title: Evaluation of Buccal Infiltration with Articaine and Inferior Alveolar Nerve Block with Lignocaine for Pulp Therapy in Mandibular Primary Molars.
abstract: OBJECTIVE
  Failure of inferior alveolar nerve block in achieving profound anesthesia of the pulp due to various reasons has led to the introduction of more potent local anesthetic agents like articaine. This study was conducted to compare the efficacy of buccal infiltration with articaine in achieving pulpal anesthesia of primary molars as compared to inferior alveolar nerve block with lignocaine.
  
  
  METHODS
  30 patients (4-8 years) with indication of pulp therapy in at least two mandibular primary molars were selected. Patients were randomly assigned to receive nerve block with lignocaine or infiltration with articaine on first appointment and the other solution on second appointment. All the pulpotomies and pulpectomies were performed by a pediatric dentist. Two researchers standing at a distance of 1.5 m recorded the Pain Scores and Sound, Eye, Motor (SEM) scores. After the completion of procedure, the patient was asked to record the Facial Image score and Heft-Parker Visual Analogue Score (HP-VAS).
  
  
  RESULTS
  Pain Score recorded at the time of injection showed significantly more movements with block as compared to infiltration (p<0.001). SEM scores at time of pulp extirpation were also higher for block than infiltration (p<0.001).
  
  
  CONCLUSIONS
  Articaine infiltration has the potential to replace inferior alveolar nerve block for primary mandibular molars.
authors.forename: Radhika
authors.initials: R
authors.lastname: Chopra
authors.forename: Mohita
authors.initials: M
authors.lastname: Marwaha
authors.forename: Kalpana
authors.initials: K
authors.lastname: Bansal
authors.forename: Meenu
authors.initials: M
authors.lastname: Mittal
mesh_terms: D000766:Anesthesia, Dental; D000772:Anesthesia, Local; D002355:Carticaine / Q000627:therapeutic use*; D002648:Child; D002675:Child, Preschool; D003782:Dental Pulp; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000627:therapeutic use*; D008297:Male; D008334:Mandible; D008340:Mandibular Nerve; D008963:Molar; D009407:Nerve Block; D010146:Pain; D010147:Pain Measurement; D011446:Prospective Studies; D011670:Pulpectomy
chemical_list: D008012:Lidocaine; D002355:Carticaine
keywords: articaine; buccal infiltration; primary molars