Comparison of effectiveness of infiltration articaine and block of lidocaine on pulp therapy of primary mandibular second molar in children aged 8-10 years
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Abstract
Background and Objectives: Proper anesthesia and pain management during treatment are of the most important concerns in dentistry for people of all ages, especially children. This study compared the success rate of lidocaine block with articaine buccal infiltration during anesthesia of the primary mandibular second molars in children aged 8-10 years. Materials and Methods: The present clinical trial was conducted on 20 children aged 8-10 who referred to the Department of Pediatrics of the Faculty of Dentistry at Shahid Sadoughi University of Medical Sciences in Yazd (Iran) and needed to be treated with pulpotomy on both primary mandibular second molars. The patients were randomly divided into two groups. At the first session, a group received articaine buccal infiltration and the other group experienced inferior alveolar nerve block. At the next visit, this trend was reversed. Pain during pulpotomy and all vital signs were measured before and after each injection. For data analysis, by SPSS17 software using the Mann-Whitney and Wilcoxon tests were used. Results: According to the results, the pain during pulpotomy was significantly lower in the articaine group (P-value>0/001). Pulse and breathing changes were statistically significant before and after both injections (P-Value>0/001). Conclusion: The articaine buccal infiltration can be employed for the pulpotomy treatment in the primary mandibular second molars in children aged 8-10 years.
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11.Ram D, Amir E.Comparison of articaine 4% and lidocaine 2% in pediatric dental patients.Int J Paediatr Dent.2006;16(4):252-6.
12.Aggarwal V,Jain A,Kabi D.Anesthetic efficacy of supplemental buccal and lingual infiltrations of articaine and lidocaine after an inferior alveolar nerve block in patients with irreversible pulpitis.J Endod.2009;35(7):925-929.
13.Wright GZ1, Weinberger SJ, Marti R, Plotzke O.The effectiveness of infiltration anesthesia in the mandibular primary molar region.Pediatr Dent.1991;13(5):278-83.
14.Mohammad Dib Kanaa,John Martin Whitworth,Lan Porter carbett,John Gerard Meechan. Articaine and Lidocaine Mandibular Buccal Infiltration Anesthesia: A Prospective Randomized Double-Blind Cross-Over Study.2006;32(4):296-298.
2.Leith R,Lynch A,Oconnell A C.Articaine use in children:A review.Eur Archs Paediatr Dent J.2012;13(6):293-296
3.Fuks AB. Current concepts in vital primary pulp therapy. Eur J Paediatr Dent. 2002;3(3):115-120.
4.Bigby J, Reader AL, Nusstein J, Beck M ,Weaver J.Articaine for supplemental intraosseous anesthesia in patients with irreversible pulpitis.J of Endodontics.2006;32(11):1044-1047.
5.Malamed SF,Gaqnon D, Leblanc D.A comparison between articaine Hcl and lidocaine Hcl in pediatric dental patients.Pediatr Dent J.2000;22(4):307-11.
6.Baygin O, Tuzuner T, Isik B, Kusgoz A, Tanriver M. Comparison of pre-emptive ibuprofen, paracetamol, and placebo administration in reducing post-operative pain in primary tooth extraction. Int J Paediatr Dent.
7.Shields B, Palermo T, Powers J, Grewe S, Smith G. Predictors of a child's ability to use a visual analogue scale. Child: care, health and development. 2003;29(4):281-90
8.Kandasamy S,Elangoran R, Reena rachel J,Nantha kumar C.Removal of maxillary teeth with buccal 4% articaine without using palatal anesthesia-A comparative double blind study.J of oral and maxillofacial surgery,medicine and pathology.2014.
9.Casamassimo PS, Fields Jr HW, McTigue DJ, Nowak A. Pediatric dentistry: infancy through adolescence. 5th ed.: Elsevier Health Sciences; 2013:402-3.
10.Katyal V.The efficacy and safety of articaine versus lignocaine in dental treatment:A meta –analysis.Journal of dentistry.2010;38(4):307-317.
11.Ram D, Amir E.Comparison of articaine 4% and lidocaine 2% in pediatric dental patients.Int J Paediatr Dent.2006;16(4):252-6.
12.Aggarwal V,Jain A,Kabi D.Anesthetic efficacy of supplemental buccal and lingual infiltrations of articaine and lidocaine after an inferior alveolar nerve block in patients with irreversible pulpitis.J Endod.2009;35(7):925-929.
13.Wright GZ1, Weinberger SJ, Marti R, Plotzke O.The effectiveness of infiltration anesthesia in the mandibular primary molar region.Pediatr Dent.1991;13(5):278-83.
14.Mohammad Dib Kanaa,John Martin Whitworth,Lan Porter carbett,John Gerard Meechan. Articaine and Lidocaine Mandibular Buccal Infiltration Anesthesia: A Prospective Randomized Double-Blind Cross-Over Study.2006;32(4):296-298.
| Files | ||
| Issue | Vol 5, No 2 (Spring 2018) | |
| Section | Original Article(s) | |
| Keywords | ||
| Articaine Lidocaine Pulpotomy Local anesthesia. | ||
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How to Cite
1.
Bahrololoomi Z, Alinejhad D, Navabazam A, Amrollahi N, Asayesh A. Comparison of effectiveness of infiltration articaine and block of lidocaine on pulp therapy of primary mandibular second molar in children aged 8-10 years. J Craniomaxillofac Res. 2018;5(2):67-71.
