Comparative evaluation of classical inferior alveolar nerve block and gow-gates nerve block for surgical removal of mandibular third molar: A prospective study

Background: The most commonly used nerve block procedure to anesthetize the mandibular arch is the classical inferior alveolar nerve block (IANB). In 1973, Gow-Gates developed a new procedure known as the Gow Gates nerve block, to achieve anesthesia in the same area with fewer complications. Methodo...

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Autores principales: Abhilash Mathews Thomas, Ummar Mangalath, Roshni Abida, Sachin Aslam, Sooraj Soman, Rakesh B Nair
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Publicado: Wolters Kluwer Medknow Publications 2021
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spelling oai:doaj.org-article:e870a38a39ab43f393f17e9ffb2e4f8b2021-11-19T12:15:52ZComparative evaluation of classical inferior alveolar nerve block and gow-gates nerve block for surgical removal of mandibular third molar: A prospective study0975-740610.4103/jpbs.jpbs_279_21https://doaj.org/article/e870a38a39ab43f393f17e9ffb2e4f8b2021-01-01T00:00:00Zhttp://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=6;spage=1011;epage=1014;aulast=Thomashttps://doaj.org/toc/0975-7406Background: The most commonly used nerve block procedure to anesthetize the mandibular arch is the classical inferior alveolar nerve block (IANB). In 1973, Gow-Gates developed a new procedure known as the Gow Gates nerve block, to achieve anesthesia in the same area with fewer complications. Methodology: The study comprised 80 patients who reported for the surgical removal of impacted third molar. The patients were randomly assigned into two groups– Group I received Gow-gates nerve block and Group II were administered classical IANB. Positive aspiration, meantime for the onset of anesthesia, mouth opening before and after each block and pain during the surgical procedure were compared. Results: Group 1 yielded positive aspiration in 2.5% of the cases (one patient) and 15% had positive aspiration in Group 2 (six patient). The mean time taken for onset of anesthesia was 6.16 min in Group 1 as compared to 2.78 min in Group 2. While comparing the quality of anesthesia between the blocks, 87.5% of the patients in Group 1 and Group 2 had successful anesthesia equally i.e., 35 of the 40 patients fell into category 1 and 2 of the eight-point category rating scale in both the groups and the remaining five patients (12.5%) in both the groups had unsuccessful anesthesia. Conclusion: Both approaches offer quality anesthesia in the posterior mandibular area when meticulously followed. The percentage of unsuccessful anesthesia in the Gow-Gates group could be attributed to the inexperience of the operator. Postoperative comfort and patient satisfaction were greater in the other group.Abhilash Mathews ThomasUmmar MangalathRoshni AbidaSachin AslamSooraj SomanRakesh B NairWolters Kluwer Medknow Publicationsarticleimpacted toothmandiblemandibular nervenerve blockPharmacy and materia medicaRS1-441Analytical chemistryQD71-142ENJournal of Pharmacy and Bioallied Sciences, Vol 13, Iss 6, Pp 1011-1014 (2021)
institution DOAJ
collection DOAJ
language EN
topic impacted tooth
mandible
mandibular nerve
nerve block
Pharmacy and materia medica
RS1-441
Analytical chemistry
QD71-142
spellingShingle impacted tooth
mandible
mandibular nerve
nerve block
Pharmacy and materia medica
RS1-441
Analytical chemistry
QD71-142
Abhilash Mathews Thomas
Ummar Mangalath
Roshni Abida
Sachin Aslam
Sooraj Soman
Rakesh B Nair
Comparative evaluation of classical inferior alveolar nerve block and gow-gates nerve block for surgical removal of mandibular third molar: A prospective study
description Background: The most commonly used nerve block procedure to anesthetize the mandibular arch is the classical inferior alveolar nerve block (IANB). In 1973, Gow-Gates developed a new procedure known as the Gow Gates nerve block, to achieve anesthesia in the same area with fewer complications. Methodology: The study comprised 80 patients who reported for the surgical removal of impacted third molar. The patients were randomly assigned into two groups– Group I received Gow-gates nerve block and Group II were administered classical IANB. Positive aspiration, meantime for the onset of anesthesia, mouth opening before and after each block and pain during the surgical procedure were compared. Results: Group 1 yielded positive aspiration in 2.5% of the cases (one patient) and 15% had positive aspiration in Group 2 (six patient). The mean time taken for onset of anesthesia was 6.16 min in Group 1 as compared to 2.78 min in Group 2. While comparing the quality of anesthesia between the blocks, 87.5% of the patients in Group 1 and Group 2 had successful anesthesia equally i.e., 35 of the 40 patients fell into category 1 and 2 of the eight-point category rating scale in both the groups and the remaining five patients (12.5%) in both the groups had unsuccessful anesthesia. Conclusion: Both approaches offer quality anesthesia in the posterior mandibular area when meticulously followed. The percentage of unsuccessful anesthesia in the Gow-Gates group could be attributed to the inexperience of the operator. Postoperative comfort and patient satisfaction were greater in the other group.
format article
author Abhilash Mathews Thomas
Ummar Mangalath
Roshni Abida
Sachin Aslam
Sooraj Soman
Rakesh B Nair
author_facet Abhilash Mathews Thomas
Ummar Mangalath
Roshni Abida
Sachin Aslam
Sooraj Soman
Rakesh B Nair
author_sort Abhilash Mathews Thomas
title Comparative evaluation of classical inferior alveolar nerve block and gow-gates nerve block for surgical removal of mandibular third molar: A prospective study
title_short Comparative evaluation of classical inferior alveolar nerve block and gow-gates nerve block for surgical removal of mandibular third molar: A prospective study
title_full Comparative evaluation of classical inferior alveolar nerve block and gow-gates nerve block for surgical removal of mandibular third molar: A prospective study
title_fullStr Comparative evaluation of classical inferior alveolar nerve block and gow-gates nerve block for surgical removal of mandibular third molar: A prospective study
title_full_unstemmed Comparative evaluation of classical inferior alveolar nerve block and gow-gates nerve block for surgical removal of mandibular third molar: A prospective study
title_sort comparative evaluation of classical inferior alveolar nerve block and gow-gates nerve block for surgical removal of mandibular third molar: a prospective study
publisher Wolters Kluwer Medknow Publications
publishDate 2021
url https://doaj.org/article/e870a38a39ab43f393f17e9ffb2e4f8b
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