title: A comparative study of anesthetic techniques for mandibular dental extraction.
abstract: OBJECTIVE
  To compare the effectiveness of the intraligamentary technique of anesthetic administration (ILA) with the inferior alveolar nerve block (IANB) in extraction of mandibular teeth.
  
  
  METHODS
  ILA and IANB injections using Citanest with Octapressin were administered on 16 patients requiring bilateral mandibular dental extractions. Discomfort during needle placement, profoundness of anesthesia obtained, and patient preference were evaluated for both techniques.
  
  
  RESULTS
  A total of 45 teeth were extracted. Ten patients (62.5%) reported discomfort 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 patient compared to 85.7% (18/21) using IANB (P = 0.027). No difference in patient preference between the two techniques was noted.
authors.affiliation: Department of Prosthodontics, University of Florida College of Dentistry, Gainesville 32610, USA.
authors.forename: H B
authors.initials: HB
authors.lastname: Dumbrigue
authors.forename: M V
authors.initials: MV
authors.lastname: Lim
authors.forename: R A
authors.initials: RA
authors.lastname: Rudman
authors.forename: A
authors.initials: A
authors.lastname: Serraon
mesh_terms: D000328:Adult; D000766:Anesthesia, Dental / Q000295:instrumentation / Q000379:methods*; D000772:Anesthesia, Local / Q000295:instrumentation / Q000379:methods*; D000779:Anesthetics, Local; D005259:Felypressin; D005260:Female; D006801:Humans; D008297:Male; D008334:Mandible; D008340:Mandibular Nerve; D009407:Nerve Block / Q000295:instrumentation / Q000379:methods*; D010513:Periodontal Ligament; D011318:Prilocaine; D014081:Tooth Extraction / Q000379:methods*
chemical_list: D000779:Anesthetics, Local; D011318:Prilocaine; D005259:Felypressin