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http://dx.doi.org/10.17245/jdapm.2021.21.4.269

Anesthetic efficacy of Gow-Gates versus inferior alveolar nerve block for irreversible pulpitis: a systematic quantitative review  

Sarfaraz, Ifrah (University Fernando Pessoa, Faculty of Health Sciences)
Pascoal, Selma (University Institute of Health Sciences, IUCS-CESPU)
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)
Publication Information
Journal of Dental Anesthesia and Pain Medicine / v.21, no.4, 2021 , pp. 269-282 More about this Journal
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.
Keywords
Anesthetic Efficacy; Anesthetic Success; Gow-Gates; Inferior Alveolar Nerve Block; Irreversible Pulpitis; Mandibular Posterior Teeth;
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