Evaluation of the Anesthetic Efficacy and Pain Control of Buffered 4% Articaine in Mandibular Molar Tooth Preparation

Goknil Alkan Demetoğlu; Hüseyin Şeker

Makale detayları

Evaluation of the Anesthetic Efficacy and Pain Control of Buffered 4% Articaine in Mandibular Molar Tooth Preparation

Yazarlar:

Goknil Alkan Demetoğlu | Hüseyin Şeker

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Dentistry (Other) | Pain

Dergi:

Meandros Medical And Dental Journal Vol.26 Issue 3, pp.356-362

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358702

pISSN:

2149-9063

Anahtar kelimeler:

Özet:

 This study aimed to evaluate whether buccal infiltration anesthesia with sodium bicarbonate-buffered articaine provides comparable or superior anesthetic efficacy to traditional inferior alveolar nerve block IANB in mandibular molar tooth preparations, while minimizing complications and enhancing patient comfort. Materials and Methods A randomized clinical trial was conducted with 75 healthy adult participants requiring mandibular molar prosthetic treatment. Patients were randomly assigned to three groups:  Group M: IANB with 4 articaine  1:100,000 epinephrine  Group I: Buccal infiltration with the same articaine formulation  Group SB: Buffered buccal infiltration 2 articaine  0.84 sodium bicarbonate  1:200,000 epinephrine Pain was measured using Visual Analog Scale VAS1: during treatment, VAS2: next day, and heart rate was monitored before and during the procedure. Results VAS1 scores were significantly higher in Group I p  .001, indicating more pain during treatment. Group SB had significantly lower VAS2 scores, reflecting reduced postoperative discomfort. No significant differences in heart rate were found across groups. Conclusion Buffered articaine with sodium bicarbonate used for buccal infiltration in mandibular molars showed anesthetic efficacy comparable to IANB, with less pain and fewer complications. This approach may serve as a safer and more comfortable alternative to nerve block anesthesia in routine prosthetic procedures.

 This study aimed to evaluate whether buccal infiltration anesthesia with sodium bicarbonate-buffered articaine provides comparable or superior anesthetic efficacy to traditional inferior alveolar nerve block IANB in mandibular molar tooth preparations, while minimizing complications and enhancing patient comfort. Materials and Methods A randomized clinical trial was conducted with 75 healthy adult participants requiring mandibular molar prosthetic treatment. Patients were randomly assigned to three groups:  Group M: IANB with 4 articaine  1:100,000 epinephrine  Group I: Buccal infiltration with the same articaine formulation  Group SB: Buffered buccal infiltration 2 articaine  0.84 sodium bicarbonate  1:200,000 epinephrine Pain was measured using Visual Analog Scale VAS1: during treatment, VAS2: next day, and heart rate was monitored before and during the procedure. Results VAS1 scores were significantly higher in Group I p  .001, indicating more pain during treatment. Group SB had significantly lower VAS2 scores, reflecting reduced postoperative discomfort. No significant differences in heart rate were found across groups. Conclusion Buffered articaine with sodium bicarbonate used for buccal infiltration in mandibular molars showed anesthetic efficacy comparable to IANB, with less pain and fewer complications. This approach may serve as a safer and more comfortable alternative to nerve block anesthesia in routine prosthetic procedures.

 This study aimed to evaluate whether buccal infiltration anesthesia with sodium bicarbonate-buffered articaine provides comparable or superior anesthetic efficacy to traditional inferior alveolar nerve block IANB in mandibular molar tooth preparations, while minimizing complications and enhancing patient comfort. Materials and Methods A randomized clinical trial was conducted with 75 healthy adult participants requiring mandibular molar prosthetic treatment. Patients were randomly assigned to three groups:  Group M: IANB with 4 articaine  1:100,000 epinephrine  Group I: Buccal infiltration with the same articaine formulation  Group SB: Buffered buccal infiltration 2 articaine  0.84 sodium bicarbonate  1:200,000 epinephrine Pain was measured using Visual Analog Scale VAS1: during treatment, VAS2: next day, and heart rate was monitored before and during the procedure. Results VAS1 scores were significantly higher in Group I p  .001, indicating more pain during treatment. Group SB had significantly lower VAS2 scores, reflecting reduced postoperative discomfort. No significant differences in heart rate were found across groups. Conclusion Buffered articaine with sodium bicarbonate used for buccal infiltration in mandibular molars showed anesthetic efficacy comparable to IANB, with less pain and fewer complications. This approach may serve as a safer and more comfortable alternative to nerve block anesthesia in routine prosthetic procedures.

 Amaç: Bu çalışmanın amacı, sodyum bikarbonat ile tamponlanmış artikain ile yapılan bukkal infiltrasyon anestezisinin, mandibular molar diş kesiminde geleneksel inferior alveolar sinir bloğuna IANB karşı etkinliğini ve hasta konforunu değerlendirmektir. Gereç ve Yöntem: Alt çene molar dişlerinde protetik tedavi gereken 75 sağlıklı erişkin birey rastgele üç gruba ayrıldı: Grup M: 4 artikain  1:100,000 epinefrin ile IANB Grup I: Aynı içerikle bukkal infiltrasyon Grup SB: Tamponlanmış bukkal infiltrasyon 2 artikain  0.84 sodyum bikarbonat  1:200,000 epinefrin Ağrı düzeyleri Görsel Analog Skala VAS ile ölçüldü VAS1: işlem sırasında, VAS2: ertesi gün ve işlem öncesisonrası nabız değerleri kaydedildi. Bulgular: VAS1 skorları en yüksek Grup Ideydi p  .001. VAS2 skorları en düşük Grup SBde bulundu p  .05. Gruplar arasında nabız değişiminde anlamlı fark saptanmadı. Sonuç: Sodyum bikarbonatla tamponlanmış artikain kullanımı, mandibular molarlarda uygulanan bukkal infiltrasyon anestezisinde IANB ile benzer etkinlik gösterdi. Daha az ağrı ve komplikasyon ile bu yöntem, rutin protetik işlemler için etkili ve konforlu bir alternatif olabilir.

Makale detayları

Evaluation of the Anesthetic Efficacy and Pain Control of Buffered 4% Articaine in Mandibular Molar Tooth Preparation

Yazarlar:

Goknil Alkan Demetoğlu | Hüseyin Şeker

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Dentistry (Other) | Pain

Dergi:

Meandros Medical And Dental Journal Vol.26 Issue 3, pp.356-362

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358702

pISSN:

2149-9063

buffered Articaine

buccal infiltration

inferior alveolar nerve block

mandibular molars

pain controlTamponlanmış artikain

Bukkal infiltrasyon

İnferior alveolar sinir bloğu

Mandibular molar dişler

Ağrı kontrolü

Sayı

Makale detayları

Yazarlar: Goknil Alkan Demetoğlu | Hüseyin Şeker

Yayıncı: Aydin Adnan Menderes University

Ana Başlıklar: Dentistry (Other) | Pain

Dergi: Meandros Medical And Dental Journal Vol.26 Issue 3, pp.356-362

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001358702

pISSN: 2149-9063

Sayı

Yazarlar:

Goknil Alkan Demetoğlu | Hüseyin Şeker

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Dentistry (Other) | Pain

Dergi:

Meandros Medical And Dental Journal Vol.26 Issue 3, pp.356-362

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358702

pISSN:

2149-9063