Abstract

ARTICAINE INFILTRATION- A SUBSTITUTE FOR CLASSICAL INFERIOR ALVEOLAR NERVE BLOCK IN LOWER MOLAR EXTRACTIONS: PROSPECTIVE CLINICAL STUDY.

Tripthi P. Shetty*, Ashish J. Rai, Prakyath Malli, Padmaraj Hegde and Arvind Karikal

Abstract

Objectives. The aim of this prospective study was to determine if Articaine local infiltrations adjacent to the lower molars requiring routine extraction can provide ample anesthesia thereby completely eliminating the need for classical inferior alveolar nerve block for the same. Study design. A hundred and eighty nine patients undergoing routine mandibular molar extractions were included in the study. Local infiltration around the tooth to be extracted was administered with 2ml 4% articaine hychloride with 1:100000epinephrine. The infiltration was deposited 1ml respectively on the buccal and lingual sides of tooth. The patients’ compliance, comfort and level of anestesia was assessed by the subjective and objective signs. Results. Of the hundred and eighty nine patients included in the study between May 2017- September 2017 87 patients were women (46%) and 102 men (54%) with a mean age of 43.42 years. Only articaine infiltration was sufficient to provide ample anesthesia for extraction in 79.89% of the patients. Lidocaine block was necessary in 3.70% of the cases. Conclusions. Articaine infiltrations prove to be an easy safe and relatively hassle free method to produce ample anesthesia for simple mandibular molar extractions. Hence infiltration using articaine with its present success rate can definitely be considered as a satisfactory alternative option to nerve block techniques.

Keywords: Articaine infiltration, Third molar extraction, Lignocaine, Classical inferior alveolar nerve block technique.