Evaluation of Pain Outcomes with Articaine Versus Lignocaine in the Endodontic and Surgical Management of Irreversible Pulpitis in Maxillary First Molars

Abstract

Abstract

Objective

Assessment of Pain Levels in Root Canal and Extraction Procedures Using Articaine and Lignocaine Buccal Infiltration in Maxillary First Molars with Irreversible Pulpitis

Methodology

 Randomized double blind clinical study

Place and Duration of study

Pharmacology department, Islamic International Medical College Rawalpindi in collaboration with Margalla Institute of Health Sciences.

Study duration was one year.

240 patients being managed for irreversible pulpitis for maxillary first molars were randomly divided into two Groups, Group 1 and 2. Group 1 were the patients given the specific local anesthesia for pulp extirpation (root canal treatment). Group 2 were the patients given the local anesthetic for exodontia (dental extractions). These groups were further subdivided into four groups. Group A and Group B were managed by pulp extirpation (root canal) and were given Lignocaine and Articaine respectively. Group C and Group D were managed by exodontia (dental extraction) and were anesthetized using Lignocaine and Articaine respectively. The pain experienced by the patients during injection and the pain experienced during the procedure was determined by the VAS.

Results

Significantly less pain was experienced by the Group B and Group D patients as compared to Group A and C during the procedure. 

There was no statically significant difference in the pain experienced by the patients during the injection  

Conclusion

Articaine causes marked decrease in the pain experienced during the procedure and it can be used in the management of irreversible pulpitis.