1Deptt. of Oral & Maxillofacial Surgery BRS Dental college and G. Hospital, Vill. Sultanpur, Barwala, Panchkula
2Medanta, The Medicity, Gurgaon
Online published on 12 October, 2011.
The study was undertaken to compare the anesthetic efficacy of 4% articaine with epinephrine (1:1,00,000) versus 2% lidocaine with epinephrine (1:1,00,000) during exodontia.
Based on the inclusion and exclusion criteria 100 individuals participated in this single centre, randomized, controlled, cross over study design. During one appointment they received 4% Articaine with 1:100000 epinephrine and in the next they received Lidocaine with 1:100000 epinephrine.
The mean difference in the onset of subjective symptoms, onset of objective symptoms, onset of pulpal anesthesia and duration for 4% articaine and 2% lidocaine was 0.805 minutes, 0.390 minutes, 0.18023 minutes and 1.19760 hour respectively, this was a statistically significant. The difference in the pain on deposition of local anesthetic for 4% articaine and 2% lidocaine was found to be statistically significant.The mean difference in the depth of anesthesia was 1.45 on VAS scale and this was a statistically as well as clinically significant.
4% articaine has a greater anesthetic efficacy as compared to 2% lidocaine during minor oral surgical procedures. Further research with larger samples are required to demonstrate a statistically significant difference between both the local anesthetics.
Lignocaine, exodontia, postoperative pain, VAS, articaine
