The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 15 , ISSUE 1 ( January-February, 2014 ) > List of Articles

RESEARCH ARTICLE

Study of the Anesthetic Efficacy of Inferior Alveolar Nerve Block using Articaine in Irreversible Pulpitis

Zeeshan H Ahmad, H Ravikumar, Rupali Karale, RS Preethanath, Anil Sukumaran

Citation Information : Ahmad ZH, Ravikumar H, Karale R, Preethanath R, Sukumaran A. Study of the Anesthetic Efficacy of Inferior Alveolar Nerve Block using Articaine in Irreversible Pulpitis. J Contemp Dent Pract 2014; 15 (1):71-74.

DOI: 10.5005/jp-journals-10024-1490

Published Online: 01-02-2014

Copyright Statement:  Copyright © 2014; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The purpose of this study was to determine the anesthetic efficacy of inferior alveolar nerve block (IANB) using 4% articaine and 2% lidocaine supplemented with buccal infiltration.

Materials and methods

Forty five patients, diagnosed with irreversible pulpitis of a mandibular posterior tooth were included in the study. The first group of 15 patients received 2% lidocaine with 1:200000 epinephrine, the second group 2% lidocaine with 1: 80,000 epinephrine and the third group of 15 subjects received 4% articaine with 1:100000 epinephrine. During the access cavity preparation those patients who complained of pain received an additional buccal infiltration. The percentage of subjects who got profound anesthesia and failure to achieve anesthesia were calculated and tabulated using a visual analog scale.

Results

The results revealed that 87% of subjects who received 4% Articaine with 1:100,000 epinephrine got satisfactory anesthesia with inferior alveolar nerve block alone. Only 2 (13%) subjects received an additional buccal infiltration and none of the patients failed to obtain complete anesthesia with articaine. In comparison only 40% of subjects got complete anesthesia with 2% lidocaine with 1:200000 and 60% with 2% lidocaine with 1:80,000.

Conclusion

It can be concluded that 4% articaine can be used effectively for obtaining profound anesthesia for endodontic procedures in patients with irreversible pulpitis.

How to cite this article

Ahmad ZH, Ravikumar H, Karale R, Preethanath RS, Sukumaran A. Study of the Anesthetic Efficacy of Inferior Alveolar Nerve Block using Articaine in Irreversible Pulpitis. J Contemp Dent Pract 2014;15(1):71-74.


PDF Share
  1. Four dimensions of fear of dental injections. J Am Dent Assoc 1997;128(6):756-766.
  2. A comparison of the anesthetic efficacy of articaine and lidocaine in patients with irreversible pulpitis. J Endod 2009;35(2):165-168.
  3. Anesthetic efficacy of articaine for inferior alveolar nerve blocks in patients with irreversible pulpitis. J Endod 2004;30(8):568-571.
  4. Anesthetic efficacy of the supplemental intraosseous injection of 2% lidocaine with 1:100,000 epinephrine in irreversible pulpitis. J Endod 1998;24(7):487-491.
  5. Anesthetic efficacy of the supplemental intraosseous injection of 3% mepivacaine in irreversible pulpitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997;84(6):676-682.
  6. Endodontic anesthesia in mandibular molars: a clinical study. J Endod 1993;19(7):370-373.
  7. The significance of needle deflection in success of the inferior alveolar nerve block in patients with irreversible pulpitis. J Endod 2003;29(10):630-633.
  8. A comparison of articaine and lidocaine for inferior alveolar nerve blocks. J Endod 2005;31(4):265-270.
  9. Failure of inferior alveolar nerve block in endodontics. Endod Dent Traumatol 1999;15(6):247-251.
  10. VRl- and VRL-l-like immunoreactivity in normal and injured trigeminal dental primary sensory neurons of the rat. Acta Odontol Scand 2002;60(2):72-79.
  11. The incidence of complications associated with local anesthesia in dentistry. Anesth Prog 1997;44(4):132-141.
  12. Articaine hydrochloride: a study of the safety of a new amide local anesthetic. J Am Dent Assoc 2001;132(2):177-185.
  13. A comparison between articaine HCl and lidocaine HCl in pediatric dental patients. Pediatr Dent 2000;22(4):307-311.
  14. Articaine and lignocaine efficiency in infiltration anaesthesia: a pilot study. Br Dent J 2004;197(1):45-46; discussion 33.
  15. Onset and duration periods of articaine and lidocaine on maxillary infiltration. Quintessence Int 2005;36(3):197-201.
  16. Articaine and lidocaine mandibular buccal infiltration anesthesia: a prospective randomized double-blind cross-over study. J Endod 2006;32(4):296-298.
  17. Anesthetic efficacy of four percent articaine for pulpal anesthesia by using inferior alveolar nerve block and buccal infiltration techniques in patients with irreversible pulpitis: a prospective randomized double-blind clinical trial. J Endod 2011;37(12):1603-1607.
  18. Comparison of anesthetic efficacy of 4% articaine and 2% lidocaine for maxillary buccal infiltration in patients with irreversible pulpitis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107(1):133-136.
  19. Anesthetic efficacy of supplemental buccal and lingual infiltrations of articaine and lidocaine after an inferior alveolar nerve block in patients with irreversible pulpitis. J Endod 2009;35(7):925-929.
  20. Handbook of local anesthesia. 6th ed. St. Louis: Elsevier/Mosby; 2013.
  21. Anesthetic efficacy of the intraosseous injection after an inferior alveolar nerve block. J Endod 1996;22(9):481-486.
  22. Anesthetic efficacy and heart rate effects of the supplemental intraosseous injection of 2% mepivacaine with 1:20,000 levonordefrin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1999;87(3):284-293.
  23. Anesthetic efficacy of the intraosseous injection in maxillary and mandibular teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1996;81(6):634-641.
  24. Osteonecrosis related to intraosseous anesthesia: report of a case. J Endod 2009;35(2): 288-291.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.