Modified Mylohyoid Nerve Anesthesia/Block With 4% Articaine and Dexamethasone Versus Halstead’s IANB With 2% Lidocaine in Mandibular Molar Surgery: A Comparative Analysis of Efficacy and Safety Outcomes

03 June 2026 : Clinical Research

Kristina Burić^{ABE 1*}, Simona Stojanović^{C 1}, Miloš Tijanic^{CD 1}, Nikola Burić^{BE 2}

DOI: 10.12659/MSM.951821

Med Sci Monit 2026; 32:e951821

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Table 1 Demographic and clinical data of the operated patients enrolled for the evaluation of anesthesia effectiveness.

Characteristic	Group 1 (Modified mylohyoid technique of local anesthesia involving articaine with epinephrine and dexamethasone)		Group 2 (Modified mylohyoid technique of local anesthesia involving articaine with epinephrine)		Group 3 (Halsted’s technique, involving lidocaine with epinephrine)		P1
Age	31.50±14.04		30.34±11.71		30.55±14.02		0.958²
Sex
Male	11	55.0	9	45.0	12	60.0	0.625
Female	9	45.0	11	55.0	8	40.0
Impaction	15/20		15/20		17/20		0.827
Cystis	1/20		1/20		0/20
RR (residual root)	1/20		2/20		1/20
Tumor	1/20		1/20		0/20
The rest of the periapical pathologies	2/20		1/20		2/20
DOS	35.20±15.02		36.85±10.65		31.80±11.56		0.398²
Tooth 35	0/20		1/20		0/20
Tooth 36	0/20		2/20		0/20
Tooth 37	0/20		1/20		0/20
Tooth 38	8/20		10/20		9/20
Tooth 46	1/20		1/20		0/20
Tooth 47	4/20		1/20		0/20
Tooth 48	10/20		20/20		20/20
M – male; F – female; RR – residual root(s); Pts. – patients; DOS (minutes); ¹ Chi-squared test; ² Kruskal-Wallis test.

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