title: Comparison of Anaesthetic Efficacy of 4% Articaine Primary Buccal Infiltration Versus 2% Lidocaine Inferior Alveolar Nerve Block in Symptomatic Mandibular First Molar Teeth.
abstract: OBJECTIVE
  To evaluate success of pulpal anaesthesia of mandibular 1st molar by using 4% articaine in buccal infiltration versus 2% lidocaine in inferior alveolar nerve block.
  
  
  METHODS
  Randomized control trial.
  
  
  METHODS
  Department of Operative Dentistry, Sardar Begum Dental College, Gandhara University, Peshawar, from March to August 2014.
  
  
  METHODS
  One hundred and fifty-six emergency patients, who had 1st molar diagnosed with irreversible pulpitis, participated in the study. Subjects were divided into two groups by random allocation. One group received 4% articaine buccal infiltration and the other group received inferior alveolar nerve block of 2% lidocaine. Subjects&rsquo;self-reported pain response was recorded on Heft Parker Visual Analogue Scale after local anaesthetic administration during access cavity preparation and pulp extirpation.
  
  
  RESULTS
  Mean age of subjects was 31.46 &plusmn;10.994 years. The success rate of 4% buccal infiltration was 76.9%; whereas the success rate of 2% lidocaine inferior alveolar nerve block was 62.8%. There was no statistically significant difference between the two groups.
  
  
  CONCLUSIONS
  4% articaine buccal infiltration can be considered a viable alternative to 2% lidocaine inferior alveolar nerve block in securing successful pulpal anaesthesia for endodontic therapy.
authors.affiliation: Department of Operative Dentistry, Sardar Begum Dental College, Gandhara University, Peshawar.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Zain
authors.affiliation: Department of Operative Dentistry, Sardar Begum Dental College, Gandhara University, Peshawar.
authors.forename: Shakeel Ur
authors.initials: SU
authors.lastname: Rehman Khattak
authors.affiliation: Department of Orthodontics, Peshawar Dental College, Peshawar.
authors.forename: Huma
authors.initials: H
authors.lastname: Sikandar
authors.affiliation: Department of Operative Dentistry, Sardar Begum Dental College, Gandhara University, Peshawar.
authors.forename: Shafqat Ali
authors.initials: SA
authors.lastname: Shah
authors.affiliation: Department of Operative Dentistry, Sardar Begum Dental College, Gandhara University, Peshawar.
authors.lastname: Fayyaz
mesh_terms: D000278:Administration, Buccal; D000293:Adolescent; D000328:Adult; D000766:Anesthesia, Dental / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage* / Q000494:pharmacology; D002355:Carticaine / Q000008:administration & dosage* / Q000494:pharmacology; D005260:Female; D006801:Humans; D007267:Injections; D008012:Lidocaine / Q000008:administration & dosage* / Q000494:pharmacology; D008297:Male; D008340:Mandibular Nerve / Q000187:drug effects*; D008875:Middle Aged; D008963:Molar / Q000187:drug effects* / Q000294:innervation; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement; D011671:Pulpitis / Q000601:surgery*; D016896:Treatment Outcome; D064232:Visual Analog Scale
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine; D002355:Carticaine