Efficacy of 2% Lignocaine and 4% Articaine in Oral Surgical Procedure: A Comparative Study

Kumar, Kunal; Singh, Rajendra; Kumar, Sudhanshu; Gupta, Jyoti; Kumar, Akshay; Verma, Amit

doi:10.5005/jp-journals-10024-2883

Cited by 2 publications

(4 citation statements)

References 11 publications

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“…On evaluating the onset of action 4% articaine presented with shortest onset of 2.5 minutes while 2% articaine had an onset of 3.5 minutes. This was in consistent with various studies conducted by a number of authors like Kunal Kumar et al, [11] Moore et al, [12] Colombia et al, [13] Gregoria et al [14] where they stated that onset of action of 4% articaine was shorter than that of 2% lignocaine. Duration of anesthesia is directly proportional to the degree of protein binding; nonetheless, the duration is dependent on the injection site and the concentration of vasoconstriction present in the anesthetic solution including other factors.…”

Section: Discussionsupporting

confidence: 88%

A comparative analysis of 4% articaine and 2% lignocaine in evaluating the efficacy during pulpectomy procedures in pediatric patients: An observation split mouth technique

Wani¹,

Sehar²,

Kour³

et al. 2023

Int. J. Appl. Dent. Sci.

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A troublesome dental experience usually has a negative influence on the child's behavior towards any successive dental treatment. An alternative, less traumatic method of achieving pain control is an important contribution to reduce anxiety and emotional outbursts in children. Thus, management of child during any meddling procedure becomes a challenging task. Local anesthetics play a major role in techniques used for controlling pain. Aim: The main aim and objective of the study was to compare and evaluate the efficacy of 4% articaine and 2% lignocaine in reducing pain while performing dental procedures in pediatric patients. Material and Methodology: A spilt mouth technique was conducted on 25 subjects aged 3-6 years, who visited the Family Dental Clinic, Kulgam, Jammu and Kashmir for the treatment of their teeth. Subjects with deep carious lesions, grossly decayed or pain on mandibular molars (i.e where ever there was need of local anesthesia) were selected for the study. Topical application of local anesthestic spray followed by 4% articaine infiltration on one side and 2% lignocaine on other. Post treatment pain was assessed using visual analog scale. Statistical analysis:The data collected underwent statistical analysis. Mean, frequencies, standard deviation and standard error was used to describe the descriptive analysis. Continuous variables were compared using student-t test with statistical significant p value of less than 0.05. The graphical representation of the data was done using bar diagrams. Results: Statistically significant results were obtained while comparing pain, duration and onset of action of 4% articaine and 2% lignocaine. Conclusion: Within the limitation it was concluded that 4% Articaine when used was found to be more effective and safe local anesthetic drug to be used in any aspects of dentistry and for all age groups, when compared to the properties of other local common anesthetic agents.

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Section: Discussionsupporting

confidence: 88%

A comparative analysis of 4% articaine and 2% lignocaine in evaluating the efficacy during pulpectomy procedures in pediatric patients: An observation split mouth technique

Wani¹,

Sehar²,

Kour³

et al. 2023

Int. J. Appl. Dent. Sci.

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“…A single trained investigator performed all extractions and anesthesia using aseptic standard surgical procedures. Evaluation for anesthetic effects pertaining to pain during injection, onset and duration of anesthesia, pain throughout the technique, and after the technique was performed and recorded by the same trained investigator [ 8 , 9 ]. Systolic and diastolic blood pressure (mmHg), and heart rate (per minute) were evaluated for all participants during and postoperative period.…”

Section: Methodsmentioning

confidence: 99%

“…The length of the surgical method and the period of postoperative anesthesia and pain were measured as mentioned - the injection time to the patient's first indication of numbness was used to determine the start of anesthesia [ 8 , 9 ]. Both subjective (absence of sensitivity to the lower lip, half of the tongue, and the buccal mucosa) and objective symptoms were tested at the start of the anesthetic agent (by probing or pressure for onset of anesthesia around the gingival tissues).…”

Section: Methodsmentioning

confidence: 99%

“…The preference for local anesthetic solutions in tooth extraction depends on the following three important scientific concerns: latency, anesthetic effectiveness, and the duration of the anesthetic effect and also on preexisting pain/local inflammation/hot tooth, etc. [ 9 ]. The present comparative research was done to assess the effectiveness of 0.5% bupivacaine with 4% articaine in oral lower molar extraction based on objectives, such as duration of anesthesia, onset, and pain perception during the oral surgical procedure and also to check changes in blood pressure and heart rate.…”

Section: Introductionmentioning

confidence: 99%

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A Comparative Evaluation of Anesthetic Effectiveness of 4% Articaine vs 0.5% Bupivacaine for Lower Molar Tooth Extraction

Tenglikar¹,

Manas²,

Sahoo³

et al. 2022

Cureus

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Background: Safe and efficient pain control is essential for today's dental practice. This randomized controlled study was conducted to evaluate the effectiveness of 0.5% bupivacaine with 4% articaine in lower molar tooth extraction.Methods: One hundred subjects were classified into two groups, with 50 samples for each. Group A participants were managed with 0.5% bupivacaine with 1:200,000 epinephrine and group B participants with 4% articaine with 1:100,000 epinephrine for mandibular first and second molar extraction. Criteria such as onset and duration of anesthesia, pain throughout the procedure, pain during injection, and pain after the procedure were evaluated. Systolic and diastolic blood pressure (mmHg) and heart rate (per minute) were evaluated for all participants.Results: There was a faster onset (53.2 vs 83.1 s) and lesser duration of action (216.6 vs 298.4 min) with articaine (group B) compared to bupivacaine (group A). Thirty-eight (76.0%) participants in group A and 44 (88.0%) participants in group B did not require re-anesthesia, whereas 12 (24%) participants in group A and six (12%) participants in group B required one-time re-anesthesia and it was insignificant.Conclusion: Articaine has a faster onset but a relatively lower duration of action and requires statistically insignificant but lower re-anesthesia. As a result, articaine anesthesia can be efficiently recommended in oral surgical techniques.

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Efficacy of 2% Lignocaine and 4% Articaine in Oral Surgical Procedure: A Comparative Study

Cited by 2 publications

References 11 publications

A comparative analysis of 4% articaine and 2% lignocaine in evaluating the efficacy during pulpectomy procedures in pediatric patients: An observation split mouth technique

A comparative analysis of 4% articaine and 2% lignocaine in evaluating the efficacy during pulpectomy procedures in pediatric patients: An observation split mouth technique

A Comparative Evaluation of Anesthetic Effectiveness of 4% Articaine vs 0.5% Bupivacaine for Lower Molar Tooth Extraction

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