J Dent Res Dent Clin Dent Prospects. 2018;12(2):97-101.
doi: 10.15171/joddd.2018.015
  Abstract View: 86
  PDF Download: 135

Clinical Dentistry

The efficacy of articaine infiltration versus lidocaine inferior alveolar nerve block for pulpotomy in mandibular primary second molars: randomized clinical trial

Sara Ghadimi, Mahdi Shahrabi, Zahra Khosravi * , Rooholah Behroozi

1 Laser Research Center of Dentistry, Department of Pediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
2 Department of Pediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
3 Department of Pediatric Dentistry, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran
4 Department of Endodontics, School of Dentistry, Hamadan University of Medical Sciences, Hamadan, Iran

Abstract

Background. Successful anesthesia is a major concern during pulpotomy treatment. The aim of this study was to compare the anesthetic efficacy of inferior alveolar nerve block using 2% lidocaine and buccal infiltration using 4% articaine for pulpotomy of mandibular primary second molars. Methods. This randomized cross-over clinical trial was performed on 23 children (5‒8 years of age) from July through November 2016, referred to the Department of Pediatric Dentistry, Tehran University of Medical Sciences, who needed pulpotomy treatment in both mandibular primary second molars. The patients’ feeling during injection and their behavior during pulpotomy and postoperative complications were registered. Wilcoxon signed ranks test was used for analysis of data. A significant level of differences was taken as P≤0.05. Results. Patients’ feeling during injection and postoperative complications did not significantly differ between the two groups (P>0.05). Patients’ behavior during pulpotomy was significantly better in the articaine group (P=0.004). Conclusion. Articaine buccal infiltration can be used successfully in pulpotomy of mandibular primary second molars.
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Submitted: 23 Dec 2017
Revised: 06 Jun 2018
Accepted: 11 Jun 2018
First published online: 27 Jun 2018
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