Comparison of 4% Articaine with 1:100,000 Epinephrine and 2% Lidocaine with 1:100,000 Epinephrine When Used as a Supplemental Anesthetic

Paul A. Rosenberg, Ketan G. Amin, Yigal Zibari, Louis M. Lin

Research output: Contribution to journalArticle

Abstract

A randomized, double-blind trial was conducted to compare the efficacy of 4% articaine with 1:100,000 epinephrine and 2% lidocaine with 1:100,000 epinephrine when used as a supplemental anesthetic. Forty-eight patients with irreversible pulpitis requiring supplemental buccal infiltration for endodontic therapy were given either 4% articaine with 1:100,000 epinephrine or 2% lidocaine with 1:100,000 epinephrine in a double-blind manner. A standard VAS pain scale was used to evaluate the patient's response to pain after a supplemental injection. The mean VAS score after supplemental anesthesia was 15.28 for 4% articaine with 1:100,000 epinephrine and 19.70 for 2% lidocaine with 1:00,000 epinephrine. The mean percentage change in VAS score was 70.5 and 62.2% for articaine and lidocaine, respectively. There was no statistically significant difference in the VAS pain score between 4% articaine with 1:00,000 epinephrine and 2% lidocaine with 1:00,000 epinephrine as a supplemental anesthetic.

Original languageEnglish (US)
Pages (from-to)403-405
Number of pages3
JournalJournal of endodontics
Volume33
Issue number4
DOIs
StatePublished - Apr 1 2007

Keywords

  • Articaine
  • irreversible pulpitis
  • lidocaine
  • supplemental injection

ASJC Scopus subject areas

  • Dentistry(all)

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