| FORUM ARTICLE |
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| Year : 2018 | Volume
: 34
| Issue : 1 | Page : 107-110 |
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Anesthetic efficacy of 4% articaine and 2% lignocaine in achieving palatal anesthesia following a single buccal infiltration during periodontal therapy: A randomized double-blind split-mouth study
Balachandran Ashwath1, Sundaram Subramoniam2, Rajaram Vijayalakshmi3, Muthukali Shanmugam1, Bagavathiperumal Meena Priya1, Vijayarangan Anitha1
1 Department of Periodontics, Chettinad Dental College and Research Institute, Kelambakkam, Kancheepuram, India
2 Periodontist, Private Dental Practice, Chennai, Tamil Nadu, India
3 Department of Periodontics, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India
Correspondence Address:
Balachandran Ashwath
Reader Department of Periodontics, Chettinad Dental College and Research Institute, Kelambakkam, Kancheepuram - 603 103, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/joacp.JOACP_200_15
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Background: The aim of this randomized split-mouth double-blind study was to evaluate whether 4% articaine hydrochloride with 1:100,000 epinephrine administered as a single buccal infiltration in the maxillary posterior sextant can provide palatal anesthesia when compared with 2% lignocaine with 1:100,000 epinephrine during scaling and root planing and access flap surgery (AFS).
Material and Methods: A total of 40 patients with chronic generalized periodontitis requiring periodontal therapy in the maxillary posterior sextants were recruited in this study. About 4% articaine and 2% lignocaine were administered as buccal infiltration in a split-mouth design randomly. The pain scores in the palatal aspect were recorded during scaling and root planing and open flap debridement using Heft-Parker visual analog scale. The onset of anesthesia was also recorded and compared.
Results: The success rate for maxillary buccal infiltration to induce palatal anesthesia using articaine was 90% during scaling and root planing and 82.5% during AFS and for lignocaine solution was 20% and 15%, respectively. The difference between the two agents was statistically significant (P < 0.05). The onset of anesthesia between articaine and lignocaine was also found to be statistically significant (P < 0.05).
Conclusion: In this study, we observed that the efficacy of 4% articaine was superior to 2% lignocaine to induce palatal anesthesia following maxillary buccal infiltration in maxillary posterior sextants.
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