Effectiveness of 5% EMLA Cream versus 20% Benzocaine Gel as Topical Anesthetics in Dentistry

Al-Weshah, Moeen; Algananeem, Muna; Alsakarna, Basma

doi:10.12816/0039641

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…The results of our study are in agreement with that reported by AlWeshah et al [ 11 ], in which the authors compared 5% EMLA and 20% benzocaine as topical anesthetics for palatal injections. Authors concluded that EMLA was more effective than benzocaine.…”

Section: Discussionsupporting

confidence: 93%

Comparing the Efficacy of 5% EMLA Cream and 20% Benzocaine Gel on Gingival Tissue Surrounding Non-Carious Cervical Lesions for Reduction of Pain Following Rubber Dam Clamp Placement: A Split-Mouth Randomized Clinical Trial

Naik,

Sharma,

Jain

et al. 2024

Cureus

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Aim The aim of this study was to evaluate the effectiveness of 5% eutectic mixture of local anesthetics (EMLA) cream and 20% benzocaine gel in reduction of pain during rubber dam clamp placement in the treatment of non-carious cervical lesions (NCCLs). Methodology In this split-mouth single-blind randomized clinical trial, 50 adult participants were selected from the outpatient department. The test group was treated using 5% EMLA cream for three minutes, and visual analog scale (VAS) scores were recorded. The comparison group was treated using 20% benzocaine gel and procedure was repeated as that in the test group. After recording the VAS scores, NCCLs in both the groups were restored using composite restoration. Results In the included 50 participants, 70% were males, with an age group of 31-67 years. The mean VAS score at 3 minutes in EMLA group was significantly lower than that in benzocaine group. Conclusion Application of 5% EMLA cream for 3 minutes showed greater pain reduction during rubber dam clamp placement as compared to 20% benzocaine gel in adult patients with NCCLs.

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Section: Discussionsupporting

confidence: 93%

Comparing the Efficacy of 5% EMLA Cream and 20% Benzocaine Gel on Gingival Tissue Surrounding Non-Carious Cervical Lesions for Reduction of Pain Following Rubber Dam Clamp Placement: A Split-Mouth Randomized Clinical Trial

Naik,

Sharma,

Jain

et al. 2024

Cureus

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“…Since the 1980s, dermatologists have been making use of EMLA cream, which is a mixture of prilocaine (2.5%) and lidocaine (2.5%), as a topical anesthetic [ 7 ]. Studies have shown that EMLA is very effective at reducing the amount of pain that is experienced during the process of needle insertion [ 7 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Efficacy of Eutectic Mixture of Local Anesthetics (EMLA) Versus Ice as Topical Anesthetics Prior to Long Buccal Nerve Blocks: A Prospective Comparative Study

Pattabhi,

Lakshmanan

et al. 2023

Cureus

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Background Dental extraction is one of the common procedures in the field of dentistry. However, fear and anxiety about local anesthetic injections are unavoidable for most patients. Topical anesthetics, distraction techniques, acupuncture, and the application of heat or cold have been used in practice to alleviate injection-related pain. The specific aim of this study was to compare the pain-relieving efficacy of eutectic mixture of local anesthetics (EMLA) vs. ice during the administration of a long buccal nerve block (LBNB) before dental extraction. Materials and Methods In total, 20 healthy adult patients who required bilateral mandibular posterior teeth extraction under local anesthesia were enrolled. The study was conducted in the Department of Oral and Maxillofacial Surgery, Saveetha Dental College and Hospitals, Chennai, from January 2023 to May 2023. It was a prospective split-mouth study in which each participant was divided into two groups according to the operative site: Group 1, which received a 5% EMLA cream, and Group 2, which received an application of ice before administration of LBNB. There was a one-week interval between the two interventions. The levels of pain and satisfaction were assessed using the visual analogue scale (VAS) and pain perception was evaluated by the sound, eye, motor (SEM) scale. Mann-Whitney U test was applied for the statistical analysis. Results The study included a total of 20 participants, with 14 being male and six being female. The mean age of the study population was 42 ± 15 years. When analyzing the pain scores using the VAS, it was found that Group 1 had a mean score of 2.4 ± 0.44, while Group 2 had a mean score of 3.0 ± 0.44. This difference between the two groups was statistically significant (P = 0.001). It was also found that the mean patient satisfaction score for Group 1 was 9.8 ± 0.22 and for Group 2 was 9.2 ± 0.40 which was statistically significant (p = 0.003). Similarly, Group 1 had a mean SEM score of 1.1 ± 0.1, while Group 2 had a mean SEM score of 1.30 ± 0.46 which was also statistically significant (P =0.016). Conclusion The study results revealed that EMLA has a significant advantage over ice in terms of lower levels of pain, more patient satisfaction, and higher comfort levels. EMLA can be considered the first choice of topical anesthetics, however, ice is recommended in resource-constrained dental set-ups as it is cost-effective.

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“…It was first utilized orally by Holst and Evers 2 and their results proved good efficiency in the gingiva. Application of EMLA cream for reduction of pain from needle insertion has been documented by several studies 3,4 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of EMLA Cream versus Mucosal Vibration or Pre-cooling Systems as Topical Anesthetic Agents in Children

2022

Mansoura Journal of Dentistry

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Objective: Comparing EMLA cream versus mucosal vibration or pre-cooling systems as preanesthetic techniques to reduce pain associated with dental injection in children. Materials and Methods: Fifty children categorized as positive or definitely positive according to Frankl scale (behavior rating scale) and aged from 5-7 years were selected. They were indicated for bilateral inferior alveolar nerve block for dental treatment and selected from the pediatric dental clinic, Faculty of Dentistry, Mansoura University. Children were randomly divided into two equal groups, in which the injection site was prepared using mucosal vibration with electric tooth brush in group (A) and pre-cooling with iced cotton bud in group (B). In both groups, EMLA topical anesthetic cream was used in the injection site of opposite side as a control. Pain perception was assessed using Wong-Baker Faces Pain Scale (WBFPS) and Sound, Eye, and Motor scale (SEM). Data were collected, tabulated and statistically analyzed.Results: Pain perception during injection was significantly lower in the EMLA compared to the precooling technique. However, there was no statistically significant difference between EMLA and vibration as indicated by WBFPS (P < 0.05). Regarding SEM scale, there was no statistically significant difference in the behavioral feedback of children during injection. However, better results were shown with EMLA followed by vibration then pre-cooling. Conclusion: EMLA topical cream and vibration techniques were more effective than pre-cooling technique in reducing the pain associated with local anesthesia injection.

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Effectiveness of 5% EMLA Cream versus 20% Benzocaine Gel as Topical Anesthetics in Dentistry

Cited by 4 publications

References 21 publications

Comparing the Efficacy of 5% EMLA Cream and 20% Benzocaine Gel on Gingival Tissue Surrounding Non-Carious Cervical Lesions for Reduction of Pain Following Rubber Dam Clamp Placement: A Split-Mouth Randomized Clinical Trial

Comparing the Efficacy of 5% EMLA Cream and 20% Benzocaine Gel on Gingival Tissue Surrounding Non-Carious Cervical Lesions for Reduction of Pain Following Rubber Dam Clamp Placement: A Split-Mouth Randomized Clinical Trial

Efficacy of Eutectic Mixture of Local Anesthetics (EMLA) Versus Ice as Topical Anesthetics Prior to Long Buccal Nerve Blocks: A Prospective Comparative Study

Comparison of EMLA Cream versus Mucosal Vibration or Pre-cooling Systems as Topical Anesthetic Agents in Children

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