Adding a distolingual injection to standard nerve blocks for lower wisdom tooth removal

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This randomized controlled trial will enroll 120 patients requiring mandibular third molar extraction and randomize them to conventional inferior alveolar and buccal nerve blocks alone or the same blocks plus an additional distolingual infiltration. Pain during mucoperiosteal flap elevation and bone guttering will be recorded on a 0–10 Visual Analogue Scale. The primary comparison is intraoperative pain scores between the two groups to see if the extra infiltration improves anesthesia of the distolingual gingiva. Key exclusions include ASA III or higher, allergy to lignocaine, contraindication to adrenaline, and patients requiring multiple extractions in the same appointment.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Healthy individuals

  * Male and female
  * Age 18-45 years
  * Mandibular third molar impaction - all positions
  * Mandibular third molar impaction - all classes

Exclusion Criteria:

* ASA status III and above

  * Patients requiring multiple extractions in the same appointment
  * Allergy to lignocaine
  * Patients in whom adrenaline is contraindicated
  * Medically compromised individuals e.g. poorly controlled diabetes, hypertension

Where it's running

• Dr Aimen Zafar
  Islamabad, Pakistan Recruiting

Study contacts

• Study coordinator: dr aimen zafar Aimen zafar, bds
• Email: aimenali216@gmail.com
• Phone: +923361056720

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.