Keywords
Local anesthetics
Inflammation
How to Cite
Abstract
Symptomatic irreversible pulpitis is one of the main reasons for instead oof causes of emergencies in dentistry because within the symptomatology is nigth pain of varied intensity, where the use of local anesthetics is essential to perform the treatments, for wich this literature review was conducted to determine which is the most effective for managing the symptoms.
As part of materials and methods, a bibliographic search was carried out in Pubmed, Sciendirect between the years 2016-2022, with the purpose of selecting relevant publications leading to identify the most effective anesthetic.
Consequently, original articles such as clinical trials and meta-analysis were included in the selection. Lidocaine, despite being considered the gold standard in anesthetics according de scientific evidence, when compared to others, did not prove to be the most effective in many cases, in others, a similar effect was achieved compared to 4% articaine. The review also included strategies such as intraosseous injection, lingual or vestibular infiltration, or premedication as means to achieve a better nerve block.
References
Agnihotry A, Thompson W, Fedorowicz Z, van Zuuren EJ, Sprakel J. Antibiotic use for irreversible pulpitis. Cochrane Database of Systematic Reviews 2019, Issue 5. Art. No.: CD004969. DOI: 10.1002/14651858.CD004969.pub5
Chauhan N. Current Practices Used to Increase the Success Rate of The Inferior Alveolar Nerve Block in Mandibular Molars With Symptomatic Irreversible Pulpitis [Internet]. West Virginia University Libraries; [cited 2023 Jun 20]. Available from: http://dx.doi.org/10.33915/etd.11384
Syed G, Mulay S. Comparative evaluation of anesthetic efficacy of 4% articaine and 2% lidocaine for buccal infiltration in adult patients with irreversible pulpitis of maxillary first molar: A prospective randomized study. Contemporary Clinical Dentistry. 2022;13(1):61.
Almadhoon HW, Abuiriban RW, Almassri H, Al-Hamed FS. EFFICACY OF 4% ARTICAINE BUCCAL INFILTRATION VERSUS INFERIOR ALVEOLAR NERVE BLOCK FOR MANDIBULAR MOLARS WITH SYMPTOMATIC IRREVERSIBLE PULPITIS: A SYSTEMATIC REVIEW AND META-ANALYSIS. Journal of Evidence-Based Dental Practice. 2022 Jun;22(2):101712.
Nagendrababu V, Duncan HF, Whitworth J, Nekoofar MH, Pulikkotil SJ, Veettil SK, et al. Is articaine more effective than lidocaine in patients with irreversible pulpitis? An umbrella review. International Endodontic Journal. 2019 Oct 23;53(2):200–13.
Efficacy and Safety of Pulpal Anesthesia Strategies during Endodontic Treatment of Permanent Mandibular Molars with Symptomatic Irreversible Pulpitis: A Systematic Review and Network Meta-analysis. J Endod. el 1 de diciembre de 2019;45(12):1435-1464.e10.
Usecca EMM, Ticona DHQ, Torre UMPDL. Actualidad del tratamiento farmacológico de la pulpitis irreversible sintomática. Rev Odontológica Basadrina. el 20 de enero de 2022;6(1):41–6.
Shapiro MR, McDonald NJ, Gardner RJ, Peters MC, Botero TM. Efficacy of Articaine versus Lidocaine in Supplemental Infiltration for Mandibular First versus Second Molars with Irreversible Pulpitis: A Prospective, Randomized, Double-blind Clinical Trial. J Endod. el 1 de abril de 2018;44(4):523–8.
Dianat O, Mozayeni MA, Layeghnejad MK, Shojaeian S. The efficacy of supplemental intraseptal and buccal infiltration anesthesia in mandibular molars of patients with symptomatic irreversible pulpitis. Clin Oral Investig. marzo de 2020;24(3):1281–6.
Hosseini HR, Parirokh M, Nakhaee N, Abbott PV, Samani S. Efficacy of Articaine and Lidocaine for Buccal Infiltration of First Maxillary Molars with Symptomatic Irreversible Pulpitis: A Randomized Double-blinded Clinical Trial. Iranian Endodontic Journal. 2016 Mar 24;11(2):79–84.
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