Abstract
Objectives: This study was done to compare the anesthetic efficacy of 4% articaine with 1:100,000 epinephrine with that of 2% lidocaine with 1:80,000 epinephrine during pulpectomy in patients with irreversible pulpitis for inferior alveolar nerve block in mandibular posterior teeth. Material and Methods: Patients with irreversible pulpitis referred to the Department of Conservative Dentistry and Endodontics, K.D. Dental College, randomly received a conventional inferior alveolar nerve block containing 1.8 mL of either 4% articaine with 1:100,000 epinephrine or 2% lidocaine with 1:80,000 epinephrine. After the patient’s subjective assessment of lip anesthesia, the absence/presence of pulpal anesthesia through electric pulp stimulation was recorded and the absence/presence of pain was recorded through visual analogue scale. Results: The pulpal anesthesia success for articaine (76%) was slightly more than with lidocaine (58%) as measured with pulp tester as well as for the pain reported during the procedure the success rate of articaine (88%) was slightly more than that of lidocaine (82%) although the difference between the two solutions was not statistically significant. Conclusions: Both the local anesthetic solutions had similar effects on patients with irreversible pulpitis when used for inferior alveolar nerve block. Key words:Anesthesia, articaine, lignocaine, pulpitis.
Highlights
Articaine comparatively is a new anesthetic, which has recently been introduced in Brazil and was approved for use in the United States in April 2000 [1]
Articaine is the center of heated discussions among dental surgeons as it has a faster onset and higher success rates than lidocaine as well as it has been demonstrated to increase the risk of paresthesia which could not be cone520
38 patients [76%] of the articaine group and 29 patients [58%] of the lidocaine group exhibited pulpal anesthesia (Fig. 1), i.e., a negative response to electrical stimuli generated with an electric pulp tester
Summary
Articaine comparatively is a new anesthetic, which has recently been introduced in Brazil and was approved for use in the United States in April 2000 [1]. It is the most commonly used local anesthetic in Canada and in several European countries [2,3]. To contribute to a more profound knowledge about the quality of articaine as a local anesthetic for endodontic treatments, the purpose of the present study was to compare the anesthetic efficacy of 4% articaine with 1:100,000 epinephrine with 2% lidocaine with 1:80,000 epinephrine for IAN blocks in patients with mandibular posterior teeth experiencing pulpitis
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