Literature DB >> 24431806

Efficacy of 4 % Articaine and 2 % Lidocaine: A clinical study.

Deepashri H Kambalimath1, R S Dolas2, H V Kambalimath1, S M Agrawal1.   

Abstract

OBJECTIVES: This study was undertaken to compare the anesthetic properties of 4 % Articaine hydrochloride and 2 % Lidocaine both with 1:100,000 epinephrine for mandibular inferior alveolar nerve anesthesia.
MATERIALS AND METHODS: Thirty healthy patients were included in this randomized double-blind clinical cross over study. Each subject received each test solution at different times. Inferior alveolar nerve block anesthesia was used for extraction of bilateral impacted mandibular third molar on different occassions. The time of onset of action, duration of anesthesia, efficacy of anesthesia, hemodynamic parameters and oxygen saturation were monitored during the procedure. A visual analog scale was used to assess pain during surgery, and thus subjectively evaluate the anesthetic efficacy of the two solutions.
RESULTS: No statistically significant differences were seen in the onset and duration of anesthesia between the Articaine and Lidocaine solutions.
CONCLUSIONS: 4 % Articaine offers better clinical performance than 2 % Lidocaine, particularly in terms of latency and duration of the anesthetic effect. However, no statistically significant differences in anesthetic efficacy were recorded between the two solutions.

Entities:  

Keywords:  Articaine; Clinical study; Efficacy; Impacted mandibular third molar; Lidocaine; Randomized

Year:  2012        PMID: 24431806      PMCID: PMC3589513          DOI: 10.1007/s12663-012-0368-4

Source DB:  PubMed          Journal:  J Maxillofac Oral Surg        ISSN: 0972-8270


  51 in total

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Authors:  M Peñarrocha-Diago; J M Sanchis-Bielsa
Journal:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod       Date:  2000-07

2.  Articaine and mepivacaine efficacy in postoperative analgesia for lower third molar removal: a double-blind, randomized, crossover study.

Authors:  Bella L Colombini; Karin C S Modena; Adriana M Calvo; Vivien T Sakai; Fernando P M Giglio; Thiago J Dionísio; Alceu S Trindade; José R P Lauris; Carlos F Santos
Journal:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod       Date:  2006-03-24

3.  Allergy to local anaesthetics in dentistry. Myth or reality?

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Journal:  Allergol Immunopathol (Madr)       Date:  2002 Jan-Feb       Impact factor: 1.667

4.  Comparison of articaine and prilocaine anesthesia by infiltration in maxillary and mandibular arches.

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Journal:  Anesth Prog       Date:  1990 Sep-Oct

5.  Articaine hydrochloride: a study of the safety of a new amide local anesthetic.

Authors:  S F Malamed; S Gagnon; D Leblanc
Journal:  J Am Dent Assoc       Date:  2001-02       Impact factor: 3.634

6.  Hemodynamic changes during the surgical removal of lower third molars.

Authors:  Aurelia Alemany-Martínez; Eduard Valmaseda-Castellón; Leonardo Berini-Aytés; Cosme Gay-Escoda
Journal:  J Oral Maxillofac Surg       Date:  2008-03       Impact factor: 1.895

7.  Influence of local anesthethics with adrenalina 1:100.000 in basic vital constants during third molar surgery.

Authors:  Ricardo José de Holanda Vasconcellos; Belmiro Cavalcanti do Egito Vasconcelos; Paloma Rodrigues Genú
Journal:  Med Oral Patol Oral Cir Bucal       Date:  2008-07-01

8.  Epinephrine concentration (1:100,000 or 1:200,000) does not affect the clinical efficacy of 4% articaine for lower third molar removal: a double-blind, randomized, crossover study.

Authors:  Carlos F Santos; Karin C S Modena; Fernando P M Giglio; Vivien T Sakai; Adriana M Calvo; Bella L Colombini; Carla R Sipert; Thiago J Dionísio; Flávio A C Faria; Alceu S Trindade; José R P Lauris
Journal:  J Oral Maxillofac Surg       Date:  2007-12       Impact factor: 1.895

9.  A comparison of the clinical anesthetic efficacy of 4% articaine and 0.5% bupivacaine (both with 1:200,000 epinephrine) for lower third molar removal.

