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Can buccal infiltration of articaine replace traditional inferior alveolar nerve block for the treatment of mandibular molars in pediatric patients?:a systematic review and meta-analysis

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Can buccal infiltration of articaine replace traditional inferior alveolar nerve block for the treatment of mandibular molars in pediatric patients?:a systematic review and meta-analysis

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dc.contributor.author Yu, Jianfeng es
dc.contributor.author Liu, Siyan es
dc.contributor.author Zhang, Xiao es
dc.date.accessioned 2023-06-16T08:36:45Z
dc.date.available 2023-06-16T08:36:45Z
dc.date.issued 2021 es
dc.identifier.citation Yu, J., Liu, S., & Zhang, X. (2021). Can buccal infiltration of articaine replace traditional inferior alveolar nerve block for the treatment of mandibular molars in pediatric patients?: A systematic review and meta-analysis. En Medicina Oral Patología Oral y Cirugia Bucal (pp. e754-e761). Medicina Oral, S.L. https://doi.org/10.4317/medoral.24726 es
dc.identifier.uri https://hdl.handle.net/10550/88083
dc.description.abstract It is unclear if buccal articaine infiltration can be used as an alternative to standard inferior alveolar nerve block (IANB) for treating mandibular molars in pediatric patients. Therefore, this study aimed to pool evidence to compare the efficacy of buccal infiltration of articaine vs IANB with lignocaine for pediatric dental procedures. We searched the PubMed, Embase, ScienceDirect, CENTRAL, and Google Scholar databases for randomized controlled trials (RCTs) comparing the two techniques in pediatric patients and reporting the success of anesthesia and/or pain during treatment. PRISMA guidelines were followed. Seven RCTs were included. Pooled analysis of five studies indicated no statistically significant difference in the success rates of the two anesthetic techniques (OR: 1.02; 95% CI: 0.13, 7.96; I2=69%, p=0.98). Meta-analysis of data from the four studies demonstrated no statistically significant difference in pain during the procedure with buccal infiltration of articaine or IANB with lignocaine (SMD: 0.62; 95% CI: -1.37, 0.12; I2=88%, p=0.10). Evidence suggests that buccal infiltration of articaine is a viable alternative to IANB with lignocaine in pediatric patients for treating mandibular molars. Based on the confidence intervals, there may be a tendency of higher success rates with buccal infiltration of articaine. es
dc.subject xerostomia es
dc.subject systemic pathology es
dc.subject oral health es
dc.subject obesity es
dc.subject geriatrics es
dc.title Can buccal infiltration of articaine replace traditional inferior alveolar nerve block for the treatment of mandibular molars in pediatric patients?:a systematic review and meta-analysis es
dc.type journal article es_ES
dc.subject.unesco UNESCO:CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.24726 es
dc.type.hasVersion VoR es_ES
dc.identifier.url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8601637/

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