J Dent Anesth Pain Med.  2019 Apr;19(2):101-109. 10.17245/jdapm.2019.19.2.101.

Pain perception and efficacy of local analgesia using 2% lignocaine, buffered lignocaine, and 4% articaine in pediatric dental procedures

• M.M A
• Khatri A
• Kalra N
• Tyagi R
• Khandelwal D

• KMID: 2444754
• DOI: http://doi.org/10.17245/jdapm.2019.19.2.101

Abstract

BACKGROUND
The purpose of this study was to compare the pain perception and anesthetic efficacy of 2% lignocaine with 1:200,000 epinephrine, buffered lignocaine, and 4% articaine with 1:200,000 epinephrine for the inferior alveolar nerve block.
METHODS
This was a double-blind crossover study involving 48 children aged 5-10 years, who received three inferior alveolar nerve block injections in three appointments scheduled one week apart from the next. Pain on injection was assessed using the Wong-Baker Faces pain scale and the sound eye motor scale (SEM). Efficacy of anesthesia was assessed by subjective (tingling or numbness of the lip, tongue, and corner of mouth) and objective signs (pain on probing).
RESULTS
Pain perception on injection assessed with Wong-Baker scale was significantly different between buffered lignocaine and lignocaine (P < 0.001) and between buffered lignocaine and articaine (P = 0.041). The onset of anesthesia was lowest for buffered lignocaine, with a statistically significant difference between buffered lignocaine and lignocaine (P < 0.001). Moreover, the efficacy of local analgesia assessed using objective signs was significantly different between buffered lignocaine and lignocaine (P < 0.001) and between lignocaine and articaine.
CONCLUSION
Buffered lignocaine was the least painful and the most efficacious anesthetic agent during the inferior alveolar nerve block injection in 5-10-year-old patients.

Keyword

Articaine; Buffers; Lignocaine; Pain Scale

MeSH Terms

Analgesia*
Anesthesia
Appointments and Schedules
Buffers
Carticaine*
Child
Cross-Over Studies
Epinephrine
Humans
Hypesthesia
Lidocaine*
Lip
Mandibular Nerve
Pain Perception*
Tongue
Buffers
Carticaine
Epinephrine
Lidocaine

Figure

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  Fig. 1 Wong-Baker FACES® Pain Rating Scale

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