Authors:  Leonardo V L Gregorio; Fernando P M Giglio; Vivien T Sakai; Karin C S Modena; Bella L Colombini; Adriana M Calvo; Carla R Sipert; Thiago J Dionísio; José R P Lauris; Flávio A C Faria; Alceu S Trindade Junior; Carlos F Santos
Journal:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod       Date:  2008-04-16

10.  Comparison between lidocaine and bupivacaine as local anesthetics with diflunisal for postoperative pain control after lower third molar surgery.

Authors:  J B Rosenquist; K I Rosenquist; P K Lee
Journal:  Anesth Prog       Date:  1988 Jan-Feb
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  18 in total

Review 1.  Effective anaesthesia of the acutely inflamed pulp: part 2. Clinical strategies.

Authors:  S S Virdee; S Bhakta; D Seymour
Journal:  Br Dent J       Date:  2015-11-13       Impact factor: 1.626

2.  Anesthetic Efficacy of Buccal Infiltration Articaine versus Lidocaine for Extraction of Primary Molar Teeth.

Authors:  Nilesh V Rathi; Anushree A Khatri; Akshat G Agrawal; Sudhindra Baliga M; Nilima R Thosar; Shravani G Deolia
Journal:  Anesth Prog       Date:  2019

3.  Success rates of the first inferior alveolar nerve block administered by dental practitioners.

Authors:  Yutthasak Kriangcherdsak; Somchart Raucharernporn; Teeranut Chaiyasamut; Natthamet Wongsirichat
Journal:  J Dent Anesth Pain Med       Date:  2016-06-30

4.  Efficacy of Infiltration Anaesthesia of 4% Articaine HCl (buccal) Versus 2% Lignocaine HCl (buccolingual) in Extraction of Mandibular Premolars: A Single Centred, Randomised, Crossover Group Study.

Authors:  Ajit Joshi; Harleen Kaur Soni
Journal:  J Maxillofac Oral Surg       Date:  2019-10-01

5.  Local anaesthesia for surgical extraction of mandibular third molars: a systematic review and network meta-analysis.

Authors:  Fan Yang; Yuxuan Gao; Lan Zhang; Bo Zheng; Liu Wang; Huan Sun; Dingming Huang
Journal:  Clin Oral Investig       Date:  2020-08-24       Impact factor: 3.573

6.  Tracking local anesthetic effects using a novel perceptual reference approach.

Authors:  Dominik A Ettlin; Nenad Lukic; Jetmir Abazi; Sonja Widmayer; Michael L Meier
Journal:  J Neurophysiol       Date:  2016-01-20       Impact factor: 2.714

7.  Does articaine, rather than lidocaine, increase the risk of nerve damage when administered for inferior alveolar nerve blocks in patients undergoing local anaesthesia for dental treatment? A mini systematic review of the literature.

Authors:  P Stirrup; S Crean
Journal:  Br Dent J       Date:  2019-02-08       Impact factor: 1.626

8.  Effectiveness of anesthetic solutions for pain control in lower third molar extraction surgeries: a systematic review of randomized clinical trials with network meta-analysis.

Authors:  Marco Tulio Rossi; Murilo Navarro de Oliveira; Maria Tereza Campos Vidigal; Walbert de Andrade Vieira; Cristiano Elias Figueiredo; Cauane Blumenberg; Vinicius Lima de Almeida; Luiz Renato Paranhos; Luciana Butini Oliveira; Walter Luiz Siqueira; Rui Barbosa de Brito Júnior
Journal:  Clin Oral Investig       Date:  2020-11-08       Impact factor: 3.573

9.  4% Articaine and 2% Lignocaine for Surgical Removal of Third Molar by Mandibular Nerve Block: A Randomized Clinical Trial for Efficacy and Safety.

Authors:  Shruthi Saralaya; Sahana B Adirajaiah; Venkatesh Anehosur
Journal:  J Maxillofac Oral Surg       Date:  2018-04-03

Review 10.  Injectable local anaesthetic agents for dental anaesthesia.

Authors:  Geoffrey St George; Alyn Morgan; John Meechan; David R Moles; Ian Needleman; Yuan-Ling Ng; Aviva Petrie
Journal:  Cochrane Database Syst Rev       Date:  2018-07-10
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