Efficacy of articaine anesthesia with needle-free/Comfort-in method and conventional needle injection in dental patients with irreversible pulpitis: a randomized clinical trial

Nogueira, Amanda Palmeira Arruda; Ferreira, Meire Coelho; MAIA, Cláudia de Castro Rizzi; Gonçalves, Bruna Laís Lins; Filho, Etevaldo Maia; Costa, Cyrene Piazera; Gavini, Giulio; Grazziotin-Soares, Renata; Carvalho, Ceci Nunes

doi:10.1007/s00784-024-05582-w

Clin Oral Invest

2024

DOI: 10.1007/s00784-024-05582-w

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Efficacy of articaine anesthesia with needle-free/Comfort-in method and conventional needle injection in dental patients with irreversible pulpitis: a randomized clinical trial

Amanda Palmeira Arruda Nogueira,

Meire Coelho Ferreira,

Cláudia de Castro Rizzi MAIA

et al.

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Application of articaine in endoscopic endonasal dacryocystorhinostomy: a retrospective study

Liu,

Shui,

Liu

et al. 2024

Front. Med.

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BackgroundTo investigate the comparative effects of local anesthesia using lidocaine with adrenaline vs. articaine with adrenaline in endoscopic endonasal dacryocystorhinostomy (EN-DCR).MethodsThis retrospective study included a total of 180 patients. These patients were categorized into two groups: the lidocaine group, which received 2% lidocaine (1:100,000 adrenaline), and the articaine group, which received 4% articaine (1:100,000 adrenaline) for local anesthesia. The study compared anesthesia efficacy, intraoperative pain levels, intraoperative bleeding, as well as differences in heart rate and blood pressure between the two groups.ResultsThe articaine group demonstrated a significantly lower visual analog scale (VAS) pain score when compared to the lidocaine group, measuring at 4.4 ± 0.6 cm vs. 5.0 ± 1.0 cm, respectively (P < 0.0001). Additionally, the articaine group exhibited a higher anesthesia efficacy compared to the lidocaine group (89.0% vs. 76.6%, p = 0.0487). Notably, the articaine group experienced less nasal mucosal bleeding during the surgery in contrast to the lidocaine group (p = 0.004). However, there were no statistically significant differences in changes in blood pressure and heart rate between the two groups (p > 0.05).ConclusionThis study demonstrated that 4% articaine (1:100,000 adrenaline) has superior clinical effectiveness in comparison to 2% lidocaine (1:100,000 adrenaline) in EN-DCR.

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Application of articaine in endoscopic endonasal dacryocystorhinostomy: a retrospective study

Liu,

Shui,

Liu

et al. 2024

Front. Med.

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Efficacy of articaine anesthesia with needle-free/Comfort-in method and conventional needle injection in dental patients with irreversible pulpitis: a randomized clinical trial

Cited by 1 publication

References 22 publications

Application of articaine in endoscopic endonasal dacryocystorhinostomy: a retrospective study

Application of articaine in endoscopic endonasal dacryocystorhinostomy: a retrospective study

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