Comparison of the therapeutic effects between articaine infiltration anesthesia and lidocaine nerve block an-esthesia in pulpotomy of deciduous mandibular second molar
10.3969/j.issn.1001-3733.2024.04.014
- VernacularTitle:阿替卡因浸润麻醉和利多卡因神经阻滞麻醉在下颌第二乳磨牙切髓术中的疗效对比
- Author:
Yu WANG
1
;
Fen LIU
;
Hongling SI
;
Yajie WANG
;
Qingrong HOU
;
Rongzhao JIN
Author Information
1. 710048,西安交通大学口腔医院陕西省颅颌面精准医学研究重点实验室,陕西省牙颌疾病临床研究中心,西安交通大学口腔医院第一(兴庆)门诊部
- Keywords:
Deciduous teeth;
Pulp treatment;
Articaine;
Lidocaine;
Infiltration anesthesia;
Nerve block anesthesia
- From:
Journal of Practical Stomatology
2024;40(4):537-541
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacy of articaine infiltration anesthesia and lidocaine nerve block anesthesia in pulpotomy of deciduous mandibular second molars.Methods:Single blind crossover test was used for the pediatric patients who required bilateral de-ciduous mandibular second molar pulpotomy were given articaine infiltration anesthesia and lidocaine nerve block anesthesia respectively before the 2 times of operation.After the injection of anesthetic drugs and dental pulp treatment,the patients'responses to pain were e-valuated through sound,eye and body movements,and Wong-Baker facial pain rating scales.Quantitative comparisons were made.Student's t-test and chi-square test were performed for the collected data.Results:50 pediatric patients who met the inclusion criteria and successfully completed 2 treatments without any missed visits or adverse events.During the process of articaine infiltration anesthe-sia,the scores of the 3 indicators of pain severity,namely sound,eye and body movements,were lower than those of lidocaine nerve block anesthesia(P＜0.05).The analysis of facial pain rating scales also suggested that patients'pain and discomfort during the infiltra-tion anesthesia process with articaine were milder(P＜0.05).During the treatment of pulpotomy,both pain assessment methods showed no statistically significant difference in pain perception between the 2 anesthesia injections(P＞0.05).Conclusion:Articaine infiltra-tion anesthesia may effectively replace lidocaine nerve block anesthesia in pulp treatment of mandibular primary molars.
