Efficacy of Articaine versus Lignocaine as Local Anesthetic Agents Using Buccal Infiltration Technique for Extraction of Mandibular Premolars
Introduction: Lignocaine, commonly used for local anesthesia, often results in discomfort during mandibular premolar extractions due to limited tissue diffusion with the buccal infiltration technique. Articaine, with better lipid solubility, promises improved diffusion and patient comfort. This stud...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Pharmacy and Bioallied Sciences |
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| Online Access: | https://journals.lww.com/10.4103/jpbs.jpbs_1330_24 |
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| author | Deepak Kolte Harjit Singh Kalsi Viraj Rajeev Kharkar Tejal Patil Barun Kumar Ashvin Wagh Sanpreet Singh Sachdev |
| author_facet | Deepak Kolte Harjit Singh Kalsi Viraj Rajeev Kharkar Tejal Patil Barun Kumar Ashvin Wagh Sanpreet Singh Sachdev |
| author_sort | Deepak Kolte |
| collection | DOAJ |
| description | Introduction:
Lignocaine, commonly used for local anesthesia, often results in discomfort during mandibular premolar extractions due to limited tissue diffusion with the buccal infiltration technique. Articaine, with better lipid solubility, promises improved diffusion and patient comfort. This study compares the efficacy of 2% Lignocaine and 4% Articaine in reducing pain during mandibular premolar extractions.
Methodology:
A split-mouth, randomized, controlled trial included 40 patients, aged between 18 and 40 years, undergoing bilateral mandibular premolar extractions. Each patient received 4% Articaine with adrenaline and 2% Lignocaine with adrenaline on opposite sides at separate appointments. Pain was assessed using the Visual Analog Scale (VAS) and Faces Pain Scale (FPS).
Results:
Patients in the Articaine group reported significantly lower pain levels (mean FPS: 0.2) compared to the Lignocaine group (mean FPS: 3.6) (P < 0.001). In the Articaine group, 34 out of 40 patients experienced no pain, whereas all patients in the Lignocaine group reported mild to severe pain. Mild pain was reported by 23 patients in the Lignocaine group, and moderate pain by 12 (P < 0.05). No severe pain was recorded in the Articaine group.
Conclusion:
Articaine demonstrated superior pain control, making it a more effective choice over Lignocaine for mandibular premolar extractions using the buccal infiltration technique. |
| format | Article |
| id | doaj-art-e77cd3d14136469e8f1e557dfd939a45 |
| institution | Kabale University |
| issn | 0976-4879 0975-7406 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pharmacy and Bioallied Sciences |
| spelling | doaj-art-e77cd3d14136469e8f1e557dfd939a452025-01-13T10:37:41ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S3898S390010.4103/jpbs.jpbs_1330_24Efficacy of Articaine versus Lignocaine as Local Anesthetic Agents Using Buccal Infiltration Technique for Extraction of Mandibular PremolarsDeepak KolteHarjit Singh KalsiViraj Rajeev KharkarTejal PatilBarun KumarAshvin WaghSanpreet Singh SachdevIntroduction: Lignocaine, commonly used for local anesthesia, often results in discomfort during mandibular premolar extractions due to limited tissue diffusion with the buccal infiltration technique. Articaine, with better lipid solubility, promises improved diffusion and patient comfort. This study compares the efficacy of 2% Lignocaine and 4% Articaine in reducing pain during mandibular premolar extractions. Methodology: A split-mouth, randomized, controlled trial included 40 patients, aged between 18 and 40 years, undergoing bilateral mandibular premolar extractions. Each patient received 4% Articaine with adrenaline and 2% Lignocaine with adrenaline on opposite sides at separate appointments. Pain was assessed using the Visual Analog Scale (VAS) and Faces Pain Scale (FPS). Results: Patients in the Articaine group reported significantly lower pain levels (mean FPS: 0.2) compared to the Lignocaine group (mean FPS: 3.6) (P < 0.001). In the Articaine group, 34 out of 40 patients experienced no pain, whereas all patients in the Lignocaine group reported mild to severe pain. Mild pain was reported by 23 patients in the Lignocaine group, and moderate pain by 12 (P < 0.05). No severe pain was recorded in the Articaine group. Conclusion: Articaine demonstrated superior pain control, making it a more effective choice over Lignocaine for mandibular premolar extractions using the buccal infiltration technique.https://journals.lww.com/10.4103/jpbs.jpbs_1330_24articainedental extractionlignocainelocal anesthesia |
| spellingShingle | Deepak Kolte Harjit Singh Kalsi Viraj Rajeev Kharkar Tejal Patil Barun Kumar Ashvin Wagh Sanpreet Singh Sachdev Efficacy of Articaine versus Lignocaine as Local Anesthetic Agents Using Buccal Infiltration Technique for Extraction of Mandibular Premolars Journal of Pharmacy and Bioallied Sciences articaine dental extraction lignocaine local anesthesia |
| title | Efficacy of Articaine versus Lignocaine as Local Anesthetic Agents Using Buccal Infiltration Technique for Extraction of Mandibular Premolars |
| title_full | Efficacy of Articaine versus Lignocaine as Local Anesthetic Agents Using Buccal Infiltration Technique for Extraction of Mandibular Premolars |
| title_fullStr | Efficacy of Articaine versus Lignocaine as Local Anesthetic Agents Using Buccal Infiltration Technique for Extraction of Mandibular Premolars |
| title_full_unstemmed | Efficacy of Articaine versus Lignocaine as Local Anesthetic Agents Using Buccal Infiltration Technique for Extraction of Mandibular Premolars |
| title_short | Efficacy of Articaine versus Lignocaine as Local Anesthetic Agents Using Buccal Infiltration Technique for Extraction of Mandibular Premolars |
| title_sort | efficacy of articaine versus lignocaine as local anesthetic agents using buccal infiltration technique for extraction of mandibular premolars |
| topic | articaine dental extraction lignocaine local anesthesia |
| url | https://journals.lww.com/10.4103/jpbs.jpbs_1330_24 |
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