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ORIGINAL RESEARCH
Year : 2011  |  Volume : 2  |  Issue : 1  |  Page : 370-373

Comparative efficacy evaluation of articaine as buccal infiltration and lignocaine as IANB in the mandibular first molar with irreversible pulpitis


1 Professor, Dept. of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Chennai, India
2 Senior Lecturer, Dept. of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Chennai, India
3 Professor and Head, Dept. of Conservative Dentistry and Endodontics, Thai Moogambigai Dental College and Hospital, Chennai, India

Correspondence Address:
Dr. A Subbiya
Dept. of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Chennai
India
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Source of Support: None, Conflict of Interest: None


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It has been shown that the inferior alveolar nerve block (IANB) has high failure rate especially in patients with irreversible pulpitis. Newer local anesthetic, 4% articaine has shown superiority over 2% lignocaine when used as a primary buccal infiltration of the mandibular first molar. This study compared the degree of pulpal anesthesia obtained with 1.7 ml 4% articaine with 1:1,00,000 epinephrine when compared to 1.7 ml 2% lignocaine with 1:2,00,000 as a primary infiltration in mandibular first molar with irreversible pulpitis. Sixty adults aged 18-65 years participated in this study. Twenty-two patients out of 30 did not experience pain with 4% articaine (success = 73.33%) and 26 out of 30 patients did not experience pain in 2% lignocaine group (success = 86.66%). There was no statistically significant difference between the articaine and lignocaine formulation with regard to anesthetic success.


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