Anesthetic efficacy of 4% articaine and 2% lignocaine in achieving palatal anesthesia following a single buccal infiltration during periodontal therapy: A randomized double-blind split-mouth study
Background: The aim of this randomized split-mouth double-blind study was to evaluate whether 4% articaine hydrochloride with 1:100,000 epinephrine administered as a single buccal infiltration in the maxillary posterior sextant can provide palatal anesthesia when compared with 2% lignocaine with 1:1...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2018-01-01
|
| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2018;volume=34;issue=1;spage=107;epage=110;aulast=Ashwath |
| _version_ | 1818302481327718400 |
|---|---|
| author | Balachandran Ashwath Sundaram Subramoniam Rajaram Vijayalakshmi Muthukali Shanmugam Bagavathiperumal Meena Priya Vijayarangan Anitha |
| author_facet | Balachandran Ashwath Sundaram Subramoniam Rajaram Vijayalakshmi Muthukali Shanmugam Bagavathiperumal Meena Priya Vijayarangan Anitha |
| author_sort | Balachandran Ashwath |
| collection | DOAJ |
| description | Background: The aim of this randomized split-mouth double-blind study was to evaluate whether 4% articaine hydrochloride with 1:100,000 epinephrine administered as a single buccal infiltration in the maxillary posterior sextant can provide palatal anesthesia when compared with 2% lignocaine with 1:100,000 epinephrine during scaling and root planing and access flap surgery (AFS).
Material and Methods: A total of 40 patients with chronic generalized periodontitis requiring periodontal therapy in the maxillary posterior sextants were recruited in this study. About 4% articaine and 2% lignocaine were administered as buccal infiltration in a split-mouth design randomly. The pain scores in the palatal aspect were recorded during scaling and root planing and open flap debridement using Heft-Parker visual analog scale. The onset of anesthesia was also recorded and compared.
Results: The success rate for maxillary buccal infiltration to induce palatal anesthesia using articaine was 90% during scaling and root planing and 82.5% during AFS and for lignocaine solution was 20% and 15%, respectively. The difference between the two agents was statistically significant (P < 0.05). The onset of anesthesia between articaine and lignocaine was also found to be statistically significant (P < 0.05).
Conclusion: In this study, we observed that the efficacy of 4% articaine was superior to 2% lignocaine to induce palatal anesthesia following maxillary buccal infiltration in maxillary posterior sextants. |
| first_indexed | 2024-12-13T05:39:35Z |
| format | Article |
| id | doaj.art-4221642c069f45cea84139b4951e6896 |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-12-13T05:39:35Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-4221642c069f45cea84139b4951e68962022-12-21T23:57:49ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852018-01-0134110711010.4103/joacp.JOACP_200_15Anesthetic efficacy of 4% articaine and 2% lignocaine in achieving palatal anesthesia following a single buccal infiltration during periodontal therapy: A randomized double-blind split-mouth studyBalachandran AshwathSundaram SubramoniamRajaram VijayalakshmiMuthukali ShanmugamBagavathiperumal Meena PriyaVijayarangan AnithaBackground: The aim of this randomized split-mouth double-blind study was to evaluate whether 4% articaine hydrochloride with 1:100,000 epinephrine administered as a single buccal infiltration in the maxillary posterior sextant can provide palatal anesthesia when compared with 2% lignocaine with 1:100,000 epinephrine during scaling and root planing and access flap surgery (AFS). Material and Methods: A total of 40 patients with chronic generalized periodontitis requiring periodontal therapy in the maxillary posterior sextants were recruited in this study. About 4% articaine and 2% lignocaine were administered as buccal infiltration in a split-mouth design randomly. The pain scores in the palatal aspect were recorded during scaling and root planing and open flap debridement using