COMPARISON OF THE ANESTHETIC EFFICACY OF ARTICAINE INFILTRATION VERSUS LIDOCAINE INFERIOR ALVEOLAR NERVE BLOCK IN PULP THERAPY OF LOWER PRIMARY MOLARS

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SHARIFI MARYAM; KARIMAGHAEE AYDA; Iranmanesh Foad; SHEIKH FATHOLLAHI MAHMOOD

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Journal: Journal of Mashhad Dental School Year:2017 | Volume:41 | Issue:4 Page(s): 305-316

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Title

COMPARISON OF THE ANESTHETIC EFFICACY OF ARTICAINE INFILTRATION VERSUS LIDOCAINE INFERIOR ALVEOLAR NERVE BLOCK IN PULP THERAPY OF LOWER PRIMARY MOLARS

Author(s)

SHARIFI MARYAM | KARIMAGHAEE AYDA | Iranmanesh Foad | SHEIKH FATHOLLAHI MAHMOOD | Issue Writer Certificate

Keywords

ARTICAINEQ1

INFILTRATIONQ1

INFERIOR ALVEOLAR NERVEQ1

LIDOCAINEQ2

Abstract

Introduction: Pain control is essential to the behavioral management of children in pediatric dentistry. Effective anesthesia plays a key role in this regard, especially in pulp therapy. In order to achieve successful anesthesia, the type of analgesics and injection techniques should be considered. The present study aimed to compare the anesthetic efficacy of ARTICAINE INFILTRATION and LIDOCAINE INFERIOR ALVEOLAR NERVE block in the pulp therapy of lower primary molars.Materials and Methods: This randomized, crossover, triple-blind clinical trial was conducted on 64 children aged 4-10 years, who required the bilateral pulp therapy of the lower primary molars. Subjects were randomly divided into two groups. Treatment was performed for two sessions, and one lower primary molar was treated in each session. In the first treatment session, subjects in group A were injected with LIDOCAINE INFERIOR ALVEOLAR NERVE block, and in the second session, they were injected with ARTICAINE INFILTRATION. In group B, all the procedures were similar to group A. In the first treatment session, subjects in group B were injected with ARTICAINE INFILTRATION, and in the second session, they were injected with LIDOCAINE INFERIOR ALVEOLAR NERVE block. Pain intensity was measured upon the initiation of the pulp exposure using the visual analogue scale (VAS). Data analysis was performed by crossover analysis, paired t-test, and independent two-sample t-test.Results: During the study period, mean pain intensity in the children treated by LIDOCAINE INFERIOR ALVEOLAR NERVE block was significantly lower compared to those treated by ARTICAINE INFILTRATION. However, the two techniques had no statistically significant difference in the children aged 4-6 years and the treatment of the first primary molars.Conclusion: According to the results, LIDOCAINE INFERIOR ALVEOLAR NERVE block has higher anesthetic efficacy in the pulp therapy of the lower primary molars compared to ARTICAINE INFILTRATION. On the other hand, ARTICAINE INFILTRATION could be a proper alternative to LIDOCAINE INFERIOR ALVEOLAR NERVE block in the children aged 4-6 years and the treatment of the first primary molars considering its greater ease and lower risk.

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APA: Copy

SHARIFI, MARYAM, KARIMAGHAEE, AYDA, Iranmanesh, Foad, & SHEIKH FATHOLLAHI, MAHMOOD. (2017). COMPARISON OF THE ANESTHETIC EFFICACY OF ARTICAINE INFILTRATION VERSUS LIDOCAINE INFERIOR ALVEOLAR NERVE BLOCK IN PULP THERAPY OF LOWER PRIMARY MOLARS. JOURNAL OF MASHHAD DENTAL SCHOOL, 41(4), 305-316. SID. https://sid.ir/paper/73994/en

Vancouver: Copy

SHARIFI MARYAM, KARIMAGHAEE AYDA, Iranmanesh Foad, SHEIKH FATHOLLAHI MAHMOOD. COMPARISON OF THE ANESTHETIC EFFICACY OF ARTICAINE INFILTRATION VERSUS LIDOCAINE INFERIOR ALVEOLAR NERVE BLOCK IN PULP THERAPY OF LOWER PRIMARY MOLARS. JOURNAL OF MASHHAD DENTAL SCHOOL[Internet]. 2017;41(4):305-316. Available from: https://sid.ir/paper/73994/en

IEEE: Copy

MARYAM SHARIFI, AYDA KARIMAGHAEE, Foad Iranmanesh, and MAHMOOD SHEIKH FATHOLLAHI, “COMPARISON OF THE ANESTHETIC EFFICACY OF ARTICAINE INFILTRATION VERSUS LIDOCAINE INFERIOR ALVEOLAR NERVE BLOCK IN PULP THERAPY OF LOWER PRIMARY MOLARS,” JOURNAL OF MASHHAD DENTAL SCHOOL, vol. 41, no. 4, pp. 305–316, 2017, [Online]. Available: https://sid.ir/paper/73994/en

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