Comparison of articaine 4% and lidocaine 2% in paediatric dental patients

Ram, Diana; Amir, Eli

doi:10.1111/j.1365-263x.2006.00745.x

Cited by 54 publications

(73 citation statements)

References 8 publications

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“…This was not confirmed in our study using the intraligamental technique; in fact the opposite was seen at the 5-min time point after general anaesthetic recovery. Other studies in older children (5-13 years) have shown that articaine 4% had a longer duration of numbness in soft tissues than lignocaine 2%, but this was when used as a regional block 15 .…”

Section: Discussionmentioning

confidence: 98%

Randomized controlled trial of the intraligamental use of a local anaesthetic (lignocaine 2%) versus controls in paediatric tooth extraction

Sammons¹,

Unsworth²,

Gray³

et al. 2007

Int J Paed Dentistry

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Section: Discussionmentioning

confidence: 98%

Randomized controlled trial of the intraligamental use of a local anaesthetic (lignocaine 2%) versus controls in paediatric tooth extraction

Sammons¹,

Unsworth²,

Gray³

et al. 2007

Int J Paed Dentistry

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“…82 Articaine has been as effective as lignocaine when used in patients aged 4-12 83 and 5-13. 84 Articaine IO injections in 4-16-year-old children were able to provide successful anaesthesia for a high proportion of deciduous and permanent teeth, with a significantly higher success rate in maxillary teeth. 85 The available literature on articaine use in children shows that it is safe and effective for clinical procedures in children of all ages.…”

Section: Use In Childrenmentioning

confidence: 99%

Articaine: a review of the literature

Yapp¹,

Hopcraft

Parashos

2011

Br Dent J

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“…There may be enhanced sedative effects when the highest recommended doses of local anesthetic drugs are used in combination with other sedatives or narcotics (see Tables 2 and 3 for limits and conversion tables of commonly used local anesthetics). 64,[144][145][146][147][148][149][150][151][152][153][154][155][156][157] In general, when administering local anesthetic drugs, the practitioner should aspirate frequently to minimize the likelihood that the needle is in a blood vessel; lower doses should be used when injecting into vascular tissues. 158 …”

Section: Local Anesthetic Agentsmentioning

confidence: 99%

Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures: An Update

Coté¹,

Wilson²

2006

Pediatrics

517

150

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The safe sedation of children for procedures requires a systematic approach that includes the following: no administration of sedating medication without the safety net of medical supervision; careful presedation evaluation for underlying medical or surgical conditions that would place the child at increased risk from sedating medications; appropriate fasting for elective procedures and a balance between depth of sedation and risk for those who are unable to fast because of the urgent nature of the procedure; a focused airway examination for large tonsils or anatomic airway abnormalities that might increase the potential for airway obstruction; a clear understanding of the pharmacokinetic and pharmacodynamic effects of the medications used for sedation, as well as an appreciation for drug interactions; appropriate training and skills in airway management to allow rescue of the patient; age-and size-appropriate equipment for airway management and venous access; appropriate medications and reversal agents; sufficient numbers of people to carry out the procedure and monitor the patient; appropriate physiologic monitoring during and after the procedure; a properly equipped and staffed recovery area; recovery to presedation level of consciousness before discharge from medical supervision; and appropriate discharge instructions. This report was developed through a collaborative effort of the American Academy of Pediatrics and the American Academy of Pediatric Dentistry to offer pediatric providers updated information and guidance in delivering safe sedation to children. INTRODUCTIONInvasive diagnostic and minor surgical procedures on pediatric patients outside the traditional operating room setting have increased in the last decade. As a consequence of this change and the increased awareness of the importance of providing analgesia and anxiolysis, the need for sedation for procedures in physician offices, dental offices, subspecialty procedure suites, imaging facilities, emergency departments, and ambulatory surgery centers has also markedly increased. In recognition of this need for both elective and emergency use of sedation in nontraditional

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Comparison of articaine 4% and lidocaine 2% in paediatric dental patients

Abstract: Articaine 4% with 1 : 200 000 epinephrine is as effective as lidocaine 2% with 1 : 100 000 epinephrine. The effect of numbness of soft tissues was longer lasting with articaine than with lidocaine.

Cited by 54 publications

References 8 publications

Randomized controlled trial of the intraligamental use of a local anaesthetic (lignocaine 2%) versus controls in paediatric tooth extraction

Randomized controlled trial of the intraligamental use of a local anaesthetic (lignocaine 2%) versus controls in paediatric tooth extraction

Articaine: a review of the literature

Guidelines for Monitoring and Management of Pediatric Patients During and After Sedation for Diagnostic and Therapeutic Procedures: An Update

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