Anesthetic efficacy of four percent articaine for pulpal anesthesia by using inferior alveolar nerve block and buccal infiltration techniques in patients with irreversible pulpitis: a prospective randomized double-blind clinical trial.

Abstract:

INTRODUCTION:The study was designed as a randomized double-blind trial to evaluate the anesthetic efficacy of 4% articaine with 1:100,000 epinephrine in inferior alveolar nerve block (IANB) and infiltration anesthetic techniques to anesthetize mandibular molars with irreversible pulpitis. METHODS:The study was composed of 2 test arms and 1 control arm. Subjects in the test arms received either a standard IANB or a buccal infiltration (B Infil) of 4% articaine with 1:100,000 epinephrine, whereas the subjects in the control arm received a standard IANB of 2% lidocaine with 1:100,000 epinephrine. Subject's self-reported pain response was recorded on Heft Parker Visual Analogue Scale after local anesthetic administration during access preparation and pulp extirpation. RESULTS:For statistical analysis Pearson χ(2), Student's paired t test, 1-way analysis of variance, and Friedman tests showed no significant difference in success rates among the 3 arms of the trial. CONCLUSIONS:Although B Infil and IANB of 4% articaine were equally effective, B Infil can be considered a viable alterative in IANB for pulpal anesthesia in mandibular molars with irreversible pulpitis.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Poorni S,Veniashok B,Senthilkumar AD,Indira R,Ramachandran S

doi

10.1016/j.joen.2011.09.009

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

1603-7

issue

12

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(11)01082-X

journal_volume

37

pub_type

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