Journal of Pharmacy And Bioallied Sciences

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 13  |  Issue : 5  |  Page : 721--724

A prospective study to assess the efficacy of 4% articaine, 0.5% bupivacaine and 2% lignocaine using a single buccal supraperiosteal injection for maxillary tooth extraction


Deepak Chandrasekaran, Ravindran Chinnaswami, K Shanthi, A Emmanuel Dhiravia Sargunam, K Santhosh Kumar, Tharini Satheesh 
 Department of Oral and Maxillofacial Surgery, Sri Ramachandra Faculty of Dental Sciences, SRIHER, Chennai, Tamil Nadu, India

Correspondence Address:
Deepak Chandrasekaran
Associate Professor, Dept of Oral & Maxillofacial Surgery, Sri Ramachandra Faculty of Dental Sciences, SRIHER, Chennai, Tamil Nadu
India

Introduction: The aim of this study was to demonstrate if articaine hydrochloride administered alone as a single buccal infiltration in maxillary tooth extraction can provide adequate palatal anesthesia as compared to buccal and palatal injection using lidocaine and bupivacaine. Materials and Methods: A prospective double-blinded trial was conducted on 150 patients who required maxillary tooth extraction. The patients were divided into three different groups consisting of 50 patients each. Each group was administered with 4% articaine into buccal vestibular mucosa of the tooth to be extracted, 2% lignocaine and 0.5% bupivacaine was injected into buccal and palatal side of the tooth to be extracted, respectively. Following the tooth extraction, all patients were asked to complete a 10-score Visual Analog Scale (VAS) and 5-score facial pain scale (FPS) to assess the pain on extraction. Results: According to the VAS and FPS scores, the pain on extraction between buccal infiltration of articaine and the routine buccal and palatal infiltration of lignocaine was statistically significant. Conclusion: The routine use of a palatal injection for extraction of maxillary teeth may not be required when articaine is used as a local anesthetic solution.


How to cite this article:
Chandrasekaran D, Chinnaswami R, Shanthi K, Dhiravia Sargunam A E, Kumar K S, Satheesh T. A prospective study to assess the efficacy of 4% articaine, 0.5% bupivacaine and 2% lignocaine using a single buccal supraperiosteal injection for maxillary tooth extraction.J Pharm Bioall Sci 2021;13:721-724


How to cite this URL:
Chandrasekaran D, Chinnaswami R, Shanthi K, Dhiravia Sargunam A E, Kumar K S, Satheesh T. A prospective study to assess the efficacy of 4% articaine, 0.5% bupivacaine and 2% lignocaine using a single buccal supraperiosteal injection for maxillary tooth extraction. J Pharm Bioall Sci [serial online] 2021 [cited 2021 Sep 26 ];13:721-724
Available from: https://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=5;spage=721;epage=724;aulast=Chandrasekaran;type=0