“Is 4% articaine better than 2% lignocaine during bilateral impacted maxillary canine extraction- a split mouth randomised clinical trial”
Is 4% articaine better than 2% lignocaine ?
DOI:
https://doi.org/10.52977/ujmfs.2021.1.3.2Keywords:
Articaine, lignocaine HCL, Tooth Extraction.Abstract
Aims and Objective: To compare the efficacy of 4% articaine hydrochloride and 2% lignocaine hydrochloride in the impacted bilateral maxillary canine extraction.
Materials and Methods: In this split mouth randomised clinical trial study was carried out in 10 patients who underwent extraction of impacted maxillary canine. Every patients received 0.6ml – 1ml of 4% articaine at experimental side and control side 2% lignocaine HCl 0.8-1.5 ml buccal and palatal infiltration both. All the parameters, drug volume, duration of anesthesia, pain score was noted and statistically compared.
Results:
The mean administred volume of articaine group ranged from 0.8 ± 0.13 ml while in lignocaine group it ranged 1.53 ± 0.21 ml (buccal+ palatal administration). The mean drug volume used of lignocaine group was comparatively higher than articaine group. Duration of anesthesia depending on subjective lip numbness. In articaine group mean value was 60.08 ± 7.90 minutes while in lignocaine group it ranged from mean 48.21± 8.75. It was higher in articaine group. Pain scale (VAS) in articaine on buccal infiltration ranged from mean value of 0.9 ± 0.62 while in lignocaine group mean was 3.04± 1.00. Pain score was found higher in lignocaine group. On palatal infiltration in lignocaine group mean value ranged from 4.04±1.00, while in articaine group there was no need of palatal infiltration.
Conclusion: This study provided clear evidence that single buccal infiltrations of 4% articaine was better than 2% lignocaine in terms of drug volume, onset of ansthesia, duration of anesthesia, pain rating. Like other anesthetics, it is really safe and even more effectice. It surpasses the requirement of the additional palatal anesthesia.
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