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

Shrimanikandan Ayappa Gandhi; Sambarta Das; Abhisek Das; Yoshaskam Agnihotri; Rajanna Venkatraman Mohan; Venkata Ramanan Dasu Subramanian

doi:10.4103/jpbs.JPBS_747_20

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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

Shrimanikandan Ayappa Gandhi¹, Sambarta Das², Abhisek Das³, Yoshaskam Agnihotri³, Rajanna Venkatraman Mohan⁴, Venkata Ramanan Dasu Subramanian⁵
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

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/jpbs.JPBS_747_20

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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