| Anesthetic efficacy of supplemental buccal and lingual infiltrations of articaine and lidocaine after an inferior alveolar nerve block in patients with irreversible pulpitis. | |
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MedLine Citation:
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PMID: 19567309 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION: The success rate of inferior alveolar nerve block (IANB) decreases in patients with irreversible pulpitis. It was hypothesized that supplemental infiltration of lidocaine and articaine may improve the success rates. METHODS: Eighty-four adult volunteers, actively experiencing pain, participated in this prospective, randomized, double-blinded study. All patients received standard IANB of 2% lidocaine with 1:200,000 epinephrine. Twenty-four patients did not receive supplemental infiltrations (control). Thirty patients received supplemental buccal and lingual infiltrations of 2% articaine with 1:200,000 epinephrine, and 30 patients received buccal and lingual infiltrations of 2% lidocaine with 1:200,000 epinephrine at 2 minutes after the IANB. Endodontic access preparation was initiated after 15 minutes of initial IANB. Pain during treatment was recorded by using a Heft Parker visual analog scale. Success was recorded as "none" or "mild" pain. RESULTS: Statistical analysis using nonparametric McNemer tests showed that supplemental buccal and lingual infiltration of 2% lidocaine with 1:200,000 epinephrine or 4% articaine with 1:200,000 epinephrine improved the success rate from 33% to 47% and 67%, respectively. Also the success rate with 4% articaine with 1:200,000 epinephrine was significantly more than 2% lidocaine with 1:200,000 epinephrine (p < 0.05). CONCLUSIONS: Although supplemental buccal and lingual infiltrations of 4% articaine or 2% lidocaine increased the success rate of the inferior alveolar nerve block in patients with irreversible pulpitis, none of the techniques provided acceptable success rates. |
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Authors:
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Vivek Aggarwal; Anurag Jain; Debipada Kabi |
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Publication Detail:
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Type: Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Journal of endodontics Volume: 35 ISSN: 1878-3554 ISO Abbreviation: J Endod Publication Date: 2009 Jul |
Date Detail:
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Created Date: 2009-07-01 Completed Date: 2009-10-05 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: 925-9 Citation Subset: D |
Affiliation:
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Department of Dental Surgery, Safdarjung Hospital, New Delhi, India. drvivekaggarwal@gmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Administration, Buccal Adult Anesthesia, Dental / methods* Anesthesia, Local / methods* Anesthetics, Local / administration & dosage* Carticaine / administration & dosage Double-Blind Method Female Humans Lidocaine / administration & dosage Male Mandibular Nerve Nerve Block / methods* Pain Measurement Prospective Studies Pulpitis / therapy* Root Canal Therapy* Tongue Treatment Failure Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Anesthetics, Local; 137-58-6/Lidocaine; 23964-58-1/Carticaine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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