Intrapocket Anesthesia for Scaling and Root Planing: Results of a Double‐Blind Multicenter Trial Using Lidocaine Prilocaine Dental Gel

Abstract

Intrapocket administration of lidocaine 25 mg/g plus prilocaine 25 mg/g and thermosetting agents may be effective for pain control for scaling and root planing and may offer an alternative to infiltration anesthesia.

Topical Intrapocket Anesthesia During Scaling and Root Planing: a Randomized Clinical Trial

“…However, mean operating time was nearly 30 min for each tooth. This longer operating time in comparison to that reported in other studies involving topical anesthetics (8)(9)(10), likely explains the higher pain scores. It should be pointed out that mean pocket depth and operating time were similar among the anesthetic modalities, which reduces the possibility of bias.…”

“…A number of studies evaluating topical intrapocket anesthesia have used Oraqix, which was developed for periodontal use and has demonstrated satisfactory effectiveness for subgingival SRP (3,(7)(8)(9). Oraqix was found to be safe and effective at doses ranging from 3.5 g (2.5 mL) (15) to 8.5 g (6 mL) (16) per session of subgingival SRP.…”

“…While injectable anesthetics are effective in controlling pain, many patients report fear of the needle, long-lasting effects and the prolonged numbness of adjacent tissues, such as the lips and tongue (3)(4)(5). The need for painless, noninvasive, fast-acting anesthetics with effectiveness only during the procedure has led to the investigation of the use of substances with topical application during SRP (3,(6)(7)(8)(9)(10)(11) and periodontal maintenance (12). It has recently been demonstrated that the use of a topical anesthetic does not compromise subgingival treatment and offers similar benefits to pocket probing and clinical attachment gain to an injectable anesthetic (13).…”

“…This product has proven to be a reliable alternative to injectable anesthesia (7)(8)(9). A eutectic mixture denominated EMLA ® has the same composition as Oraqix, but is offered at a lower cost.…”

<i>In vitro</i> oral epithelium cytotoxicity and <i>in vivo</i> inflammatory inducing effects of anesthetic rice gel

“…In addition, they have been widely studied and reported on relative low side effects than the others in the same group based on chemical structure (25,26). The use of lidocaine and prilocaine gel for intrapocket anesthesia demonstrates the high potency for pain relive in scaling and root planing procedure (27). However, there was not well investigated on the toxicity and inflammatory inducing effects of lidocaine and prilocaine to gingival tissue which might be occurred during dental procedures.…”