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 Ashwath, Sundaram Subramoniam, Rajaram Vijayalakshmi, Muthukali Shanmugam, Bagavathiperumal Meena Priya, Vijayarangan Anitha, Journal of Anaesthesiology Clinical Pharmacology

FORUM ARTICLE
Year : 2018 | Volume : 34 | Issue : 1 | Page : 107--110

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

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.

How to cite this article:
Ashwath B, Subramoniam S, Vijayalakshmi R, Shanmugam M, Priya BM, Anitha V. 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.J Anaesthesiol Clin Pharmacol 2018;34:107-110

How to cite this URL:
Ashwath B, Subramoniam S, Vijayalakshmi R, Shanmugam M, Priya BM, Anitha V. 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. J Anaesthesiol Clin Pharmacol [serial online] 2018 [cited 2021 Feb 26 ];34:107-110
Available from: https://www.joacp.org/article.asp?issn=0970-9185;year=2018;volume=34;issue=1;spage=107;epage=110;aulast=Ashwath;type=0