- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06564987
Risk of Nerve Damage After Administration of Local Anesthesia
August 23, 2024 updated by: Cleveland Dental Institute
Risk of Nerve Damage After Administration of an Inferior Alveolar Nerve Block Using 4% Articaine Versus 2% Lidocaine
This research aims to evaluate of the risk of nerve damage following the administration of articaine 4% and lidocaine 2% for Inferior Alveolar nerve Block (IANB).
A Randomized Controlled Clinical Trial will be conducted where the patient will be randomly assigned to one the two groups; articaine 4% and Lidocaine 2%.
The type of LA will be concealed to the operator, investigators and assessors.
The patients will be monitored for any aigns of nerve parathesia for 3 months after the procedure.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Estimated)
80
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Pablo R Velazquez, Resident
- Phone Number: 7546108595
- Email: p.velazquez@cdiohio.org
Study Contact Backup
- Name: Nelson A Rendon, Resident
- Phone Number: 9548605748
- Email: n.rendon@cdiohio.org
Study Locations
-
-
Ohio
-
Akron, Ohio, United States, 44703
- Recruiting
- Cleveland Dental Institute
-
Contact:
- Ahmed A Hashem, PhD
- Phone Number: 4405021591
- Email: a.hashem@cdiohio.org
-
Contact:
- Waleed Elmallah, PhD
- Phone Number: 216-333-6695
- Email: w.elmallah@cdiohio.org
-
Sub-Investigator:
- Pablo Velazquez, resident
-
Sub-Investigator:
- Nelson Rendon, resident
-
Ashtabula, Ohio, United States, 44004
- Active, not recruiting
- Cleveland Dental Institute
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- Patients with age between 18-55 years old
- Patients need IANB
- healthy patient
Exclusion Criteria:
- medical conditions
- allergies
- medications
- pregnancy and breastfeeding
- inability to provide informed consent
- specific dental or medical history.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Articaine
Inferior Alveolar Nerve block using Articaine 4% with 1:200,000 epinephrine local anesthetic
|
Inferior Alveolar Nerve Block with 4% articaine
|
|
Active Comparator: Lidocaine
Inferior Alveolar Nerve block using 2% lidocaine with 1:100,000 epinephrine local anesthetic
|
Inferior Alveolar Nerve Block with 2% lidocaine
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Electromyograph
Time Frame: 3 months
|
Signs of loss of sensation in the involved side of the jaw will be recorded using a tool called Electromyograph machine to evaluate and record Nerve conduction velocity, the scale is as follow Normal (grade 0) to extremely damage of (grade 6) while a patient rate pain intensity on a Visual Analogue Scale (VAS).
|
3 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Waleed Elmallah, PhD, Cleveland Dental Institute
- Study Director: Ahmed A Hashem, PhD, Cleveland Dental Institute
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Katyal V. The efficacy and safety of articaine versus lignocaine in dental treatments: a meta-analysis. J Dent. 2010 Apr;38(4):307-17. doi: 10.1016/j.jdent.2009.12.003. Epub 2009 Dec 16.
- Pogrel MA, Thamby S. Permanent nerve involvement resulting from inferior alveolar nerve blocks. J Am Dent Assoc. 2000 Jul;131(7):901-7. doi: 10.14219/jada.archive.2000.0308. Erratum In: J Am Dent Assoc 2000 Oct;131(10):1418.
- Mikesell P, Nusstein J, Reader A, Beck M, Weaver J. A comparison of articaine and lidocaine for inferior alveolar nerve blocks. J Endod. 2005 Apr;31(4):265-70. doi: 10.1097/01.don.0000140576.36513.cb.
- Stirrup P, Crean S. Does articaine, rather than lidocaine, increase the risk of nerve damage when administered for inferior alveolar nerve blocks in patients undergoing local anaesthesia for dental treatment? A mini systematic review of the literature. Br Dent J. 2019 Feb 8;226(3):213-223. doi: 10.1038/sj.bdj.2019.98.
- Hook H. Inferior alveolar nerve block: is articaine better than lidocaine? Br Dent J. 2021 May;230(9):579-582. doi: 10.1038/s41415-021-2941-z. Epub 2021 May 14.
- Samdrup T, Kijsamanmith K, Vongsavan K, Rirattanapong P, Vongsavan N. The effect of inferior alveolar nerve block anesthesia of 4% articaine and epinephrine 1:100,000 on blood flow and anesthesia of human mandibular teeth. J Dent Sci. 2021 Jan;16(1):249-255. doi: 10.1016/j.jds.2020.05.013. Epub 2020 Jun 4.
