Background: For the treatment of mandibular teeth whether it is root canal treatment or extraction, mandibular block is the choice of administering local anesthesia by the majority of dentists. One of the most common complaints following I.A nerve block is soft-tissue injury due to biting lips, tongue, and buccal mucosa. Therefore, the necessity of an alternative method is felt. The aim of present study was to assess anesthetic effect of Inferior alveolar nerve block and infiltration techniques for anesthetizing mandibular 1st permanent molar. Material and methods: For the sample of study group, we selected 72 children, belonging to age group 18 to 72 years. The subjects were administered intraosseous infiltration on one side of the mandible and inferior alveolar nerve block on the other. The treatment was completed in two appointments, one appointment for each side. The subjects were randomly placed into the group 1 and group 2. On the first appointment, subjects in the group 1 received infiltration for mandibular right first molar and in group 2 received I.A. nerve block for the left side. Results: While comparing SEM scores of injections and extractions of two groups with infiltration technique, no significant difference was observed. The efficacy of block induced anesthesia between two groups did not show significant differences. The SEM score of infiltration injection was significantly lower than a block in both groups regardless the order of injections but was not significant on extraction. The scores of SEM in infiltration technique were significantly lower than block. Therefore, infiltration technique is more acceptable for children. No significant difference was seen between block and infiltration induced anesthesia on extraction. Conclusion: It was concluded by the authors that infiltration anesthesia can be effectively used as an alternative to block anesthesia as this technique is easier and soft tissue trauma is also comparatively less.
Keywords: Inferior alveolar nerve block, infiltration, permanent molars, anesthesia.

Corresponding Author: Dr. Junaid Ashraf, Consultant Department of Oral & Maxillofacial Surgery, GDC Srinagar. drjunaidjvc@gmail.com

This article may be cited as: Ashraf J. Assessment of anesthetic effect of inferior alveolar nerve block and infiltration technique on mandibular 1st permanent molar. Int J Res Health Allied Sci 2017;3(6):67-70.