Local Infiltration with 4% Articaine in the Mandible for Extraction: A Controlled Study
Sohin Chaudhari, Swapna Nayan, Yogesh Kini, Charu Girotra and
Department of Oral and Maxillofacial Surgery, D Y Patil Deemed To be University, India
*Corresponding Author: Bhagyasree V, Department of Oral and Maxillofacial Surgery, D Y Patil Deemed To be University, India.
Received: November 30, 2022; Published: January 23, 2023
Pain management is a very important aspect of any treatment, especially in dentistry, wherein most procedures are carried out under local anaesthesia. However, to ensure maximum patient comfort and compliance during mandibular procedures, inferior alveolar nerve block is the most preferred method of local analgesia even for a surgical site with lesser surface area, as infiltrations have proven to be ineffective in mandibular procedures owing to the buccal cortical plate thickness. Four percent articaine local anaesthetic has been successfully used to attain local anaesthesia for dental procedures, especially in maxilla. Our attempt with this study is to find an alternative to the use of inferior alveolar nerve block as well as multiple infiltrations for the extraction of a single mandibular tooth thus, making the injection less painful to the patient and at the same time maintaining the depth and duration of anaesthesia.
Keywords: Local Analgesia; 4% Articaine; Mandibular Block; Mandibular Infiltration; Pain
- Shahidi Bonjar AH. “Syringe micro vibrator (SMV) a new device being introduced in dentistry to alleviate pain and anxiety of intraoral injections, and a comparative study with a similar device”. Annals of Surgical Innovation and Research 5 (2011): 1.
- Brunetto PC., et al. “Anesthetic efficacy of 3 volumes of lidocaine with epinephrine in maxillary infiltration anesthesia”. Anesthesia Progress 2 (2008): 29-34.
- Khoury JN., et al. “Applied anatomy of the pterygomandibular space: improving the success of inferior alveolar nerveblocks”. Australian Dental Journal 56 (2011): 112-121.
- McArdle BF. “Painless palatal anesthesia”. The Journal of the American Dental Association 128 (1997): 647.
- F Rayati., et al. “Efficacy of buccal infiltration anaesthesia with articaine for extraction of mandibular molars: a clinical trial”. British Journal of Oral and Maxillofacial Surgery7 (2018): 607-610.
- Vassend O. “Anxiety, pain and discomfort associated with dental treatment”. Behaviour Research and Therapy7 (1993): 656-666.
- Foster W., et al. “Anesthetic efficacy of buccal and lingual infiltrations of lidocaine following an inferior alveolar nerve block in mandibular posterior teeth”. Anesthesia Progress 4 (2017): 1823-1829.
- The effectiveness of articaine in mandibular facial infiltrations - Dennis F Flanagan”. Local and Regional Anesthesia 9 (2016): 1-6.
- Articaine 30years later - Stanley Malamed.
- Nydegger B., et al. “Anesthetic comparisons of 4% concentrations of articaine, lidocaine, and prilocaine as primary buc-cal infiltrations of the mandibular first molar: a prospective randomized, double-blind study”. Journal of Endodontics 40 (2014): 1912-1916.
- Bataineh AB and Alwarafi MA. “Patient’s pain perception during mandibular molar extraction with articaine: a comparison study between infiltration and inferior alveolar nerve block”. Clinical Oral Investigations 20 (2016): 2241-2250.
- Meechan JG. “Infiltration Anesthesia in The Mandible”. Dental Clinics of North America4 (2010): 621-629.
- Meechan JG. “Supplementary routes to local anaesthesia”. International Endodontic Journal 35 (2010): 885-896.
- Guidelines For Dental Treatment of Patients with Inherited Bleeding Disorders - Treatment of Hemophilia 40 (2006).
- Beno T., et al. “Estimation of bone permeability using accurate microstructural measurements”. Journal of Biomechanics 13 (2006): 2378-2387.
- El-Kholey KE. “Infiltration anesthesia for extraction of the mandibular molars”. Journal of Oral and Maxillofacial Surgery 10 (2013): 1658 e1651-1655.
- Wright GZ., et al. “The effectiveness of infiltration anesthesia in the mandibular primary molar region”. Pediatric Dentistry Journal 5 (1991): 278-283.
- Oulis CJ., et al. “The effectiveness of mandibular infiltration compared to mandibular block anesthesia in treating primary molars in children”. Pediatric Dentistry Journal 4 (1996): 301-305.
- Sharaf AA. “Evaluation of mandibular infiltration versus block anesthesia in pediatric dentistry”. ASDC Journal of Dentistry for Children 4 (1997): 276-281.
- Fatma Alzahrani., et al. “Anaesthetic efficacy of 4% articaine and 2% lidocaine for extraction and pulpotomy of mandibular primary molars: an equivalence parallel prospective randomized controlled trial”. International Journal of Paediatric Dentistry3 (2018): 335-344.
- Kanaa MD., et al. “Articaine and lidocaine mandibular infiltration anesthesia: a prospective randomized double-blind cross-over study”. Journal of Endodontics 89 (2006): 296-298.
- Khalid E and El-Kholey. “Anesthetic Efficacy of 4 % Articaine During Extraction of the Mandibular Posterior Teeth by Using Inferior Alveolar Nerve Block and Buccal Infiltration Techniques”. Journal of Maxillofacial and Oral Surgery 16 (2017): 90-95.
- Mikesell P., et al. “A comparison of articaine and lidocaine for inferior alveolar nerve blocks”. Journal of Endodontics 88 (2005): 265-270.
- Robertson D., et al. “The anesthetic efficacy of articaine in buccal infiltration of mandibular posterior teeth”. JADA 138 (2007): 1104-1112.
- Skjevik ÅA., et al. “Intramolecular hydrogen bonding in articaine can be related to superior bone tissue penetration: a molecular dynamics study". Biophysical Chemistry 854 (2011): 87-25.
- Kuhn B., et al. “Intramolecular hydrogen bonding in medicinal chemistry”. Journal of Medicinal Chemistry 53 (2010): 101141-101211.
- Malamed SF. “Local anesthetics: dentistry’s most important drugs, clinical update 9906”. Journal of the California Dental Association12 (2006): 971-976.
- Pogrel MA. “Permanent nerve damage from inferior alveolar nerve blocks, an update to include articaine”. Journal of the California Dental Association 4 (2007): 1051-1053.
- Oertel R., et al. “Clinical pharmacokinetics of articaine”. Clinical Pharmacokinetics 90 (1997): 486-9103.
- Corbett IP., et al. “Articaine infiltration for anesthesia of mandibular first molars”. Journal of Endodontics 109 (1998): 814-887.