Prevalence and risk factors of failed mandibular anesthesia following simple tooth extraction: an epidemiological study

Background: Though mandibular nerve block is frequently used in dentistry; it can fail even in the hands of experienced surgeons and this can cause distress for patients. While the prevalence of failed mandibular nerve block is known in Caucasians and Asians, there appears to be no study to determin...

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मुख्य लेखकों: Edetanlen, Ekaniyere Benlance, Saheeb, Birch Dauda, Okoh, Mercy
स्वरूप: Online
भाषा:अंग्रेज़ी
प्रकाशित: International Association for Dental Research (Nigeria Division) 2022
ऑनलाइन पहुंच:https://ajoh.oauife.edu.ng/index.php/ajoh/article/view/132
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author Edetanlen, Ekaniyere Benlance
Saheeb, Birch Dauda
Okoh, Mercy
author_facet Edetanlen, Ekaniyere Benlance
Saheeb, Birch Dauda
Okoh, Mercy
author_sort Edetanlen, Ekaniyere Benlance
collection OJS
description Background: Though mandibular nerve block is frequently used in dentistry; it can fail even in the hands of experienced surgeons and this can cause distress for patients. While the prevalence of failed mandibular nerve block is known in Caucasians and Asians, there appears to be no study to determine the prevalence in Africans. Objective: To determine the prevalence and risk factors of failed mandibular nerve blocks among dental patients that had simple tooth extraction at a teaching hospital in Nigeria.  Methodology: In this retrospective study, the case notes of all the patients that presented for teeth extraction from July 2010 to August 2020 were retrieved. Collected data were age, gender, religion, place of residence, level of education, marital status, occupation, operator experience, side of operation, teeth removed, failed mandibular anesthesia and type of alternative method. Chi-square test and binary logistic regression was used for data analysis. A P-Value less than 0.05 was considered statistically significant. Result: One hundred and seven patients were studied with age range of 19-63 years. The mean age and standard deviation were 47.2 ± 4.78 years respectively. There were more females than males with a sex ratio of 1:1.5(M: F).The prevalence of mandibular nerve block failure was 39.3% in both gender.  The age (P=0.00) and operator experience (P=0.03) was significantly associated with the prevalence of mandibular nerve block failure. In the multivariate analysis, both age (P = 0.02) and operator experience (P = 0.00) had significant predictive power on the rate of prevalence of mandibular nerve block failure. Conclusion: Prevalence of mandibular nerve block failure of 39.3% was recorded. The risk factors for the prevalence were age of patients and operator experience. There is a global variation of prevalence of mandibular nerve block failure with higher prevalence among the Africans.
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spelling oai:ojs2.ajoh.oauife.edu.ng:article-1322023-04-03T13:47:38Z Prevalence and risk factors of failed mandibular anesthesia following simple tooth extraction: an epidemiological study Edetanlen, Ekaniyere Benlance Saheeb, Birch Dauda Okoh, Mercy Background: Though mandibular nerve block is frequently used in dentistry; it can fail even in the hands of experienced surgeons and this can cause distress for patients. While the prevalence of failed mandibular nerve block is known in Caucasians and Asians, there appears to be no study to determine the prevalence in Africans. Objective: To determine the prevalence and risk factors of failed mandibular nerve blocks among dental patients that had simple tooth extraction at a teaching hospital in Nigeria.  Methodology: In this retrospective study, the case notes of all the patients that presented for teeth extraction from July 2010 to August 2020 were retrieved. Collected data were age, gender, religion, place of residence, level of education, marital status, occupation, operator experience, side of operation, teeth removed, failed mandibular anesthesia and type of alternative method. Chi-square test and binary logistic regression was used for data analysis. A P-Value less than 0.05 was considered statistically significant. Result: One hundred and seven patients were studied with age range of 19-63 years. The mean age and standard deviation were 47.2 ± 4.78 years respectively. There were more females than males with a sex ratio of 1:1.5(M: F).The prevalence of mandibular nerve block failure was 39.3% in both gender.  The age (P=0.00) and operator experience (P=0.03) was significantly associated with the prevalence of mandibular nerve block failure. In the multivariate analysis, both age (P = 0.02) and operator experience (P = 0.00) had significant predictive power on the rate of prevalence of mandibular nerve block failure. Conclusion: Prevalence of mandibular nerve block failure of 39.3% was recorded. The risk factors for the prevalence were age of patients and operator experience. There is a global variation of prevalence of mandibular nerve block failure with higher prevalence among the Africans. International Association for Dental Research (Nigeria Division) 2022-11-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article application/pdf https://ajoh.oauife.edu.ng/index.php/ajoh/article/view/132 African Journal of Oral Health; Vol 11 No 1 (2022): Vol11No 1(2022); 30-37 0189-5710 0189-5710 eng https://ajoh.oauife.edu.ng/index.php/ajoh/article/view/132/49 Copyright (c) 2022 African Journal of Oral Health
spellingShingle Edetanlen, Ekaniyere Benlance
Saheeb, Birch Dauda
Okoh, Mercy
Prevalence and risk factors of failed mandibular anesthesia following simple tooth extraction: an epidemiological study
title Prevalence and risk factors of failed mandibular anesthesia following simple tooth extraction: an epidemiological study
title_full Prevalence and risk factors of failed mandibular anesthesia following simple tooth extraction: an epidemiological study
title_fullStr Prevalence and risk factors of failed mandibular anesthesia following simple tooth extraction: an epidemiological study
title_full_unstemmed Prevalence and risk factors of failed mandibular anesthesia following simple tooth extraction: an epidemiological study
title_short Prevalence and risk factors of failed mandibular anesthesia following simple tooth extraction: an epidemiological study
title_sort prevalence and risk factors of failed mandibular anesthesia following simple tooth extraction an epidemiological study
url https://ajoh.oauife.edu.ng/index.php/ajoh/article/view/132
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AT okohmercy prevalenceandriskfactorsoffailedmandibularanesthesiafollowingsimpletoothextractionanepidemiologicalstudy