Trial Outcomes & Findings for The Anesthetic Efficacy of 3% Mepivacaine Plus 2% Lidocaine With 1:100,000 Epinephrine for Lower Jaw Dental Injections (NCT NCT01574807)

NCT ID: NCT01574807

Last Updated: 2020-11-17

Results Overview

An electric pulp tester will be used to test the lower jaw teeth (molars, premolars, and incisors) for anesthesia (numbness) in 4-minute time cycles for 60 minutes. Measurements of less than 80 on the EPT is considered not numb (anesthesia failure). Readings of 80 equate to anesthetic success.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

100 participants

Primary outcome timeframe

60 minutes per injection sequence.

Results posted on

2020-11-17

Participant Flow

Recruitment occurred from august 2011 to May 2013 in the dental clinic of the College of Dentistry.

No subjects were excluded from the study.

Participant milestones

Participant milestones
Measure
Mepi/Lido + Lido/Lido Group
This group received Mepivacaine + lidocaine at 1st appointment and lidocaine + lidocaine at 2nd appointment.
Lido/Lido + Mepi/Lido Group
This group received injections of lidocaine + lidocaine at 1st appointment and Mepivacaine + lidocaine at second appointment.
First Appointment
STARTED
50
50
First Appointment
COMPLETED
50
50
First Appointment
NOT COMPLETED
0
0
Wash Out Period 2 Weeks
STARTED
50
50
Wash Out Period 2 Weeks
COMPLETED
50
50
Wash Out Period 2 Weeks
NOT COMPLETED
0
0
Second Appointment
STARTED
50
50
Second Appointment
COMPLETED
50
50
Second Appointment
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

The Anesthetic Efficacy of 3% Mepivacaine Plus 2% Lidocaine With 1:100,000 Epinephrine for Lower Jaw Dental Injections

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Participants
n=100 Participants
All participants receive 3% mepivacaine + 2% lidocaine versus 2% lidocaine + 2% lidocaine injections in different randomized sequences.
Age, Categorical
<=18 years
0 Participants
n=99 Participants
Age, Categorical
Between 18 and 65 years
100 Participants
n=99 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
Sex: Female, Male
Female
50 Participants
n=99 Participants
Sex: Female, Male
Male
50 Participants
n=99 Participants

PRIMARY outcome

Timeframe: 60 minutes per injection sequence.

Population: Success of anesthesia was determined by subject achieving maximal level (80) with testing device by 5th testing time period (17 min.) following injection and maintaining that maximal response for the remainder of the testing time.

An electric pulp tester will be used to test the lower jaw teeth (molars, premolars, and incisors) for anesthesia (numbness) in 4-minute time cycles for 60 minutes. Measurements of less than 80 on the EPT is considered not numb (anesthesia failure). Readings of 80 equate to anesthetic success.

Outcome measures

Outcome measures
Measure
Mepivacaine + Lidocaine
n=100 Participants
Clinical appointment where: 1.8cc 3% mepivacine + 1.8cc 2% lidocaine is injected.
Lidocaine + Lidocaine
n=100 Participants
Clinical appointment where - 1.8cc 2% lidocaine + 1.8cc 2% lidocaine is injected.
Number of Participants Achieving Pulpal Anesthesia Success.
44 Participants
40 Participants

Adverse Events

Treatment Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. John Nusstein

Division of Endodontics

Phone: 614-292-3596

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place