Comparison of the Effectiveness of Infraorbital Anesthesia Using 4% Articaine Associated with 1:100,000 and 1:200,000 Epinephrine

Detalhes bibliográficos
Autor(a) principal: Devens, Allice Correa
Data de Publicação: 2021
Outros Autores: Detoni, Kessy Naira, Angeli, Lara Bolsoni de Souza, Calenzani, Arlinda Lúcia, Assis, Paula Sampaio de Mello
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista Brasileira de Odontologia
Texto Completo: https://revista.aborj.org.br/index.php/rbo/article/view/1894
Resumo: Objective: To compare the anesthetic efficacy of 4% articaine associated with epinephrine concentrations of 1:100,000 and 1:200,000, using the infraorbital nerve block approach. Material and Methods: This is a double-blind cross-sectional study conducted with 40 volunteers. Pulpal anesthetic parameters such as latency, duration, and success rates were evaluated using a pulp tester device, which emits electrical discharges ranging from 0 to 80 ?A in 20 seconds. Soft tissue anesthesia (vestibular gum) was evaluated by pressing a wooden toothpick into the gingival region used in the approach. Finally, parameters related to pain after anesthesia were evaluated. Results: We found no statistically significant differences between anesthetic solutions for pulp and soft tissue regarding latency period. The anesthetic solution containing 1:100,000 epinephrine presented a significantly longer effect duration than 1:200,000 epinephrine regarding pulpal anesthesia of maxillary central incisors, first maxillary premolar, and second maxillary premolar. As for vestibular gum, we found no statistically significant differences between the solutions. Regarding pain at injection, the two anesthetic solutions showed no statistically significant differences. Conclusion: 4% articaine with 1:100,000 epinephrine presented significantly longer pulpal anesthesia duration in some dental elements when compared to 1:200,000 epinephrine
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spelling Comparison of the Effectiveness of Infraorbital Anesthesia Using 4% Articaine Associated with 1:100,000 and 1:200,000 EpinephrineComparação da Eficácia Anestésica da Articaína 4% Associada a Epinefrina 1:100.000 e 1:200.000 na Técnica InfraorbitáriaDENTAL MEDICINE (DENTISTRY)Local Anesthetics; Articaine; Epinephrine.MEDICINA DENTÁRIA (ODONTOLOGIA)Anestésicos Locais; Articaína; EpinefrinaObjective: To compare the anesthetic efficacy of 4% articaine associated with epinephrine concentrations of 1:100,000 and 1:200,000, using the infraorbital nerve block approach. Material and Methods: This is a double-blind cross-sectional study conducted with 40 volunteers. Pulpal anesthetic parameters such as latency, duration, and success rates were evaluated using a pulp tester device, which emits electrical discharges ranging from 0 to 80 ?A in 20 seconds. Soft tissue anesthesia (vestibular gum) was evaluated by pressing a wooden toothpick into the gingival region used in the approach. Finally, parameters related to pain after anesthesia were evaluated. Results: We found no statistically significant differences between anesthetic solutions for pulp and soft tissue regarding latency period. The anesthetic solution containing 1:100,000 epinephrine presented a significantly longer effect duration than 1:200,000 epinephrine regarding pulpal anesthesia of maxillary central incisors, first maxillary premolar, and second maxillary premolar. As for vestibular gum, we found no statistically significant differences between the solutions. Regarding pain at injection, the two anesthetic solutions showed no statistically significant differences. Conclusion: 4% articaine with 1:100,000 epinephrine presented significantly longer pulpal anesthesia duration in some dental elements when compared to 1:200,000 epinephrineObjetivo: Comparar a eficácia anestésica da articaína 4% associada a epinefrina nas concentrações de 1:100.000 e 1:200.000 na técnica anestésica de bloqueio infraorbitária. Material e Métodos: O estudo foi caracterizado como cruzado e duplo cego, no qual foram selecionados 40 voluntários. Os parâmetros relacionados a anestesia pulpar, como tempo de latência, índice de sucesso e duração do efeito anestésico, foram avaliados por meio do aparelho pulptester, que emite descarga elétrica de potência 0 a 80 ?A em 20 segundos. A anestesia em tecido mole (gengiva vestibular) foi avaliada utilizando palito de madeira, o qual foi pressionado na região gengival referente aos elementos dentários da técnica. Por fim, foram avaliados os parâmetros