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ORIGINAL ARTICLE
Year : 2021  |  Volume : 13  |  Issue : 5  |  Page : 731-734

Anaesthetic efficacy of lidocaine and articaine in inferior alveolar nerve block combined with buccal infiltration in patients with irreversible pulpitis


1 Department of Craniofacial Surgery and Dentistry, Velammal Medical Hospital and Research Institute, Madurai, Tamil Nadu, India
2 Department of Conservative Dentistry and Endodontics, Hi-Tech Dental College and Hospital, Bhubaneswar, Odisha, India
3 Department of Conservative Dentistry and Endodontics, Hi-Tech Dental College, Bhubaneswar, Odisha, India
4 Department of Oral Pathology and Microbiology, Best Dental Science College and Hospital, Madurai, Tamil Nadu, India
5 Department of Conservative Dentistry and Endodontics, Best Dental Science College and Hospital, Madurai, Tamil Nadu, India

Correspondence Address:
Shrimanikandan Ayappa Gandhi
Assistant Professor, Department of Craniofacial Surgery and Dentistry, Velammal Medical Hospital and Research Institute, Madurai - 625 009, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jpbs.JPBS_747_20

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Purpose: This prospective, randomized, double-blinded study was conducted to compare the anesthetic efficacy of 2% lidocaine with 1:200,000 epinephrine and 4% articaine with 1:200,000 epinephrine in inferior alveolar nerve block (IANB) combined with buccal infiltration in patients with irreversible pulpitis. Methods: Group I: Thirty patients received IANB of 2% lidocaine without buccal infiltration. Group II: Thirty patients received IANB of 2% lidocaine followed by buccal infiltration with 2% lidocaine. Group III: Thirty patients received IANB with 4% articaine followed by buccal infiltration with 4% articaine. Pain during the procedures was recorded by using a Heft Parker visual analog scale. No pain or mild pain on endodontic access was recorded as success and analyzed using Chi-square analysis. Results: Group I obtained 30% success rate. Fifty percent successful anesthesia was obtained for Group II. The success rate was increased to 70% for Group III with statistically significant difference among all the groups (P < 0.05). Conclusion: The use of 4% articaine as both IANB and buccal infiltration recorded the highest success rate (70%) when compared to either 2% lidocaine as IANB with buccal infiltration (50%) or 2% lidocaine as IANB alone (30%) in patients with irreversible pulpitis.


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