COMPARATIVE EVALUATION OF THE EFFICACY OF LIGNOCAINE AND BENZOCAINE PATCHES FOR VARIOUS DENTAL TREATMENTS IN CHILDREN
This study was done to evaluate the clinical efficacy of lidocaine and benzocaine patches in various dental treatment in children. A total of 120 patients were divided into two groups, i.e Group A and Group B. Group A, consisted of 60 children where lignocaine patches were placed and Group B where Benzocaine patches were placed. For each group, the onset of action was recorded after checking for symptoms of anesthesia, subjective and objective pain assessment was evaluated by the VAS and the SEM scale. There was an earlier onset of action which was seen for Lignocaine compared to Benzocaine. But when each of the treatments were compared the anesthetic effect from patches kept the patient comfortable for minimally invasive procedures like band adaptation and was statistically significant. The VAS(Visual analogue scale) scores recorded were statistically significant for the pulpectomy procedure for Benzocaine group compared to Lignocaine. SEM (Sound eyes motor scale) scores were suggestive that the children were more comfortable with the Lignocaine patches when compared to Benzocaine patches.(p <0.0001).
The extraction procedures of only grade 3 mobile teeth, pulp therapy for non-vital teeth and band adaptation were clinically successful for both the groups. Our study concluded that, bioadhesive patches can be an alternative over infiltration anesthesia in minimally invasive dental procedures and also could be used successfully for reducing the pain of nerve blocks for children as well as adults which has to be administered in the case of more invasive procedures like pulp therapy.
24. April 2020 (online)
Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India
- 1 Ram D and Perez B. Administration of local anesthetics to pediatric dental patients- current status and prospects for the future. Int J Pediatric Dent 2002; 12: 80-89.
- 2 Kolsen Petersen J,Milgrom P. Pain Relief in the orofacial Regions. Copenhagen, Munksgaard 1989:24-26.
- 3 Peter Svensson, Kolsen Petersen. Efficacy of a Topical Anesthetic on Pain and Unpleasantness During scaling of Gingival pockets, Anesth Prog 1994; 41:35-39
- 4 Kleinkneht R A, Klepac RK, Alexander LD. Origins and characterastics of fear in dentistry. JADA 1973 ;86(4) : 842-48
- 5 Gale EN. Fears of the dental situation. J Dent Res 1972; 51(4): 964-6
- 6 Bernstein DA, Kleinkneht RA, Alexander LD. Antecedents of Dental fear. J Public Health Dent 1979;39(4) :113-24
- 7 R.Glenn Rosavick, Samuel R Koenisberg. An analysis of the effectiveness of two Topical Anesthetics. Anesth Prog 1994; 37:290- 292
- 8 Adalberto Luiz Rosa, Cassio Edward Sverzut. Clinical effectiveness of Lidocaine and Benzocaine for Topical Anesthesia, Anesth Prog 1994; 46:97-99
- 9 Taware CP, Mazhumdar S, Pendharkar M, Adani MH. A bioadhesive delivery system as an alternative to infiltration anesthesia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod.1997;84:609-615
- 10 Lindhe J,Karring T, Lang NP. Examination of patients with periodontal disease.Clinical Periodontology & Implant Dentistry 4th Ed.Pg 403-413.
- 11 Munshi AK, Hegde AM, Latha R. Use of EMLA ; is it an injection free alternative ?J.Clin Pediatric Dent. 2001.Spring; 25(3):215-9
- 12 Ingle JI, Bakland LK. Endodontics. 5th Ed. Pg 297
- 13 Peter Svensson, Jens Kolsen, Helle Svensson. Efficacy of a Topical Anesthetic on Pain and Unpleasantness during Scaling of Gingival pockets. Anesth Prog 1994; 41:35-39.
- 14 Fukayama H, Suzuki N. Comparison of topical anesthesia of 20% Benzocaine and 60% Lidocaine gel. Oral surg Oral Med Oral Path 2002; 94: Pg 160.
- 15 Kavita K, Peter N, Richard C,Cristopher. A survey of Local and Topical anesthesia use by pediatric dentists in the United States.J Cl Pediatr Dent 2001; 23(3):265-9.
- 16 Bennet CR.Monheim s Local anesthesia and pain control in dental practice.Ed.7.BC Decker, Canada, 1990, pg 146.