Heft-Parker visual analog scale. The onset of anesthesia was also recorded and compared. Results: The success rate for maxillary buccal infiltration to induce palatal anesthesia using articaine was 90% during scaling and root planing and 82.5% during AFS and for lignocaine solution was 20% and 15%, respectively. The difference between the two agents was statistically significant (P < 0.05). The onset of anesthesia between articaine and lignocaine was also found to be statistically significant (P < 0.05). Conclusion: In this study, we observed that the efficacy of 4% articaine was superior to 2% lignocaine to induce palatal anesthesia following maxillary buccal infiltration in maxillary posterior sextants.http://www.joacp.org/article.asp?issn=0970-9185;year=2018;volume=34;issue=1;spage=107;epage=110;aulast=AshwathArticainelignocainenonsurgical periodontal therapypalatal infiltrationvisual analog pain scale |
| spellingShingle | Balachandran Ashwath Sundaram Subramoniam Rajaram Vijayalakshmi Muthukali Shanmugam Bagavathiperumal Meena Priya Vijayarangan Anitha Anesthetic efficacy of 4% articaine and 2% lignocaine in achieving palatal anesthesia following a single buccal infiltration during periodontal therapy: A randomized double-blind split-mouth study Journal of Anaesthesiology Clinical Pharmacology Articaine lignocaine nonsurgical periodontal therapy palatal infiltration visual analog pain scale |
| title | Anesthetic efficacy of 4% articaine and 2% lignocaine in achieving palatal anesthesia following a single buccal infiltration during periodontal therapy: A randomized double-blind split-mouth study |
| title_full | Anesthetic efficacy of 4% articaine and 2% lignocaine in achieving palatal anesthesia following a single buccal infiltration during periodontal therapy: A randomized double-blind split-mouth study |
| title_fullStr | Anesthetic efficacy of 4% articaine and 2% lignocaine in achieving palatal anesthesia following a single buccal infiltration during periodontal therapy: A randomized double-blind split-mouth study |
| title_full_unstemmed | Anesthetic efficacy of 4% articaine and 2% lignocaine in achieving palatal anesthesia following a single buccal infiltration during periodontal therapy: A randomized double-blind split-mouth study |
| title_short | Anesthetic efficacy of 4% articaine and 2% lignocaine in achieving palatal anesthesia following a single buccal infiltration during periodontal therapy: A randomized double-blind split-mouth study |
| title_sort | anesthetic efficacy of 4 articaine and 2 lignocaine in achieving palatal anesthesia following a single buccal infiltration during periodontal therapy a randomized double blind split mouth study |
| topic | Articaine lignocaine nonsurgical periodontal therapy palatal infiltration visual analog pain scale |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2018;volume=34;issue=1;spage=107;epage=110;aulast=Ashwath |
| work_keys_str_mv | AT balachandranashwath anestheticefficacyof4articaineand2lignocaineinachievingpalatalanesthesiafollowingasinglebuccalinfiltrationduringperiodontaltherapyarandomizeddoubleblindsplitmouthstudy AT sundaramsubramoniam anestheticefficacyof4articaineand2lignocaineinachievingpalatalanesthesiafollowingasinglebuccalinfiltrationduringperiodontaltherapyarandomizeddoubleblindsplitmouthstudy AT rajaramvijayalakshmi anestheticefficacyof4articaineand2lignocaineinachievingpalatalanesthesiafollowingasinglebuccalinfiltrationduringperiodontaltherapyarandomizeddoubleblindsplitmouthstudy AT muthukalishanmugam anestheticefficacyof4articaineand2lignocaineinachievingpalatalanesthesiafollowingasinglebuccalinfiltrationduringperiodontaltherapyarandomizeddoubleblindsplitmouthstudy AT bagavathiperumalmeenapriya anestheticefficacyof4articaineand2lignocaineinachievingpalatalanesthesiafollowingasinglebuccalinfiltrationduringperiodontaltherapyarandomizeddoubleblindsplitmouthstudy AT vijayarangananitha anestheticefficacyof4articaineand2lignocaineinachievingpalatalanesthesiafollowingasinglebuccalinfiltrationduringperiodontaltherapyarandomizeddoubleblindsplitmouthstudy |