Comparison of effectiveness of infiltration articaine and block of lidocaine on pulp therapy of primary mandibular second molar in children aged 8-10 years

Abstract

Background and Objectives: Proper anesthesia and pain management during treatment are of the most important concerns in dentistry for people of all ages, especially children. This study compared the success rate of lidocaine block with articaine buccal infiltration during anesthesia of the primary mandibular second molars in children aged 8-10 years. Materials and Methods: The present clinical trial was conducted on 20 children aged 8-10 who referred to the Department of Pediatrics of the Faculty of Dentistry at Shahid Sadoughi University of Medical Sciences in Yazd (Iran) and needed to be treated with pulpotomy on both primary mandibular second molars. The patients were randomly divided into two groups. At the first session, a group received articaine buccal infiltration and the other group experienced inferior alveolar nerve block. At the next visit, this trend was reversed. Pain during pulpotomy and all vital signs were measured before and after each injection. For data analysis, by SPSS17 software using the Mann-Whitney and Wilcoxon tests were used. Results: According to the results, the pain during pulpotomy was significantly lower in the articaine group (P-value>0/001). Pulse and breathing changes were statistically significant before and after both injections (P-Value>0/001). Conclusion: The articaine buccal infiltration can be employed for the pulpotomy treatment in the primary mandibular second molars in children aged 8-10 years.

Keywords

• Articaine
• Lidocaine
• Pulpotomy
• Local anesthesia.