Year : 2019

Volume : Volume 10

Issue : Issue 2

Address for correspondence :
Dr. Vikrant Kumar.
VikrantKumar@gmail.com

Abstract

Background:  It is difficult to achieve adequate anesthesia by infiltration of lidocaine especially into the mandible because of the thick buccal cortical bone. An inferior alveolar nerve block is often used but it is technique sensitive also has a high failure rate. The aim of this study was to compare the efficacy of 4% articaine versus 2% lidocaine, both containing epinephrine, using a single buccal infiltration for endodontic procedure in Pediatric patient. This randomized cross-over clinical trial was performed on 50 children (5‒8 years of age), referred to the Department of Pediatric Dentistry, Kalka Dental College and Research Centre, who needed endodontic treatment in mandibular primary molars. The Wong-Baker Facial Pain Scale (FPS), and the sound eye motor scale (SEM) was used to evaluate pain perception. Patients’ feeling during injection and their behaviour during treatment and postoperative complications were registered. The heart rate and the blood pressure values were assessed objectively as an indirect measure of physiological pain perception. Mean pain scores, heart rate, and blood pressure in both the groups were compared by Wilcoxon-Mann-Whitney test. A significant level of differences was taken as P≤0.05. Articaine is more successful to provide adequate anaesthesia .Articaine buccal infiltration can be used successfully in endodontic treatment of mandibular primary molars.

Keywords: Lignocaine, Articaine, Nerve block, Local infiltration.