Comparison of Anesthetic Efficacy of IANB - Classical and Gow-Gates Technique during Surgical Removal of Impacted Mandibular Third Molar

ABSTRACT

Background: The most frequently used mandibular injection technique is inferior alveolar nerve (IANB) block for achieving local anesthesia for dental treatment. The IANB block does not always give success. The interruption of sensory transmission to its best, by depositing anesthetic solution at lingula has not been proved. Aim: To compare the degree of patient acceptability and clinical efficacy of IANB and GG techniques in patients undergoing surgical removal of impacted mandibular third molar under local anesthesia. Methods: The split-mouth design was conducted on 20 healthy and ambulatory individuals (10 male and 10 female) aged between 40 and 50 years undergoing surgical removal of bilateral symmetrical impacted mandibular third molar reporting. Results: VAS of IANB was 4.60±1.82 and GG was 1.95±1.64 with GG more comfortable and no difference in case of aspiration. Onset of Anesthesia was better in IANB than GG with no difference in duration of anesthesia in both groups. Conclusion: To conclude GG is considered better than IANB in Mandibular block anesthesia