omparative evaluation of 4% articaine with 2% lignocaine for extractions of deciduous maxillary teeth.
- Conditions
- indicated for bilateral maxillary deciduous teeth extraction
- Registration Number
- CTRI/2018/01/011639
- Lead Sponsor
- Dr Jayashree Jankar
- Brief Summary
Paincontrol in dentistry is an important part in reducing the fear and anxietyassociated with dental procedures especially in children. Pain on palatal injection is a very commonly experienced symptomin dentistry and as such is a major concern to dentist. A number of techniques may beused to reduce the discomfort of intra-oral injections, the application oftopical anaesthetic being a well-known and frequently used option. However, it is effective only onsurface tissues (2–3 mm) and tissues deep to the area of application are poorlyanesthetized. Surface anaesthesia does allowfor atraumatic needle penetration, but because of the density of the palatalsoft tissues and their firm adherence to the underlying bone, palatal injectionis still painful. Local anaesthetics form the backbone of paincontrol in dentistry and there has been substantial research for safe andeffective local anaesthetic agent. 2% lignocaine is the “gold standard†to whichall new local anaesthetics are compared and considered most efficacious anaestheticagent for use in pediatric and adult patients. Articaine is unique amide local anaestheticsthat consist of ester group and thiophene ring which makes it more potent andmore lipid soluble and accounts for faster diffusion properties within tissuesand bone. Due to this property of diffusion, profound anaesthesia can beachieved on palatal side with buccal infiltration. It has been claimedthat articaine is able to diffuse through soft and hard tissues more reliablythan other local anaesthetics and that maxillary buccal infiltration ofarticaine provides palatal soft tissue anaesthesia, obviating the need for apalatal injection which in many hands, is traumatic. Hence, the present study was conducted toevaluate clinically the anesthetic efficacy of only buccal infiltrationanesthesia using 4% articaine with buccal plus palatal infiltration using 2%lignocaine for extractions of deciduous maxillary teeth.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 60
Children in the age group of 5-10 years requiring administration of local anesthetic agent for bilateral extractions of maxillary deciduous teeth, Children falling in the Frankel behaviour rating scale of positive and definitely positive, No history of intra-oral injections, Only children whose parental consent is obtained before procedure.
Allergy to sulfites or amide type of local anesthetics, Severe systemic disease contraindicating tooth extraction, Evidence of soft tissue infection near the proposed injection site, Inability to give informed consent, Taking any medications that might alter pain perception or anesthetic assessment.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Efficacy of anesthesia At the day of intervention (0 day)
- Secondary Outcome Measures
Name Time Method Any adverse effects At the day of intervention (0 day)
Trial Locations
- Locations (1)
MGVs KBH Dental College and Hospital, Nashik.
🇮🇳Nashik, MAHARASHTRA, India
MGVs KBH Dental College and Hospital, Nashik.🇮🇳Nashik, MAHARASHTRA, IndiaDr Jayashree JankarPrincipal investigator9820656654jayashreejankar@gmail.com