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Volume 5 Issue 1 Jan - June 2021

Original Articles

Comparative Analysis of Two Injection Techniques for Articaine in Symptomatic Irreversible Pulpitis
Archana Kumari, Praveen Chandra, Sonali Roy

Background: Pain management is requisite for successful dental treatment. Local anesthetics alone or in combination with other agents are often used during endodontic treatment of irreversible pulpitis. Articaine has been reported to be a superior anesthetic solution for infiltration injection. Several studies have compared the efficacy of articaine and lidocaine following injection in the maxillary molar region. The results of two meta-analyses favored the effectiveness of articaine over lidocaine for infiltration injection. Aim of the study: To compare two injection techniques for Articaine in Symptomatic Irreversible Pulpitis. Material and Methods: The present study was conducted in the Department of Dentistry. For the study, we selected 40 patients diagnosed with symptomatic irreversible pulpitis in mandibular molars. Patients selected were in good health as determined by oral questioning regarding present and past health history. The patients were randomly grouped into 2 groups, Group 1: Only Inferior alveolar nerve block was given with a conventional dental injector and 27 gauge needle. Group 2: An intraligamentary injection was performed with a special pressure injection syringe and a 27-G needle. Pain was evaluated on the basis of visual analog scale and according to the location of the patient’s markup, the pain was classified as follows: 0, no pain; 1–54 mm, mild pain; 55–112 mm, moderate pain; and 114–170 mm, severe pain. Results: In the present study, a total of 50 patients with symptomatic irreversible pulpitis were included. The patients were randomly grouped into Group 1 and 2. The number of males in group 1 was 14 and in group 2 was 12. The number of females in group 1 was 11 and in group 2 was 13. It was observed that the success rate of Group 2 patients was significantly higher than Group 1 patients. The results on comparison were found to be statistically significant. Conclusion: Within the limitations of the present study, it can be concluded that inferior alveolar nerve block does not provide high success rate for pain free emergency root canal treatment. Intraligamentary injection with 4% articaine has high success rate. Keywords: Emergency root canal, Articaine, injection technique, IANB

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