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. 2021 Jun;13(Suppl 1):S721-S724.
doi: 10.4103/jpbs.JPBS_659_20. Epub 2021 Jun 5.

A Prospective Study to Assess the Efficacy of 4% Articaine, 0.5% Bupivacaine and 2% Lignocaine using a Single Buccal Supraperiosteal Injection for Maxillary Tooth Extraction

Deepak Chandrasekaran  1 , Ravindran Chinnaswami  1 , K Shanthi  1 , A Emmanuel Dhiravia Sargunam  1 , K Santhosh Kumar  1 , Tharini Satheesh  1
Affiliations

A Prospective Study to Assess the Efficacy of 4% Articaine, 0.5% Bupivacaine and 2% Lignocaine using a Single Buccal Supraperiosteal Injection for Maxillary Tooth Extraction

Deepak Chandrasekaran et al. J Pharm Bioallied Sci. 2021 Jun.

Abstract

Introduction: The aim of this study was to demonstrate if articaine hydrochloride administered alone as a single buccal infiltration in maxillary tooth extraction can provide adequate palatal anesthesia as compared to buccal and palatal injection using lidocaine and bupivacaine.

Materials and methods: A prospective double-blinded trial was conducted on 150 patients who required maxillary tooth extraction. The patients were divided into three different groups consisting of 50 patients each. Each group was administered with 4% articaine into buccal vestibular mucosa of the tooth to be extracted, 2% lignocaine and 0.5% bupivacaine was injected into buccal and palatal side of the tooth to be extracted, respectively. Following the tooth extraction, all patients were asked to complete a 10-score Visual Analog Scale (VAS) and 5-score facial pain scale (FPS) to assess the pain on extraction.

Results: According to the VAS and FPS scores, the pain on extraction between buccal infiltration of articaine and the routine buccal and palatal infiltration of lignocaine was statistically significant.

Conclusion: The routine use of a palatal injection for extraction of maxillary teeth may not be required when articaine is used as a local anesthetic solution.

Keywords: Articaine; local infiltration; tooth extraction.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Local anesthetic agents blinded into three groups
Figure 2
Figure 2
Buccal supraperiosteal injection
See this image and copyright information in PMC

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