SUBMIT YOUR RESEARCH
Saudi Journal of Biomedical Research (SJBR)
Volume-6 | Issue-06 | 168-173
Original Research Article
Comparison of the Effectiveness of 4% Articaine Hydrochloride and 2% Lignocaine Hydrochloride in Impacted Mandibular Third Molar Surgery- A Prospective, Parallel Arm, Randomized Controlled Trial
Yash Raj, Shreyas Gupte, Karishma Motwani, Thomson Mariadasan Dcruz
Published : June 20, 2021
DOI : 10.36348/sjbr.2021.v06i06.003
Abstract
Objectives: This study aimed to compare the effectiveness of 4% articaine hydrochloride and 2% lignocaine hydrochloride in impacted mandibular third molar surgery. Materials and Methods: Sixty subjects randomly received either the 4% articaine injection (Group 1) or 2% lignocaine injection (Group 2) with 1: 200000 adrenaline via a pterygomandibular nerve block. The onset of the action of anesthesia, pulpal anaesthesia and its quality during the surgery, duration of anesthesia, duration of the surgery, the total volume of the anesthetic solution, hemodynamic statistics and pain levels were recorded. Results: The mean onset of anesthesia was significantly shorter in Group 1 (4.243 minutes) as compared to Group 2 (4.398 minutes). Onset of pulpal anesthesia was significantly shorter, with values as 4.287 ± 0.335 mins (Group 1) and 5.215 ± 0.3157 mins (Group 2). The duration of anesthetic effect in Group 1 was 3 hours (14.60 ± 9.76 mins), significantly higher than lignocaine -2 hours 43.33 mins (163.33 +-11.97 minutes). The duration of the procedure was marginally higher in Group 1- 41.67 ± 20.14mins; Group 2- 39.30 ±18.54mins. There was a statistically significant difference (P < 0.05) between qualities of anesthesia with pain scores lower in Group 1 as compared to Group 2. Articaine was found to have better cardiovascular stability than lignocaine. Conclusion: 4% articaine hydrochloride with 1:200000 adrenaline is more effective than 2% lignocaine hydrochloride with 1:200000 adrenalines in impacted mandibular third molar surgery in terms of onset, quality of anesthesia and hemodynamic parameters.
Scholars Middle East Publishers
Browse Journals
Payments
Publication Ethics
SUBMIT ARTICLE
Browse Journals
Payments
Publication Ethics
SUBMIT ARTICLE
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
© Copyright Scholars Middle East Publisher. All Rights Reserved.