Original Research Article

Volume 2023, Article ID 23219472, 12 pages.

Can single Buccal Infiltration with 4% Articaine induce sufficient analgesia for the Extraction of Mandibular Molars in Adults? A Prospective Study and Literature Review

Mohammad Basim B 1 , Dannel Sebastian2 , Prasanna Kumar D3 , Mahabaleshwara C H4 1Lecturer, Department of OMFS, Noorul Islam College Of Dental Sciences, Thiruvananthapuram, Kerala. 2 Postgraduate student, Department of OMFS, KVG Dental College, Sullia, Karnataka. 3Professor and HOD, Department of OMFS, KVG Dental College, Sullia, Karnataka. 4Professor, Department of OMFS, KVG Dental College, Sullia, Karnataka.

Address for Correspondence:

Dannel Sebastian

Postgraduate student Department of Oral and Maxillofacial Surgery, KVG Dental College Sullia, Karnataka

E mail: dannel93@gmail.com

Contact number: 9745633441

Abstract

Objectives:

This study aims to compare the efficacy of 4% articaine buccal supraperiosteal/infiltration in providing pulpal anesthesia for mandibular molars in adults.

Methods:

Complete cartridge solution of 1.8 mL of 4% articaine with 1:100,000 epinephrine was injected into the mucobuccal fold of the respective tooth. Five minutes after the injection, the buccal and lingual areas around each tooth were probed with a sharp end of periosteal elevator. If patients showed objective sign of pain, rescue injection that is lingual infiltration or IANB would be given using articaine. Patients who felt no pain during probing was subjected to gingival reflection by a fine periosteal elevator to dissect gingival from teeth and place the forceps, extraction is carried out. Visual Analog Scale was used to record the pain during extraction. Patient was assessed for duration of soft tissue by probing the buccal gingiva every 5 min and after 45 min of infiltration, till pain reappears.This prospective study evaluated the clinical anesthetic efficacy of 4% articaine in single labial infiltration for extraction of mandibular posterior teeth. Data were collated and processed using Excel and analysed by R commander software. The statistical tests used for the analysis of the result was Chi square test.

Results:

A total of 75 samples have been taken for the study with age group between 18 to 75 years and 36 (48%) males and 39 (52%) females were participated in the study and subjects were randomly given single labial infiltration of anaesthetic solution for extraction of mandibular posterior teeth. A mean age value of 39.17 in male and 32.21 in female and a standard deviation of 16.34 in male and 15.48 in female were found. 73.33% patients had pain on lingual instrumentation at 5 minutes and 25.67% patients had pain on lingual instrumentation at 10 minutes after the labial infiltration. Among 75 patients, 16 had reported discomfort during surgery and required additional anaesthesia whereas 34 patients reported with pain and 25 patients were asymptomatic. Duration of anaesthesia showed a mean value of 64 minutes and a standard deviation of 5.58.

 Conclusion:

Hard tissue is anesthesia is not satisfactory with single buccal infiltration of mandibular molar teeth using 1.7 ml 4% articaine. But shows satisfactory results with single supplementary lingual infiltration using 4% articaine. When combined with inferior alveolar nerve block and lingual nerve block, buccal infiltration of mandibular teeth using 4% articaine provide adequate anesthesia during extraction of mandibular teeth.

Financial support and sponsorship :

Nil

Conflicts of interest :

There are no conflicts of interest.

How to cite: Mohammad Basim B, Dannel Sebastian, Prasanna Kumar D, Mahabaleshwara C H, Can single Buccal Infiltration with 4% Articaine induce sufficient analgesia for the Extraction of Mandibular Molars in Adults? A Prospective Study and Literature Review.Int J Cranio Maxillofac Surg Rehab Volume 2023, Article ID 23219472, 12 pages.