in human skin. Acupunct Electrother Res 2007; 32: 81-6.  https://doi.org/10.3727/036012907815844165
  42. Guerreiro MYR, Monteiro LPB, de Castro RF, Magno MB, Maia LC, da Silva Brandao JM. Effect of low-level laser therapy on postoperative endodontic pain: an updated systematic review. Complement Ther Med 2021; 57: 102638.