A comparative evaluation of 4% articaine and 2% lidocaine in mandibular buccal infiltration anesthesia: A clinical study

Maruthingal, Sunith; Mohan, Dennis; Maroli, Ramesh Kumar; Al-Ahmari, Ali; Al‐Qahtani, Ahmed; Alsadoon, Mohammed

doi:10.4103/2231-0762.167717

Cited by 19 publications

(15 citation statements)

References 18 publications

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“…For procedures in dental clinics, the use of anesthetic bases is essential for the conduction of the surgical procedure 18,19 ; the professional can use a variable range of anesthetics with their respective vasoconstrictors, however, 4% articaine with 1:100,000 epinephrine, 2% mepivacaine with 1:100,000 epinephrine and 2% lidocaine with epinephrine 1:100,000 are the devices more commonly used for anesthetic induction 20 , as can be seen in the present study.…”

Section: Discussionmentioning

confidence: 68%

Untitled

Moura¹,

Filho²,

Bezerra³

et al. 2019

Rev. da Fac. de Odontologia, UPF

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Introduction: establish an association between the radiographic classification and the surgical technique related to the lower third molars. Materials and method: a retrospective study was carried out, with the descriptive analysis of the data. The sample consisted of 100 patients (n = 100) from the spontaneous demand who sought out the Dental Clinic of UFC (Ceará's Federal University) -Campus Sobral, between december 2017 to july 2018, and who followed the inclusion criteria: patient with panoramic radiography, free of active periodontal disease and tooth with at least two thirds of root formation; and as exclusion criteria: patients with associated bone pathologies, teeth with less than two thirds of root formation and patients who did not wish to participate in the study. Results: patients included in the study were from 18 to 25 years of age, most of them male, with complaints of pain. Using the radiographic classification of Pell & Gregory, the most found positions were 1A (35%), 2B (28%) and 2A (17%). The most prevalent surgical techniques were the open ones. Could be done the extraction by closed surgical technique (forceps or lever) (n = 27), with flap preparation plus osteotomy (OST) (n = 25) and flap plus osteotomy plus odontostomy (ODS) (n = 48). Conclusion: teeth with radiographic classification, grade of inclusion and different preoperative plans had the same protocol (flap + OST + ODS) in the surgical act. It is evident that radiographic classification stills an effective method to aid in operative planning, but it can be complemented by other diagnostic standards, such as a specific classification of the root anatomy.

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Section: Discussionmentioning

confidence: 68%

Untitled

Moura¹,

Filho²,

Bezerra³

et al. 2019

Rev. da Fac. de Odontologia, UPF

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show abstract

“…Screening of titles and abstracts was carried out on the remaining 539 articles (after the duplicate removal). The full texts of the 13 potentially relevant papers were evaluated [6,8,[12][13][14][15][16][17][18][19][20][21][22], and 8 of them were excluded [6,8,[13][14][15]17,18,22]; the reasons for exclusion are presented in Table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Screening of titles and abstracts was carried out on the remaining 539 articles (after the duplicate removal). The full texts of the 13 potentially relevant papers were evaluated [ 6 8 12 13 14 15 16 17 18 19 20 21 22 ], and 8 of them were excluded [ 6 8 13 14 15 17 18 22 ]; the reasons for exclusion are presented in Table 1 . Therefore, five studies were included in this final systematic review [ 12 16 19 20 21 ] ( Fig.…”

Section: Resultsmentioning

confidence: 99%

Can single buccal infiltration with 4% articaine induce sufficient analgesia for the extraction of primary molars in children: a systematic literature review

Tirupathi

Rajasekhar²

2020

J Dent Anesth Pain Med

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This systematic review aims to determine if a single buccal infiltration (without palatal infiltration in the maxilla and Inferior Alveolar Nerve Block in the mandible) with 4% articaine can induce adequate analgesia for the extraction of primary molars (Maxillary and Mandibular) in children. PubMed, Ovid SP, and Embase were searched for studies published between January 1990 and March 2020 with the relevant MeSH terms. Titles and abstracts were screened preliminarily, followed by the full-texts of the included studies. Five articles were included for this systematic review. The outcome investigated was "Procedural pain during the extraction of primary molars after injection with single buccal infiltration of 4% articaine in comparison to single buccal infiltration, double infiltration (buccal and palatal/lingual), and inferior alveolar nerve block with 2% lignocaine." Of the five studies that evaluated subjective pain during extraction, two reported no significant difference between the articaine and lignocaine groups, and the remaining three reported lower subjective pain during extraction in the articaine group. Only two studies evaluated objective pain scores during extraction, and both studies reported lower pain scores in the articaine group. There is insufficient evidence to justify the statement that a single buccal infiltration of 4% articaine alone is sufficient for the extraction of primary molars. Further evidence is required to justify the claim that palatal infiltrations and IANB can be replaced with the use of 4% articaine single buccal infiltration for the extraction of primary molars in children.

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“…The onset of lidocaine is about 45-90 s and its duration of action is 10-20 min. It is about 95% metabolized in the liver [4].…”

Section: Objectivementioning

confidence: 99%

Local anesthetics and advances in their administration – an overview

Jung¹,

Rybak²,

Milner³

et al. 2017

J Pre Clin Clin Res.

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In dentistry nowadays, local anesthesia is the standard and the backbone for controlling pain Every year, researchers seek and develop new ways in which pain can be alleviated and managed better to ensure patient comfort by focusing on improving aspects such as anaesthetic agents, delivery devices and the techniques involved. The introduction of newer techniques assists dentists in providing enhanced pain relief with reduced pain from injection and fewer adverse reactions. Objective. The purpose of this overview is to highlight the mechanism and efficacy of certain anaesthetic agents, emphasizing complications associated with local anesthesia, as well as the modern techniques that have been developed to improve patient comfort and reduce pain while performing anaesthesia.

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A comparative evaluation of 4% articaine and 2% lidocaine in mandibular buccal infiltration anesthesia: A clinical study

Cited by 19 publications

References 18 publications

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Can single buccal infiltration with 4% articaine induce sufficient analgesia for the extraction of primary molars in children: a systematic literature review

Local anesthetics and advances in their administration – an overview

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