Comparative evaluation of effectiveness of intra-pocket anesthetic gel and injected local anesthesia during scaling and root planing – A split-mouth clinical trial

Chintala, Kalyan; Kumar, Sandhya Pavan; Murthy, K Raja V

doi:10.4103/ijdr.ijdr_489_16

Cited by 4 publications

(11 citation statements)

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“…Scaling and root planing (SRP) is the most used procedure in the non-surgical periodontal therapy, includes disruption and elimination of periodontal bio lms by mechanical removing of both living bacteria in the microbial plaque and calculus from the root surfaces [3,4]. As usually considered a painful procedure [5][6][7], SRP is performed under or without local anesthesia [7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of intraseptal anesthesia obtained by computer-controlled articaine with epinephrine delivery in scaling and root planing

et al. 2023

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The primary aim of this study was to compare the anesthetic e cacy of the intraseptal anesthesia (ISA) obtained with three doses of 4% articaine with 1:100,000 epinephrine (4%Ar + Ep) for scaling and root planing (SRP), using a computer-controlled local anesthetic delivery system (CCLADS). Secondary aims were to compare the clinical anesthetic parameters in relation to different jaw regions and examine the possible in uence of sex and smoking habits on them. Materials and MethodsSRP under ISA obtained with different doses (0.1 ml, 0.2 ml, and 0.3 ml) of 4%Ar + Ep was performed in 360 patients. The success rate, onset, duration of soft tissue anesthesia, the anesthetic eld widths were recorded by pinprick testing. ResultsThe anesthesia success was high (90-95%). The onset was immediate. The duration and anesthetic eld widths showed a dose-related signi cance, however without a consistent sex-related or smoking-related signi cance. The multiple logistic regression analysis revealed a 2-fold higher chance of anesthesia success by increasing the dose, and increased bleeding on probing-related and female sex-reduced probability of anesthesia success. ConclusionsISA obtained with 0.3 ml of 4%Ar + Ep delivered by computer-controlled local anesthetic delivery system provided a high anesthetic success and the adequate clinical anesthetic parameters for SRP in all regions of both jaws. Clinical RelevanceISA obtained with 4%Ar + Ep provides an effective anesthesia for SRP. Anesthetic success rate may be reduced in the presence of gingival in ammation and in females, as well.Study was registered in a Clinical Trials database (NCT04392804, registration date May 9 th , 2020).

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Section: Introductionmentioning

confidence: 99%

Efficacy of intraseptal anesthesia obtained by computer-controlled articaine with epinephrine delivery in scaling and root planing

et al. 2023

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“…The most prevalent periodontal condition in these studies was chronic periodontal disease, as mentioned in 26 studies [ 15 16 17 18 19 21 24 26 27 28 30 31 32 33 34 35 36 37 38 39 40 42 43 44 45 46 ]. Surgeries such as gingivectomy and clinical crown augmentation were addressed in five studies [ 20 23 25 29 41 ].…”

Section: Resultsmentioning

confidence: 96%

“…The most prevalent study design was the parallel design, which was used in 15 studies [ 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 ], followed by the split-mouth design, which was used in 10 [ 30 31 32 33 34 35 36 37 38 39 ], and the crossover design, which was used in 7 studies [ 40 41 42 43 44 45 46 ].…”

Section: Resultsmentioning

confidence: 99%

“…The number of patients included in the studies ranged from 7 to 122. Some studies showed a higher prevalence of female participants [ 15 16 18 20 21 25 26 36 38 40 42 43 44 ], whereas others showed a higher number of male participants [ 17 19 23 26 27 31 32 33 34 35 37 39 45 46 ]. Four studies did not provide information on sex [ 22 24 29 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the study population, 12 (38%) studies did not include patients with systemic conditions, such as diabetes and hypertension [ 17 18 23 24 26 27 28 29 43 44 45 46 ], and 18 (56%) included these patients as long as the disease was controlled or did not interfere with their oral condition [ 15 19 20 21 22 25 30 31 32 33 34 35 36 37 38 39 40 42 ]. Two (6%) studies did not provide this information [ 16 41 ].…”

