COMPARING EFFICACY OF ARTICAINE AND LIGNOCAINE IN MAXILLARY IRREVERSIBLE PULPITIS CASES IN TERMS OF PAIN MANAGEMENT
Main Article Content
Keywords
Intraoperative pain, analgesia, Drug A, Drug B, randomized controlled trial, pain management
Abstract
Background: In the field of dentistry, effective pain management is critical, especially in cases of maxillary irreversible pulpitis. Articaine and lignocaine, both local anesthetics, are commonly used, but their comparative efficacy in managing pain during dental procedures remains an area of active research.
Objective: The objective of this study was to compare the intraoperative pain relief and overall efficacy of two analgesic drugs, A and B, in patients undergoing a medical procedure. The study aimed to assess which drug offers superior pain control and minimizes the need for supplemental injections.
Study Design: This was a randomized controlled trial.
Study Setting: The study was conducted at Outpatient Department of Operative Dentistry, Fatima Memorial Hospital, Lahore.
Methodology: This randomized controlled trial included 75 patients, aged 18-50 years, undergoing a specific medical procedure. The participants were divided into two groups: 40 received Drug A, and 35 received Drug B. Pain levels were recorded during the procedure, with categories including no pain, moderate pain (1-5), and unbearable pain (6-10). The need for supplemental analgesic injections was also documented.
Results: Drug A resulted in significantly higher reports of moderate (85%) and unbearable pain (10%) compared to Drug B, where 62.9% of patients reported no pain (p < 0.001). Drug B showed greater efficacy, with 62.9% of patients reporting effective pain relief, compared to only 5% in the Drug A group (p = 0.001). Additionally, supplemental injections were more frequently required in the Drug A group (62.5%) than in the Drug B group (28.6%).
Conclusion: Drug B demonstrated superior efficacy in managing intraoperative pain compared to Drug A, as evidenced by lower pain scores and a reduced need for supplemental analgesia. Drug B should be considered a more effective option for pain control during similar procedures.
References
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Misbah Ashfaq
Senior Registrar Operative Dentistry and Endodontics FMH College of Medicine And Dentistry
Saroosh Ehsan
Professor and Head of Department Operative Dentistry FMH CMD
Muhammad Talha khan
Assistant Professor (Operative Dentistry) Fatima Memorial Dental hospital
Attia Ashraf
FCPS Trainee Operative Dentistry and Endodontics FMH College of Medicine And Dentistry Lahore
Shehryar Khan
FCPS Trainee FMH College of Medicine and Dentistry.
Maria Noor
Assistant professor FMH College of Medicine And Dentistry