| Comparison of anesthetic efficacy of 4% articaine and 2% lidocaine for maxillary buccal infiltration in patients with irreversible pulpitis. | |
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MedLine Citation:
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PMID: 19101495 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The purpose of this prospective, randomized, double-blind study was to compare the anesthetic efficacy of 4% articaine and 2% lidocaine (both with 1:100,000 epinephrine) for buccal infiltration in patients experiencing irreversible pulpitis in maxillary posterior teeth. STUDY DESIGN: Forty patients with irreversible pulpitis in first premolar or first molar were divided into 4 study groups and received buccal infiltration of either 4% articaine or 2% lidocaine in a double-blind manner. Endodontic access was begun 5 minutes after solution deposition. Success was defined as no or mild discomfort (VAS recordings) during the endodontic procedure. RESULTS: The success rate for maxillary buccal infiltration to produce pulpal anesthesia using articaine was 100% in first premolar and first molar, and for the lidocaine solution, success rate was 80% in first premolar and 30% in first molar. There was high significant difference between the articaine and lidocaine solutions (ANOVA; P < .001). CONCLUSION: The efficacy of 4% articaine was superior to 2% lidocaine for maxillary buccal infiltration in posterior teeth. |
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Authors:
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Narasimhan Srinivasan; Mahendran Kavitha; Chandarasekaran S Loganathan; Govindasamy Padmini |
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Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics Volume: 107 ISSN: 1528-395X ISO Abbreviation: Oral Surg Oral Med Oral Pathol Oral Radiol Endod Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2008-12-22 Completed Date: 2009-02-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9508562 Medline TA: Oral Surg Oral Med Oral Pathol Oral Radiol Endod Country: United States |
Other Details:
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Languages: eng Pagination: 133-6 Citation Subset: D; IM |
Affiliation:
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Department of Conservative Dentistry, Tamilnadu Government Dental College and Hospital, Chennai-3, India. nbalaji_82@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Anesthesia, Dental / methods* Anesthesia, Local / methods* Anesthetics, Local / administration & dosage* Bicuspid Carticaine / administration & dosage* Cheek Double-Blind Method Humans Lidocaine / administration & dosage* Maxilla Molar Pain Measurement Prospective Studies Pulpitis / therapy* Root Canal Therapy* 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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