Evaluation of the success of the modified Vazirani-Akinosi technique in comparison to the standard Vazirani-Akinosi technique: A randomized clinical trial

Introduction/Objective. The correct choice of local anesthesia should imply choosing the simplest technique, with maximum and minimal discomfort for patient. objectives this research were to determine efficacy modified Vazirani?Akinosi technique (mVAt) in comparison standard one (VAt) compare techniques regarding clinically relevant parameters. Methods. was conducted at Clinic Oral Surgery, School Dental Medicine, University Belgrade. A prospective, randomized, single-blinded clinical trial included 60 patients scheduled surgical extraction mandibular third molars. first group anesthetized using mVAt, while second received VAt. Pain during injection, onset time, duration anesthesia, width area evaluated Results. Out performed injections, 42 successful, which proved be statistically significant 18 unsuccessful injections (p = 0.047). failure rate buccal nerve (BN) significantly lower mVAt 0.030). There no difference among groups considering pain 0.114), time 0.370), 0.628). Conclusion. more successful BN anesthesia. Considering other examined parameters, both showed similar performance.