DOI: 10.36347/sjds.2018.v05i09.002

Pages: 416-421

Effective control of pain during dental procedures has been one of the most important pre-requisite of painless dentistry. There are various methods used to control pain. Use of local anesthetic is one such method. Lignocaine is most commonly used local anesthetic solution for extracting tooth in oral surgery. Articaine contains a thiophene group, which increases its liposolubility. It has high diffusion properties so it can be used as a single buccal infiltration to extract mandibular premolars. Objectives of the study were to evaluate the efficacy of single buccal infiltration of 4% articaine in mandibular pre-molar extraction. A randomized study was carried on 50 patients of age group 15-55 years who required mandibular premolar extraction, visiting the Department of Oral and Maxillofacial surgery. They were included in the study after obtaining informed consent. Buccal infiltration of 1.8ml of anesthetic solution was given randomly to 50 patients. Objective signs were checked after 10 minutes. If any additional injection was given, it was noted. Postoperatively VAS score and surgeon’s quality of anesthesia was noted. Duration of anesthesia was measured every 5 minutes after 45 minutes from infiltration. Out of 50 patients, 39 patients extraction was done without the need of additional injection, 11 patients require additional infiltration at the lingual side. The VAS score values were also significantly less. The mean duration of anesthesia being (68.20 ± 19.22 min) in 39 patients which received buccal infiltration only. The single buccal injection of articaine can be used for extracting mandibular premolars.