ANESTHETIC EFFICACY OF 4% ARTPHARMADENT VERSUS 2% MEPECAINE-L FOR INFILTRATION ANESTHESIA IN EXTRACTION OF BADLY DECAYED LOWER FIRST PRIMARY MOLARS: A PILOT STUDY | ||||
| Egyptian Dental Journal | ||||
| Article 4, Volume 67, Issue 4 - Serial Number 1, October 2021, Page 2875-2884 PDF (357.71 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/edj.2021.78818.1658 | ||||
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| Authors | ||||
Nadeen Hosny  1; Randa Abd Al Gawad 2; Mariam Aly3
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| 1Former internal resident, Pediatric Dentistry Department, Faculty of Dentistry, Cairo University, MSc Degree Candidate, Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo University. | ||||
| 2Associate Professor in Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo University | ||||
| 3Lecturer in Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo University | ||||
| Abstract | ||||
| Aim: The present study aimed to compare the efficacy of 4% Artpharmadent anesthetic solution compared to 2% Mepecaine-L anesthetic solution in extraction of badly decayed mandibular first primary molar for infiltration in children aged from 6 to 8 years. Methodology: Twenty children with 20 badly decayed mandibular first primary molars indicated for extraction divided randomly into two equal groups (n= 10), group A received 4% Artpharmadent and group B received 2% Mepecaine-L anesthetic solution for infiltration. Intra-operative pain, the need for supplemental injection during extraction, adverse effects following the anesthetic injection, and the clinical success of the treatment were evaluated for both groups. Results: Both groups showed nearly similar results regarding intraoperative pain using Wong-Baker Face Pain Scale (WBFPS), and Sound, eyes, and motor (SEM) scale, regarding the need for supplemental injection during the extraction, and the adverse effects following the anesthetic injection (non-significant difference statistically). Conclusions: Both the 4% Artpharmadent and 2% Mepecaine-L are equally effective in controlling intraoperative pain during the extraction of mandibular molars and both are safe when used in children. | ||||
| Keywords | ||||
| Artpharmadent; Mepecaine-L; Infiltration anesthesia; Extraction; Primary molars | ||||
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