Does articaine, rather than prilocaine, increase the success rate of anaesthesia for extraction of maxillary teeth

Objective: To compare the anesthetic performances of 3% prilocaine and 4% articaine when used for the extraction of the maxillary teeth. Materials and Methods: Ninety-five patients, aged between 16 and 70 years, were included in this study. Patients were divided into two groups. Group one received a...

Full description

Bibliographic Details
Main Author: Giath Gazal
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Saudi Journal of Anaesthesia
Subjects:
Online Access:http://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=3;spage=297;epage=301;aulast=Gazal
_version_ 1819004303907487744
author Giath Gazal
author_facet Giath Gazal
author_sort Giath Gazal
collection DOAJ
description Objective: To compare the anesthetic performances of 3% prilocaine and 4% articaine when used for the extraction of the maxillary teeth. Materials and Methods: Ninety-five patients, aged between 16 and 70 years, were included in this study. Patients were divided into two groups. Group one received articaine 4% with 1:00.000 adrenaline. Group two received prilocaine with 3% felypressin (0.03 I.U. per ml). Onset time of anesthesia was objectively evaluated by using electronic pulp testing. Results: Eighty-five patients in this study had a successful local anesthetic followed by extraction within the study duration time (10 minutes). However, there were six patients with failure anesthesia (5 in prilocaine group and 1 in articaine group). By applying Person's Chi-square test (x2), there were no significant differences in the number of episodes of the anesthetic success between articaine and prilocaine groups at time intervals (P = 0.5). T-test showed that there have been no important variations within the mean onset time of anesthesia for articaine and prilocaine buccal infiltrations (P = 0.1). Conclusions: 3% Prilocaine with felypressin is as effective as 4% articaine with adrenaline when used for the extraction of maxillary teeth. Recommendations would be given to the dental practitioners to use prilocaine more frequently than articaine because of its low toxicity. Trial registration number: NCT04236115.
first_indexed 2024-12-20T23:34:46Z
format Article
id doaj.art-0209ab4c2d364369bb4009ec89b310ae
institution Directory Open Access Journal
issn 1658-354X
language English
last_indexed 2024-12-20T23:34:46Z
publishDate 2020-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Saudi Journal of Anaesthesia
spelling doaj.art-0209ab4c2d364369bb4009ec89b310ae2022-12-21T19:23:13ZengWolters Kluwer Medknow PublicationsSaudi Journal of Anaesthesia1658-354X2020-01-0114329730110.4103/sja.SJA_94_20Does articaine, rather than prilocaine, increase the success rate of anaesthesia for extraction of maxillary teethGiath GazalObjective: To compare the anesthetic performances of 3% prilocaine and 4% articaine when used for the extraction of the maxillary teeth. Materials and Methods: Ninety-five patients, aged between 16 and 70 years, were included in this study. Patients were divided into two groups. Group one received articaine 4% with 1:00.000 adrenaline. Group two received prilocaine with 3% felypressin (0.03 I.U. per ml). Onset time of anesthesia was objectively evaluated by using electronic pulp testing. Results: Eighty-five patients in this study had a successful local anesthetic followed by extraction within the study duration time (10 minutes). However, there were six patients with failure anesthesia (5 in prilocaine group and 1 in articaine group). By applying Person's Chi-square test (x2), there were no significant differences in the number of episodes of the anesthetic success between articaine and prilocaine groups at time intervals (P = 0.5). T-test showed that there have been no important variations within the mean onset time of anesthesia for articaine and prilocaine buccal infiltrations (P = 0.1). Conclusions: 3% Prilocaine with felypressin is as effective as 4% articaine with adrenaline when used for the extraction of maxillary teeth. Recommendations would be given to the dental practitioners to use prilocaine more frequently than articaine because of its low toxicity. Trial registration number: NCT04236115.http://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=3;spage=297;epage=301;aulast=Gazalcarticaine; dental extraction; injections; prilocaine
spellingShingle Giath Gazal
Does articaine, rather than prilocaine, increase the success rate of anaesthesia for extraction of maxillary teeth
Saudi Journal of Anaesthesia
carticaine; dental extraction; injections; prilocaine
title Does articaine, rather than prilocaine, increase the success rate of anaesthesia for extraction of maxillary teeth
title_full Does articaine, rather than prilocaine, increase the success rate of anaesthesia for extraction of maxillary teeth
title_fullStr Does articaine, rather than prilocaine, increase the success rate of anaesthesia for extraction of maxillary teeth
title_full_unstemmed Does articaine, rather than prilocaine, increase the success rate of anaesthesia for extraction of maxillary teeth
title_short Does articaine, rather than prilocaine, increase the success rate of anaesthesia for extraction of maxillary teeth
title_sort does articaine rather than prilocaine increase the success rate of anaesthesia for extraction of maxillary teeth
topic carticaine; dental extraction; injections; prilocaine
url http://www.saudija.org/article.asp?issn=1658-354X;year=2020;volume=14;issue=3;spage=297;epage=301;aulast=Gazal
work_keys_str_mv AT giathgazal doesarticaineratherthanprilocaineincreasethesuccessrateofanaesthesiaforextractionofmaxillaryteeth