Anesthetic efficacy of Gow-Gates versus inferior alveolar nerve block for irreversible pulpitis: a systematic quantitative review
Sarfaraz Ifrah, Pascoal Selma, Macedo Jose Paulo, Salgado Abel, Rasheed Dil, Pereira Jorge,
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( Sarfaraz Ifrah ) - University Fernando Pessoa Faculty of Health Sciences
( Pascoal Selma ) - IUCS-CESPU University Institute of Health Sciences
( Macedo Jose Paulo ) - University Fernando Pessoa Faculty of Health Sciences
( Salgado Abel ) - University Fernando Pessoa Faculty of Health Sciences
( Rasheed Dil ) - Bahria University Medical and Dental College
( Pereira Jorge ) - University Fernando Pessoa Faculty of Health Sciences
Abstract
This review aimed to assess and compare the outcomes of the anesthetic efficacy of inferior alveolar nerve block (IANB) and Gow-Gates mandibular nerve block (GGMNB) in patients with symptomatic irreversible pulpitis. A descriptive systematic review of quantitative research was conducted wherein the “Preferred Reporting Items for Systematic Reviews (PRISMA)” was adopted, and the Problem/Patient/Population, Intervention/Indicator, Comparison, Outcome (PICO) criteria were used to structure the research question. A literature search was performed using PubMed/Medline, Cochrane Library, Google Scholar, and Ovid. Selection criteria were applied for populations over nine years of age, of either sex, with irreversible pulpitis, and articles published in English regarding conventional IANB or IANB and Gow-Gates techniques between 2009 and 2019. Prospective randomized clinical trials or randomized controlled trials were included in the review, in which anesthetic efficacy or success was measured. After screening, four articles were included. Three studies were randomized clinical trials, and two were randomized controlled trials. The validity and reliability of the individual studies were examined. There was evidence of the higher efficacy of the GGMNB technique than that of the IANB technique. However, both techniques can be mastered through training.
키워드
Anesthetic Efficacy; Anesthetic Success; Gow-Gates; Inferior Alveolar Nerve Block; Irreversible Pulpitis; Mandibular Posterior Teeth
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