Section: Resultsmentioning

confidence: 99%

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Pain management in periodontal therapy using local anesthetics and other drugs: an integrative review

Santos,

Huller,

Brigola

et al. 2023

J Dent Anesth Pain Med

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Background Surgical and non-surgical periodontal procedures often lead to postoperative pain. Clinicians use pharmacological methods such as anesthetics, anti-inflammatory drugs, and analgesics for relief. However, the multitude of options makes it challenging to select the best approach for routine dental care. Objective This review aimed to describe previous studies regarding the pharmacological management used for pain control during periodontal procedures as well as factors that may interfere with patients' perception of pain. Methods We included studies (period of 2000–2023, whose approach corresponded to the pharmacological protocols used for preoperative, trans-operative, and postoperative pain control in adult patients undergoing surgical and non-surgical periodontal therapy. Results A total of 32 studies were included in the analysis, of which 17 (53%) were related to anesthetic methods and 15 (47%) were related to therapeutic protocols (anti-inflammatory/analgesic agents). These studies predominantly involved nonsurgical periodontal procedures. Studies have reported that factors related to age, type of procedure, and anxiety can influence pain perception; however, only seven of these studies evaluated anxiety. Conclusions Numerous methods for pain control can be applied in periodontal therapy, which are accomplished through anesthetic methods and/or therapeutic protocols. Factors such as anxiety, age, and type of procedure are related to pain perception in patients. Thus, it is the responsibility of dentists to evaluate each clinical situation and define the best protocol to follow based on the literature.

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Evaluation of acceptance and preference of topical lidocaine application versus articaine injection anesthesia after nonsurgical periodontal treatment: A randomized clinical trial

Dörfer,

Chmiela,

Arweiler

et al. 2024

Journal of Periodontology

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BackgroundTo compare acceptance and preference of topical lidocaine gel anesthesia with articaine injection anesthesia in patients with moderate periodontitis undergoing scaling and root debridement.MethodsNinety‐one patients completed this randomized multicenter split‐mouth controlled study and underwent two separate periodontal treatment sessions on different days, one with a topical intrapocket lidocaine gel application and the other with an articaine injection anesthesia in a different order depending on randomization. Parameters measured were the patients’ preference for topical lidocaine gel anesthesia or injection anesthesia with articaine (primary efficacy criterion), their maximum and average pain, and their intensity of numbness as well as experience of side effects; the probing depth; and the dentists’ preference and their evaluations of handling/application, onset and duration of anesthetic effect, and patient compliance.ResultsAfter having experienced both alternatives, 58.3% of the patients preferred the topical lidocaine gel instillation into the periodontal pockets. The safety profile of the lidocaine gel differed positively from the safety profile of articaine injection in type and frequency of adverse drug reactions. The dentistsʼ acceptance and preference regarding either anesthetic method studied were balanced.ConclusionsInstillation of lidocaine gel into the periodontal pocket is a preferred alternative to injection anesthesia for most of the patients and an equivalent alternative for dentists in nonsurgical periodontal therapy.

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Comparative evaluation of effectiveness of intra-pocket anesthetic gel and injected local anesthesia during scaling and root planing – A split-mouth clinical trial

Abstract: Intra-pocket administration of 20% benzocaine gel may be effective for pain control during SRP and may offer an alternative to conventional injection anesthesia.

Cited by 4 publications

References 1 publication

Efficacy of intraseptal anesthesia obtained by computer-controlled articaine with epinephrine delivery in scaling and root planing

Efficacy of intraseptal anesthesia obtained by computer-controlled articaine with epinephrine delivery in scaling and root planing

Pain management in periodontal therapy using local anesthetics and other drugs: an integrative review

Evaluation of acceptance and preference of topical lidocaine application versus articaine injection anesthesia after nonsurgical periodontal treatment: A randomized clinical trial

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