Comparative study of articaine and lidocaine without palatal injection for maxillary teeth extraction
Abstract
Objectives
There
is significant evidence that articaine and lidocaine buccal injections
alone are sufficient for painless extraction of maxillary teeth. The aim
of this study was to evaluate the extraction of permanent maxillary
teeth and to compare pain control between articaine and lidocaine
without palatal injection.
Materials and methods
Group
A received buccal and palatal injections of 2% lidocaine with
0.015 mg/ml epinephrine. Group B received only buccal local anesthetic
injection of 2% lidocaine with 0.015 mg/ml epinephrine. Group C received
only buccal injection of 4% articaine with 0.012 mg/ml epinephrine. The
patients’ perception of pain was assessed using visual analogue scale
and verbal response scale after the injection and the extraction.
Results
Statistical
analysis showed that the difference in pain perception of local
anesthetic injection was statistically significant between groups A and B
and between groups A and C (p < 0.05).
Conclusion
The
extraction of permanent maxillary teeth is possible without palatal
injections and there is no difference between articaine and lidocaine.
Clinical relevance
Local
anesthetic agents are the most frequently administered drugs in
dentistry and represent the primary method of pain control for patients
undergoing intraoral procedures.
Comments