International Research in Medical and Health Sciences

Efficacy of Topical Lignocaine Spray and Gel in the Management of Pain While Delivering Inferior Alveolar Nerve Block

Dr. Jayant Verma — 2025-01-21

Objective: This study investigates pain relief using topical anesthesia spray vs gel while delivering the classical inferior alveolar nerve block technique during mandibular extraction.

Method: An observational study was conducted in May 2024 involving 122 patients undergoing dental procedures requiring IANB. Before giving the IANB, a topical spray or gel was used on the needle insertion site and the pain score of the patient was noted using the VAS scale. Secondary outcomes included variations in onset times related to patient demographics, anatomical factors, and the experience level of the clinician.

Result: In our study in Group 1 mean pain score was 2.92 ± 0.75 and in Group 2 mean pain score was 1.63 ± 0.66. The mean pain score was less in Group 2 as compared to Group 1 and the mean pain score difference was 1.29. There was a significant difference in the mean pain score between Group 1 and Group 2.

Conclusion: Patients reported less pain during the injection prick when lignocaine spray was applied as opposed to lidocaine gel. By avoiding uncomfortable inferior alveolar nerve blocks and lowering patient anxiety, this study implies that lignocaine spray may be useful in delivering anesthetic as a preventative measure for anxiety and pain.

Onset of Anesthesia in Classical Inferior Alveolar Nerve Block Technique an Observation Study

Dr. Deep Chakrabortty — 2025-01-24

Objective: This study investigates the onset time of anesthesia achieved through the classical inferior alveolar nerve block (IANB) technique, aiming to provide insights into the efficacy and timing of onset for clinical applications.

Methods: An observational study was conducted An observational study was conducted in the month of May 2024 involving 122 patients undergoing dental procedures requiring IANB. After administering the block using the classical technique, the onset of anesthesia was monitored. The primary outcome was the time from injection to the onset of adequate anesthesia, defined as the loss of sensation in the mandibular molar region. Secondary outcomes included variations in onset times related to patient demographics, anatomical factors, and the experience level of the administering clinician.

Results: The average onset time for effective anesthesia was 6.2 minutes, with a range of 3 to 10 minutes. Variability in onset time was observed, influenced by factors such as patient age, anatomical variations, and operator experience. Younger patients and those with less anatomical variation tended to experience faster onset times. Experienced clinicians achieved slightly quicker onset times compared to less experienced practitioners.

Conclusion: The classical inferior alveolar nerve block technique typically achieves effective anesthesia within approximately 6 minutes. Understanding the variability in onset times can assist clinicians in setting realistic expectations for patients and in planning procedural timing. Further research could explore methods to optimize onset times and improve consistency in clinical practice.

Knowledge and awareness regarding Monkeypox among Undergraduate Dental Students in Khammam

Dr. D. Akshaya — 2025-01-24

Monkeypox is an emerging infectious disease that poses a significant threat to global health. As future healthcare professionals, undergraduate dental students should possess adequate knowledge and awareness about monkeypox to prevent its transmission and provide proper care. This study aims to assess the knowledge and awareness regarding monkeypox among undergraduate dental students in Khammam.

Aim: The aim of this study is to evaluate the knowledge and awareness about monkeypox among undergraduate dental students in Khammam.

Objectives

To assess the level of knowledge and awareness about monkeypox among undergraduate dental students in Khammam.
To identify the sources of information about monkeypox among undergraduate dental students.
To determine the association between knowledge and awareness about monkeypox and demographic variables such as age, gender, and year of study among undergraduate dental students.

Method: A cross-sectional survey was conducted among 270 dental students, comprising 105 males (38.89%) and 165 females (61.11%), including 73 first-year BDS students,82 second-year BDS students, 49 third-year BDS students, 23 final-year BDS students, and 43 interns. The survey included 13 questions exploring Knowledge and awareness of monkeypox among dental students.

Responses were analysed based on gender and year of study using the chi-square test, and p-value to identify statistically significant differences.

Divide in Food Quality: Hidden Health Crisis

Ishani Chadha — 2024-12-25

N/A