Anaesthetic Efficacy Of Alternative Local Anaesthesia Techniques In Patients With Irreversible Pulpitis - A Systematic Review

Introduction: Pain management during endodontic therapy has been a major concern among the dentists since many years. Patients often associate endodontic treatment with pain. Achieving profound local anesthesia is an important step in performing root canal treatment. In fact, dental practitioners usually face challenges to achieve this goal in their daily practice. Pain is common during root canal treatment and it is mainly due to the inflammation of periodontal ligament. Patient's anxiety level raises due to pain during treatment. Till now, various agents have tried to manage pain during endodontic treatment. Conventional techniques used to anesthetize teeth are Inferior alveolar nerve block (IANB) Posterior superior alveolar (PSA), Infraorbital nerve block (IONB), Greater palatine (GP), Nasopalatine nerve block (NP), Middle superior alveolar nerve block (MSA), Anterior superior alveolar nerve block(ASA), Lingual nerve block(LN), Mental incisive (MI) nerve blocks (NBs). Apart from analgesics, corticosteroids, alternative local anesthesia techniques have also been reported to be effective in the management of inter appointment pain. This systematic review analyzes the anaesthetic efficacy of alternative local anaesthesia techniques in patients with irreversible pulpitis in pain management during endodontic treatment.