| Anesthetic Efficacy of 1.8 mL versus 3.6 mL of 4% Articaine with 1:100,000 Epinephrine as a Primary Buccal Infiltration of the Mandibular First Molar. | |
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MedLine Citation:
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PMID: 21496653 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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INTRODUCTION: No study has compared 1.8 mL and 3.6 mL 4% articaine with 1:100,000 epinephrine in a mandibular buccal infiltration of the first molar. The authors conducted a prospective, randomized, single-blind, crossover study comparing the degree of pulpal anesthesia obtained with 1.8 mL and 3.6 mL 4% articaine with 1:100,000 epinephrine as a primary infiltration in the mandibular first molar. METHODS: Eighty-six asymptomatic adult subjects randomly received a primary mandibular buccal first molar infiltration of 1.8 mL or 3.6 mL 4% articaine with 1:100,000 epinephrine in two separate appointments. The authors used an electric pulp tester to test the first molar for anesthesia in 3-minute cycles for 90 minutes after the injections. RESULTS: Compared with the 1.8-mL volume of 4% articaine with 1:100,000 epinephrine, the 3.6-mL volume showed a statistically higher success rate (70% vs 50%). CONCLUSIONS: The anesthetic efficacy of 3.6 mL 4% articaine with 1:100,000 epinephrine is better than 1.8 mL of the same anesthetic solution in a primary mandibular buccal infiltration of the first molar. However, the success rate of 70% is not high enough to support its use as a primary injection technique in the mandibular first molar. |
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Authors:
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Matthew Martin; John Nusstein; Melissa Drum; Al Reader; Mike Beck |
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Publication Detail:
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Type: Journal Article Date: 2011-03-10 |
Journal Detail:
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Title: Journal of endodontics Volume: 37 ISSN: 1878-3554 ISO Abbreviation: J Endod Publication Date: 2011 May |
Date Detail:
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Created Date: 2011-04-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7511484 Medline TA: J Endod Country: United States |
Other Details:
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Languages: eng Pagination: 588-92 Citation Subset: D |
Copyright Information:
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Copyright © 2011 American Association of Endodontists. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Private Practice, Richardson, Texas. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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