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Restoration of Primary Mandibular Molar, With or Without Injection?

Dr. A. Hamid Zafarmand, Dr. Razie Mobaleghi

Aim: Managing a child in a dental office requires especial skill and expertism for performing a procedure. This becomes more crucial if “injection” is a part of the procedure. The present study evaluates the success rate of Class I restoration of primary mandibular second molar when with no injection.

Materials and Methods: A prospective clinical trial study was performed on thirty healthy children with the age range of 3-8 years. The children were selected with Class I carious lesions in both right and left mandibular second primary molars. Restorations were done without injection in one quadrant and with injection in the other side of the mandible, totally 60 restorations. The children were evaluated based upon Frankl Behavioural Rating Scale.

Results: No statement of pain, verbal complaint, body and hand, or eye movement was recorded during the treatment procedure in children of either group of study. The success rate of class I restoration in both groups of study was 100% in both treatment modalities.

Conclusions: According to the result of this study, restoration of Class I carious lesions of primary teeth can be performed with no injection. This treatment modality would benefit the child for no post-injection complication and the practitioner for less stress, resulting in easier behaviour management.