ENDODONTIC AND EXTRACTION SUCCESS WITH BUCCAL INFILTRATION USING ARTICAINE AND LIGNOCAINE IN IRREVERSIBLE PULPITIS
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Keywords
Articaine, Lignocaine, Irreversible Pulpitis, Maxillary First molars
Abstract
Objective: Assessment of onset of anesthesia and success of procedures in Root Canal and Extraction Procedures Using Articaine and Lignocaine Buccal Infiltration in Maxillary First Molars with Irreversible Pulpitis
Methodology: Randomized double blind clinical study
Place and Duration of study: Pharmacology department, Islamic International Medical College Rawalpindi in collaboration with Margalla Institute of Health Sciences.
Study duration was one year.
240 patients being managed for irreversible pulpitis for maxillary first molars were randomly divided into two Groups, Group 1 and 2. Group 1 were the patients given the specific local anesthesia for pulp extirpation (root canal treatment). Group 2 were the patients given the local anesthetic for exodontia (dental extractions). These groups were further subdivided into four groups. Group A and Group B were managed by pulp extirpation (root canal) and were given Lignocaine and Articaine respectively. Group C and Group D were managed by exodontia (dental extraction) and were anesthetized using Lignocaine and Articaine respectively. The onset of anesthesia was determined by measuring the time required in minutes to achieve the maximum reading on the pulp tester without experiencing any pain. The success of the procedure was determined by the dentist by establishing if any additional dental cartridge was required by the patient during the procedure.
Results : the time required for the onset of anesthesia for Group B and D was significantly less than that required by Group A and C. The dentist also reported significantly more successful procedures for Group B and D as compared to Groups A and C
Conclusion: Articaine is conclusively more effective than lignocaine in providing rapid onset of anesthesia and results in lesser need for additional anesthesia.
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Amber Rashid
BDS Mphil Pharmacology CHPE Assistant Professor Department of Pharmacology Foundation University Medical college (FUMC) Islamabad
Sana Jalil Hasan
BDS,FCPS,CHPE, C-Implantology Associate Professor Operative dentistry and Endodontics Margalla Institute of Health Sciences, Quaid –e-Azam Avenue, Gulraiz phase 3 ,Rawalpindi
Syeda Rabia Rahat Geelani
FCPS(OMFS) Assistant Professor, Oral and Maxillofacial Surgery Department, Qassim University
Aeman Choudhary
BDS, Mphil Pharmacology, CHPE Assistant Professor Dental College HITEC-IMS Taxila
Sidra Waqar
MBBS MPhil Pharmacology Demonstrator Pharmacology, Islamic International Medical College Rawalpindi
Tayyaba Qureshi
MBBS, MPhil Anatomy, PhD scholar, Assistant Professor, Department of Anatomy, Rawalpindi Medical University