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Objectives: This study was done to compare the anesthetic efficacy of 4% articaine with 1:100,000 epinephrine
with that of 2% lidocaine with 1:80,000 epinephrine during pulpectomy in patients with irreversible pulpitis for
inferior alveolar nerve block in mandibular posterior teeth.
Material and Methods: Patients with irreversible pulpitis referred to the Department of Conservative Dentistry
and Endodontics, K.D. Dental College, randomly received a conventional inferior alveolar nerve block containing
1.8 mL of either 4% articaine with 1:100,000 epinephrine or 2% lidocaine with 1:80,000 epinephrine. After the
patient's subjective assessment of lip anesthesia, the absence/presence of pulpal anesthesia through electric pulp
stimulation was recorded and the absence/presence of pain was recorded through visual analogue scale.
Results: The pulpal anesthesia success for articaine (76%) was slightly more than with lidocaine (58%) as measured with pulp tester as well as for the pain reported during the procedure the success rate of articaine (88%) was
slightly more than that of lidocaine (82%) although the difference between the two solutions was not statistically
significant.
Conclusions: Both the local anesthetic solutions had similar effects on patients with irreversible pulpitis when used
for inferior alveolar nerve block.
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Sood, Ravi ; Hans, Manoj-Kumar ; Shetty, Shashit. Comparison of anesthetic efficacy of 4% articaine with 1:100,000 epinephrine and 2% lidocaine with 1:80,000 epinephrine for inferior alveolar nerve block in patients with irreversible pulpitis. En: Journal of Clinical and Experimental Dentistry, 2014, Vol. 6, No. 5: 520-523 |