Articaine: is it more effective than lidocaine in paediatric dentistry?

shutterstock_54042145 - Child, dentists & X-ray

This review comparing articaine and lidocaine for local anesthesia use in children only identified 6 low quality studies. Little difference was seen between the two agents.

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Periodontal treatment: effectiveness of intra-pocket anaesthesia

gum disease, scale and polish

This review of intra-pocket anaesthesia for patients having scaling and root planing included 11 trials and demonstrated a benefit over placebo.

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Palatal injections for maxillary extractions: are they needed?

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This review of the use of palatal injections for maxillary extractions included 15 studies. While the findings suggest that they may not be needed further high quality studies are needed to confirm the findings.

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Infraorbital nerve block for postoperative pain following cleft lip repair in children

shutterstock_91019771 Clefts

This Cochrane review of Infraorbital nerve block for postoperative pain after cleft lip repair includes 8 trials providing low to very low quality evidence that infraorbital nerve block with lignocaine or bupivacaine may reduce postoperative pain more than placebo

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Articaine better than lidocaine for supplementary infiltration after mandibular block anaesthesia

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10 studies involving 746 adult patients were included in this review comparing articaine and lidocaine in patients with symptomatic irreversible pulpitis. Articaine was as effective as lidocaine and provided better supplementary infiltration after mandibular block but no other advantages.

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Articaine had slightly better local anaesthesia success than lignocaine when used as buccal infiltration for posterior mandibular teeth in children

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The aim of this study was to compare the efficacy of articaine 4% with 1:100 000 adrenaline and lignocaine 2% with 1:80 000 adrenaline, delivered either as an inferior alveolar nerve block (IANB) or buccal infiltration (BI) for routine restorative procedures in mandibular posterior teeth among children. What did they do Children in need of  [read the full story…]