Buffered Lidocaine in the Pediatric Dental Patient

Launched by GEISINGER CLINIC · Aug 12, 2019

Keywords

ClinConnect Summary

This project's primary aim is to evaluate pain perception in buffered vs non-buffered local anesthesia in children undergoing routine dental treatment. The secondary aim is to evaluate if the buffered solution results in a faster onset of local anesthesia compared to conventional solution. Through a well-designed study, we hope to contribute to the profession's understanding of advanced local anesthesia techniques in children.

This study has been designed as a longitudinal, double blind, crossover study. Specifically, a split mouth design will be implemented to investigate if there is a si...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Patients requiring restorative or surgical dental treatment on two occasions on opposite sides of the mouth; either both maxillary or both mandibular quadrant/sextant involving comparable teeth/areas
• • 2. Patients able to undergo dental treatment in the dental clinic without general anesthesia, sedation, or anxiolysis
• • 3. Patients 4-17 years of age
• • 4. Patients classified as ASA I or ASA II
• • 5. Patients of parents who can read, write and give consent in English
• Exclusion Criteria:
• • 1. Patients with allergy to local anesthetic
• • 2. Patients who are pregnant or nursing
• • 3. Patients with cardiac concerns or contraindications to epinephrine
• • 4. Patients unable to undergo dental treatment in the clinic for behavior or medical reasons
• • 5. Patients requiring anxiolysis, sedation, or general anesthesia
• • 6. Patients unable to keep dental appointments or return for dental appointments
• • 7. Patients who do not meet inclusion criteria
• • 8. Patients who experience a missed block (IANB) during injection