- Aquilanti L, Mascitti M, Togni L, Contaldo M, Rappelli G, Santarelli A. A Systematic Review on Nerve-Related Adverse Effects following Mandibular Nerve Block Anesthesia. Int J Environ Res Public Health. 2022 Jan 31;19(3):1627. doi: 10.3390/ijerph19031627.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
January 1, 2024
Primary Completion (Estimated)
December 31, 2024
Study Completion (Estimated)
March 31, 2025
Study Registration Dates
First Submitted
July 26, 2024
First Submitted That Met QC Criteria
August 19, 2024
First Posted (Actual)
August 21, 2024
Study Record Updates
Last Update Posted (Actual)
August 26, 2024
Last Update Submitted That Met QC Criteria
August 23, 2024
Last Verified
July 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Nervous System Diseases
- Wounds and Injuries
- Stomatognathic Diseases
- Mouth Diseases
- Craniocerebral Trauma
- Trauma, Nervous System
- Cranial Nerve Diseases
- Facial Nerve Diseases
- Trigeminal Nerve Diseases
- Facial Neuralgia
- Cranial Nerve Injuries
- Trigeminal Nerve Injuries
- Mandibular Nerve Injuries
- Physiological Effects of Drugs
- Adrenergic Agents
- Neurotransmitter Agents
- Molecular Mechanisms of Pharmacological Action
- Anti-Arrhythmia Agents
- Central Nervous System Depressants
- Autonomic Agents
- Peripheral Nervous System Agents
- Sensory System Agents
- Anesthetics
- Adrenergic alpha-Agonists
- Adrenergic Agonists
- Membrane Transport Modulators
- Anesthetics, Local
- Voltage-Gated Sodium Channel Blockers
- Sodium Channel Blockers
- Bronchodilator Agents
- Anti-Asthmatic Agents
- Respiratory System Agents
- Adrenergic beta-Agonists
- Sympathomimetics
- Vasoconstrictor Agents
- Mydriatics
- Lidocaine
- Epinephrine
- Racepinephrine
- Epinephryl borate
- Carticaine
Other Study ID Numbers
- CDIOS0005
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Yes
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Inferior Alveolar Nerve Injuries
-
Armed Forces Institute of Dentistry, PakistanRecruitingInferior Alveolar Nerve Block | Success of Inferior Alveolar Nerve BlockPakistan
-
Louisiana State University Health Sciences Center...CompletedInferior Alveolar Nerve | Mandibular Nerve BlocksUnited States
-
Boston UniversityRecruitingInferior Alveolar Nerve BlockUnited States
-
Mosaad KhalifahUnknown
-
Konya Necmettin Erbakan ÜniversitesiCompletedInferior Alveolar Nerve Block | Dental EducationTurkey (Türkiye)
-
Chang Gung Memorial HospitalCompletedNeurosensory Function of Inferior Alveolar Nerve
-
Lawson Health Research InstituteUnknownInferior Alveolar Nerve Block | Greater Palatine Nerve BlockCanada
-
AYMAN M. ARAKEEP, MSc, PhD researcherEnrolling by invitationNeurosensory Function of Inferior Alveolar NerveEgypt
-
Karadeniz Technical UniversityCompletedInferior Alveolar Nerve InjuriesTurkey
-
Marmara UniversityCompletedInferior Alveolar Nerve InjuriesTurkey
Clinical Trials on 4% Articaine with 1:200,000 epinephrine
-
Aristotle University Of ThessalonikiCompletedComparative Evaluation of the Effect of pH Adjustment of the Solution of Articaine With Epinephrine on the Efficacy of Jet AnesthesiaGreece
-
University of Sao PauloFundação de Amparo à Pesquisa do Estado de São PauloCompletedImpacted Third Molar Tooth | Adverse Reaction to Other Local Anesthetics
-
Universidad Austral de ChileNot yet recruiting
-
Armed Forces Institute of Dentistry, PakistanNot yet recruiting
-
Pamukkale UniversityCompletedPain, Postoperative | Hemorrhage | Wound Heal | Local Analgesia Via InfiltrationTurkey (Türkiye)
-
Qassim Health ClusterActive, not recruitingDental Caries in Children | Dental Diseases | Pulp Disease, Dental | Behavior, ChildSaudi Arabia
-
University of Campinas, BrazilFundação de Amparo à Pesquisa do Estado de São PauloCompletedPain | Irreversible PulpitisBrazil
-
Cairo UniversityUnknown
-
Implantology InstituteActive, not recruitingCompare Subperiosteal and Loco-Regional Anesthesia in Posterior Mandible Dental Implant InstallationAnesthesia Morbidity | Dental Implant Failed | Anesthesia Complications | Surgical Complications From Local AnesthesiaPortugal
-
seher orbay yasliNot yet recruitingEmergence Delirium | Postoperative Recovery | Pediatric Dental General AnesthesiaTurkey (Türkiye)