referentes a dor após injeção anestésica. Resultados: Em relação aos tempos de latência, não houve diferenças estatísticas significantes entre as soluções tanto para o tecido pulpar quanto para tecido mole. Ao avaliar duração da anestesia para tecido pulpar para os elementos incisivo central superior, primeiro pré-molar superior e segundo pré-molar superior, a solução contendo epinefrina a 1:100.000 apresentou uma duração de efeito anestésico significativamente maior em comparação à solução com epinefrina 1:200.000. Já com relação à gengiva vestibular, não foram encontradas diferenças estatisticamente significantes entre as duas soluções avaliadas. Com relação a dor à injeção não houve diferenças estatisticamente significantes entre as duas soluções anestésicas. Conclusão: A articaína 4% com epinefrina 1:100.000 apresentou duração de anestesia pulpar significativamente maior em alguns elementos dentários, quando comparada à articaína 4% com epinefrina 1:200.000.Associação Brasileira de Odontologia - Seção Rio de JaneiroBolsa do Programa de Iniciação Científica da Escola Superior São Francisco de Assis (ESFA)Devens, Allice CorreaDetoni, Kessy NairaAngeli, Lara Bolsoni de SouzaCalenzani, Arlinda LúciaAssis, Paula Sampaio de Mello2021-02-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionOriginal articleArtigo originalapplication/pdfhttps://revista.aborj.org.br/index.php/rbo/article/view/189410.18363/rbo.v78.2021.e1894Revista Brasileira de Odontologia; v. 78 (2021); 1/4Revista Brasileira de Odontologia; v. 78 (2021); 1/41984-3747reponame:Revista Brasileira de Odontologiainstname:Associação Brasileira de Odontologia (ABO)instacron:ABOenghttps://revista.aborj.org.br/index.php/rbo/article/view/1894/pdfhttps://revista.aborj.org.br/index.php/rbo/article/downloadSuppFile/1894/2251https://revista.aborj.org.br/index.php/rbo/article/downloadSuppFile/1894/2252https://revista.aborj.org.br/index.php/rbo/article/downloadSuppFile/1894/2259Espírito Santo; BrazilRandomEspírito Santo; BrasilAleatóriaDireitos autorais 2021 Rev. Bras. Odontol.http://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccess2021-05-24T14:35:32Zoai:revista_aborj_org_br.www.revista.aborj.org.br:article/1894Revistahttps://revista.aborj.org.br/index.php/rboONGhttp://www.revista.aborj.org.br/index.php/rbo/oaihttps://revista.aborj.org.br/index.php/rbo/oai0034-72721984-3747opendoar:2021-05-24T14:35:32Revista Brasileira de Odontologia - Associação Brasileira de Odontologia (ABO)false
dc.title.none.fl_str_mv Comparison of the Effectiveness of Infraorbital Anesthesia Using 4% Articaine Associated with 1:100,000 and 1:200,000 Epinephrine
Comparação da Eficácia Anestésica da Articaína 4% Associada a Epinefrina 1:100.000 e 1:200.000 na Técnica Infraorbitária
title Comparison of the Effectiveness of Infraorbital Anesthesia Using 4% Articaine Associated with 1:100,000 and 1:200,000 Epinephrine
spellingShingle Comparison of the Effectiveness of Infraorbital Anesthesia Using 4% Articaine Associated with 1:100,000 and 1:200,000 Epinephrine
Devens, Allice Correa
DENTAL MEDICINE (DENTISTRY)
Local Anesthetics; Articaine; Epinephrine.
MEDICINA DENTÁRIA (ODONTOLOGIA)
Anestésicos Locais; Articaína; Epinefrina
title_short Comparison of the Effectiveness of Infraorbital Anesthesia Using 4% Articaine Associated with 1:100,000 and 1:200,000 Epinephrine
title_full Comparison of the Effectiveness of Infraorbital Anesthesia Using 4% Articaine Associated with 1:100,000 and 1:200,000 Epinephrine
title_fullStr Comparison of the Effectiveness of Infraorbital Anesthesia Using 4% Articaine Associated with 1:100,000 and 1:200,000 Epinephrine
title_full_unstemmed Comparison of the Effectiveness of Infraorbital Anesthesia Using 4% Articaine Associated with 1:100,000 and 1:200,000 Epinephrine
title_sort Comparison of the Effectiveness of Infraorbital Anesthesia Using 4% Articaine Associated with 1:100,000 and 1:200,000 Epinephrine
author Devens, Allice Correa
author_facet Devens, Allice Correa
Detoni, Kessy Naira
Angeli, Lara Bolsoni de Souza
Calenzani, Arlinda Lúcia
Assis, Paula Sampaio de Mello
author_role author
author2 Detoni, Kessy Naira
Angeli, Lara Bolsoni de Souza
Calenzani, Arlinda Lúcia
Assis, Paula Sampaio de Mello
author2_role author
author
author
author
dc.contributor.none.fl_str_mv
Bolsa do Programa de Iniciação Científica da Escola Superior São Francisco de Assis (ESFA)
dc.contributor.author.fl_str_mv Devens, Allice Correa
Detoni, Kessy Naira
Angeli, Lara Bolsoni de Souza
Calenzani, Arlinda Lúcia
Assis, Paula Sampaio de Mello
dc.subject.none.fl_str_mv

