Pain perception and efficacy of local analgesia using 2% lignocaine, buffered lignocaine, and 4% articaine in pediatric dental procedures

Afsal, M.M; Khatri, Amit; Kalra, Namita; Tyagi, Rishi; Khandelwal, Deepak

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자료유형: 학술저널

저자정보: Afsal, M.M (Department of Pedodontics and Preventive Dentistry, UCMS [University of Delhi] & GTB Hospital) Khatri, Amit (Department of Pedodontics and Preventive Dentistry, UCMS [University of Delhi] & GTB Hospital) Kalra, Namita (Department of Pedodontics and Preventive Dentistry, UCMS [University of Delhi] & GTB Hospital) Tyagi, Rishi (Department of Pedodontics and Preventive Dentistry, UCMS [University of Delhi] & GTB Hospital) Khandelwal, Deepak (Department of Pedodontics and Preventive Dentistry, UCMS [University of Delhi] & GTB Hospital)

저널정보: 대한치과마취과학회 Journal of dental anesthesia and pain medicine Journal of dental anesthesia and pain medicine 제19권 제2호

발행연도: 2019.1

수록면: 101 - 109 (9page)

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연구방법

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Background: The purpose of this study was to compare the pain perception and anesthetic efficacy of 2% lignocaine with 1:200,000 epinephrine, buffered lignocaine, and 4% articaine with 1:200,000 epinephrine for the inferior alveolar nerve block. Methods: This was a double-blind crossover study involving 48 children aged 5-10 years, who received three inferior alveolar nerve block injections in three appointments scheduled one week apart from the next. Pain on injection was assessed using the Wong-Baker Faces pain scale and the sound eye motor scale (SEM). Efficacy of anesthesia was assessed by subjective (tingling or numbness of the lip, tongue, and corner of mouth) and objective signs (pain on probing). Results: Pain perception on injection assessed with Wong-Baker scale was significantly different between buffered lignocaine and lignocaine (P < 0.001) and between buffered lignocaine and articaine (P = 0.041). The onset of anesthesia was lowest for buffered lignocaine, with a statistically significant difference between buffered lignocaine and lignocaine (P < 0.001). Moreover, the efficacy of local analgesia assessed using objective signs was significantly different between buffered lignocaine and lignocaine (P < 0.001) and between lignocaine and articaine. Conclusion: Buffered lignocaine was the least painful and the most efficacious anesthetic agent during the inferior alveolar nerve block injection in 5-10-year-old patients.

#Articaine #Buffers #Lignocaine #Pain Scale

참고문헌 (23)

참고문헌 신청

Gorczyca R / 2013 / Psychological aspects of pain / Ann Agric Environ Med 20:23~27

Malamed SF / 2012 / Handbook of local anesthesia / Mosby :58~63

Chopra R / 2016 / Double-blind crossover study to compare pain experience during inferior alveolar nerve block administration using buffered two percent lidocaine in children / Pediatr Dent 38:25~29

Ferger P / 1973 / A new anesthetic in dental prosthetics / Dtsch Zahnarztl Z 28:87~89

Al-Samadani KH / 2015 / Effectiveness of benzocaine in reducing deep cavity restoration and post-extraction stress in dental patients / Saudi Med J 36:1342~1347

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