Comparative Evaluation of Two Different Topical Anesthetic Agents in Controlling Pain during Intraoral Local Anesthetic Administration in Children: A Split-mouth Triple-blinded Randomized Clinical Trial

Abstract

A bstract Aim To compare the efficacy of lignocaine and benzocaine when applied as a topical anesthetic before intraoral local anesthetic administration in children. Materials and methods Forty-four patients aged between 4 years and 10 years indicated for pulp therapy of primary teeth under inferior alveolar nerve block were selected for this study. The participants were randomly allocated into two groups of 22 each. Group I (lignocaine gel) and group II (benzocaine gel) were applied before inferior alveolar nerve block. The pain scale was assessed by a trained examiner using the visual analog scale (VAS) and sound eye motor scale. Results Lignocaine when used as a topical anesthetic agent showed lower mean scores under both the pain scales when compared with benzocaine but the results were statistically insignificant. Conclusion Lignocaine and benzocaine are equally effective when applied as a topical anesthetic agent. But lignocaine was more preferred in taste when compared with benzocaine. How to cite this article Kotian N, Mani G, Ramakrishnan M. Comparative Evaluation of Two Different Topical Anesthetic Agents in Controlling Pain during Intraoral Local Anesthetic Administration in Children: A Split-mouth Triple-blinded Randomized Clinical Trial. Int J Clin Pediatr Dent 2021;14(2):180–182.

Effect of photobiomodulation therapy on pain perception during anesthetic puncture of dental local anesthesia: A systematic review

“…Studies with the same scales, such as 100 mm VAS [ 25 , 29 ] and WBFPRS [ 30 , 31 ], had other relevant methodological differences, such as using topical anesthetic gels [ 26 , 31 ]. Even so, the literature describes all scales used in eligible studies as reliable pain assessment tools objectively (VNS, VAS, NRS, and WBFPRS) and subjectively (FLACC and SEM scales) [2] , [3] , [4] , [5] , [6] , [7] .…”

“…Furthermore, it considers a sum of the present and past experiences of an individual [1] . Most dental procedures require local anesthesia, including extractions, pulpotomies, root canal treatments/pulpectomies, abscess drainage, and oral surgeries [2] . Local anesthetics are nevertheless associated with pain, which may be exacerbated by the fear and anxiety caused by the anesthetic puncture [2] .…”

“…Most dental procedures require local anesthesia, including extractions, pulpotomies, root canal treatments/pulpectomies, abscess drainage, and oral surgeries [2] . Local anesthetics are nevertheless associated with pain, which may be exacerbated by the fear and anxiety caused by the anesthetic puncture [2] . Several factors that can influence pain perception may be hard to assess.…”

“…Several factors that can influence pain perception may be hard to assess. Hence, different methods play this role [2] , [3] , [4] , [5] , [6] , [7] : objective measurement tools, such as Visual Analog Scale (VAS) [7] , Visual Numerical Scale (VNS) [6] , Wong-Baker Faces Pain Rating Scale (WBFPRS) [5] , and Numerical Rating Scale (NRS) [4] ; and subjective assessment tools, such as Face, Legs, Activity, Cry, and Consolability (FLACC) scale [3] , and Sound, Eyes, and Motor (SEM) scale [2] .…”

Efficacy of Preemptive Analgesia on Pain Perception After Simple Tooth Extraction: A Prospective Study

“…Extraction of teeth is physiologically traumatic and is perceived as a painful ordeal by most patients. While several techniques have been tried to relieve pain after dental treatment, most noninvasive techniques are ineffective [1][2][3]. Conventionally, clinicians use nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve postoperative pain.…”