dc.subject.por.fl_str_mv DENTAL MEDICINE (DENTISTRY)
Local Anesthetics; Articaine; Epinephrine.
MEDICINA DENTÁRIA (ODONTOLOGIA)
Anestésicos Locais; Articaína; Epinefrina
topic DENTAL MEDICINE (DENTISTRY)
Local Anesthetics; Articaine; Epinephrine.
MEDICINA DENTÁRIA (ODONTOLOGIA)
Anestésicos Locais; Articaína; Epinefrina
description Objective: To compare the anesthetic efficacy of 4% articaine associated with epinephrine concentrations of 1:100,000 and 1:200,000, using the infraorbital nerve block approach. Material and Methods: This is a double-blind cross-sectional study conducted with 40 volunteers. Pulpal anesthetic parameters such as latency, duration, and success rates were evaluated using a pulp tester device, which emits electrical discharges ranging from 0 to 80 ?A in 20 seconds. Soft tissue anesthesia (vestibular gum) was evaluated by pressing a wooden toothpick into the gingival region used in the approach. Finally, parameters related to pain after anesthesia were evaluated. Results: We found no statistically significant differences between anesthetic solutions for pulp and soft tissue regarding latency period. The anesthetic solution containing 1:100,000 epinephrine presented a significantly longer effect duration than 1:200,000 epinephrine regarding pulpal anesthesia of maxillary central incisors, first maxillary premolar, and second maxillary premolar. As for vestibular gum, we found no statistically significant differences between the solutions. Regarding pain at injection, the two anesthetic solutions showed no statistically significant differences. Conclusion: 4% articaine with 1:100,000 epinephrine presented significantly longer pulpal anesthesia duration in some dental elements when compared to 1:200,000 epinephrine
publishDate 2021
dc.date.none.fl_str_mv 2021-02-08
dc.type.none.fl_str_mv

dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
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format article
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dc.identifier.uri.fl_str_mv https://revista.aborj.org.br/index.php/rbo/article/view/1894
10.18363/rbo.v78.2021.e1894
url https://revista.aborj.org.br/index.php/rbo/article/view/1894
identifier_str_mv 10.18363/rbo.v78.2021.e1894
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://revista.aborj.org.br/index.php/rbo/article/view/1894/pdf
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dc.rights.driver.fl_str_mv Direitos autorais 2021 Rev. Bras. Odontol.
http://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos autorais 2021 Rev. Bras. Odontol.
http://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.coverage.none.fl_str_mv Espírito Santo; Brazil

Random
Espírito Santo; Brasil

Aleatória
dc.publisher.none.fl_str_mv Associação Brasileira de Odontologia - Seção Rio de Janeiro
publisher.none.fl_str_mv Associação Brasileira de Odontologia - Seção Rio de Janeiro
dc.source.none.fl_str_mv Revista Brasileira de Odontologia; v. 78 (2021); 1/4
Revista Brasileira de Odontologia; v. 78 (2021); 1/4
1984-3747
reponame:Revista Brasileira de Odontologia
instname:Associação Brasileira de Odontologia (ABO)
instacron:ABO
instname_str Associação Brasileira de Odontologia (ABO)
instacron_str ABO
institution ABO
reponame_str Revista Brasileira de Odontologia
collection Revista Brasileira de Odontologia
repository.name.fl_str_mv Revista Brasileira de Odontologia - Associação Brasileira de Odontologia (ABO)
repository.mail.fl_str_mv https://revista.aborj.org.br/index.php/rbo/oai
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