Efficacy of Articaine versus Lido,caine in Block and Infiltration Anesthesia Administered in Teeth with Irreversible Pulpitis: A Prospective, Randomized, Double-blind Study
Efficacy of Articaine versus Lido,caine in Block and Infiltration Anesthesia Administered in Teeth with Irreversible Pulpitis: A Prospective, Randomized, Double-blind Study
复制标题
DOI：
10.1016/j.joen.2012.10.012
复制
发表时间：
2013-01-01
影响因子：
4.2
通讯作者：
Noghrehkar, Fatemeh
中科院分区：
文献类型：
--
作者：
Ashraf, Hengameh;Kazem, Majeed;Noghrehkar, Fatemeh
简介：患有不可逆牙髓炎的下颌后牙的深度牙髓麻醉通常需要进行下牙槽神经阻滞 (IANB) 以及其他补充注射。此前瞻性的目的；随机、双盲研究旨在比较阿替卡因和利多卡因颊部浸润注射辅以 IANB 的麻醉成功率。方法：125例下颌第一或第二磨牙诊断为不可逆性牙髓炎的急诊患者参加研究，并接受：IANB，使用2%利多卡因加1:100,000肾上腺素或4%阿替卡因加1:100,000肾上腺素。其中 102 名患者在开始牙髓治疗或锉牙根管时报告有中度至重度疼痛，并使用与 IANB 相同的麻醉剂接受补充颊浸润注射：在阻滞或补充颊浸润注射后，在牙根管安装过程中没有或有轻微疼痛，取得了成功。结果：不完全 IANB 后使用利多卡因进行浸润注射的成功率为 29%，而使用阿替卡因则为 71%（P
Introduction: Profound pulpal anesthesia in posterior mandibular teeth with irreversible pulpitis usually requires administering an inferior, alveolar nerve-block (IANB) plus other supplemental injections. The purpose Of this prospective; randomized, double-blind Study was to compare the anesthetic success rate of buccal infiltration injections of articaine and lidocaine when supplemented with an, IANB. Methods: One hundred twenty-five emergency patients Who had their first or Second mandibular molar,diagnosed with irreversible pulpitis participated in the study and received:the IANB by using either 2% lidocaine with 1:100,000 epinephrine or 4% articaine with 1:100,000 epinephrine. One hundred two of the patients reported moderate-to-severe pain upon initiation of their endodontic treatment Or through filing of their tooth Canals and received supplemental buccal infiltration injections by using the same anesthetic that the IANB had been performed: After the block or the supplemental buccal infiltration injections, success was achieved with no or mild pain during instrumentation of the tooth canals. Results: The success rate after the administration of the, infiltration injections after an incomplete IANB by using lidocaine was 29%, whereas by using articaine it was 71% (P