Daneswari Velagala, Venugopal Reddy Nagireddy, Madhavi G, Pranathi P
Department of Pedodontics and Preventive Dentistry, Mamata Dental College, Khammam, Telangana, India.
Int J Clin Pediatr Dent. 2021 May-Jun;14(3):335-339. doi: 10.5005/jp-journals-10005-1976.
Pain-free operating is of obvious benefit to the patient, it also helps the operator as treatment can be performed in a calm, unhurried fashion. Articaine hydrochloride has steadily grown in popularity, and studies have shown that articaine hydrochloride performs better than lidocaine due to an enhanced anesthetic efficacy.
To assess the efficacy of buccal infiltration with articaine in achieving anesthesia for pulp therapy in primary mandibular second molars as compared with inferior alveolar nerve block (IANB) with lignocaine.
Thirty patients (4-8 years) with an indication of pulp therapy in at least two primary mandibular second molars were selected. Patients were randomly assigned to receive nerve block with lignocaine on the first appointment and buccal infiltration with articaine on the second appointment spaced 1 week apart. A single researcher injected local anesthetic for all the patients. Two researchers standing at a distance of 1.5 m recorded the pain scores and sound, eye, motor (SEM) scores. After the completion of the procedure, the patient was asked to record facial image (FI) score and Heft-Parker visual analog score (HP-VAS).
The pain-related behavior scores were higher for IANB when compared with infiltration. Facial image and HP-VAS scores were higher for the lignocaine IANB group when compared with the articaine infiltration.
With the increasing use of new delivery systems such as single tooth analgesia, a buccal infiltration with articaine provides an effective alternative, with minimal discomfort which would allow clinicians to avoid the use of IANB in children.
Daneswari V, Venugopal Reddy N, Madhavi G, . Assessing the Pain Reaction of Children and Evaluation of Efficacy of Buccal Infiltration with Articaine and Inferior Alveolar Nerve Block with Lignocaine for Pulp Therapy in Primary Mandibular Second Molars. Int J Clin Pediatr Dent 2021;14(3):335-339.
无痛操作对患者有明显益处，它也有助于操作者，因为治疗可以在平静、从容的状态下进行。盐酸阿替卡因的受欢迎程度稳步上升，研究表明，由于麻醉效果增强，盐酸阿替卡因的表现优于利多卡因。
评估与利多卡因下牙槽神经阻滞（IANB）相比，阿替卡因颊侧浸润用于下颌乳第二磨牙牙髓治疗麻醉的效果。
选择30例（4 - 8岁）至少两颗下颌乳第二磨牙有牙髓治疗指征的患者。患者被随机分配，第一次就诊接受利多卡因神经阻滞，第二次就诊接受阿替卡因颊侧浸润，两次就诊间隔1周。由一名研究人员为所有患者注射局部麻醉剂。两名站在1.5米远处的研究人员记录疼痛评分和声、眼、运动（SEM）评分。操作完成后，要求患者记录面部图像（FI）评分和赫夫特 - 帕克视觉模拟评分（HP - VAS）。
与浸润相比，IANB的疼痛相关行为评分更高。与阿替卡因浸润组相比，利多卡因IANB组的面部图像和HP - VAS评分更高。
随着单颗牙镇痛等新给药系统的使用增加，阿替卡因颊侧浸润提供了一种有效的替代方法，不适最小，这将使临床医生避免在儿童中使用IANB。
Daneswari V, Venugopal Reddy N, Madhavi G, 。评估儿童的疼痛反应以及阿替卡因颊侧浸润和利多卡因下牙槽神经阻滞用于下颌乳第二磨牙牙髓治疗的效果评估。《国际临床儿科牙科学杂志》2021；14(3):335 - 339。
