Effect of Precooling the Anesthetic Agent in Comparison to Increasing the Dosage on the Success Rate of Inferior Alveolar Nerve Block Using Articaine in Mandibular First Molars with Symptomatic Irreversible Pulpitis: A Double-Blind, Randomized, Controlled

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Description: Achieving anesthesia in mandibular molar teeth with irreversible pulpitis has been challenging. This study aimed to compare the efficacy of precooling articaine and increasing its dosage for inferior alveolar nerve block (IANB) in the mandibular first molars with symptomatic irreversible pulpitis.

At the conclusion of this article, the reader will be able to: 

  • Explain the challenges in achieving successful inferior alveolar nerve block (IANB) anesthesia in mandibular first molars with symptomatic irreversible pulpitis.

  • Compare the effectiveness of precooling 4% articaine versus increasing its dosage on the success rate of IANB.

  • Apply evidence-based strategies to improve anesthesia outcomes and patient comfort in cases of symptomatic irreversible pulpitis.

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Effect of Precooling the Anesthetic Agent in Comparison to Increasing the Dosage on the Success Rate of Inferior Alveolar Nerve Block Using Articaine in Mandibular First Molars with Symptomatic Irreversible Pulpitis: A Double-Blind, Randomized, Controlled
Open to download resource.
Open to download resource. Published 8/1/2025
Evaluation
9 Questions
CE Test
5 Questions  |  Unlimited attempts  |  4/5 points to pass
5 Questions  |  Unlimited attempts  |  4/5 points to pass
Certificate
1.00 CE credit  |  Certificate available
1.00 CE credit  |  Certificate available

Bafrin Fattahi, DDS, MSc

Negin Ghasemi, DDS, MSc

Sahar Shakouei, DDS, MSc

Mahsa Ladan Moghaddam, DDS, MSc