Original Research
Volume 2023, Article ID 23021705, 9 pages.
Anaesthetic efficacy of 2% lignocaine without adrenaline in patients with irreversible pulpitis in mandibular molars undergoing vital pulp therapy: A prospective, randomized, double-blind study
Janani Balachandran
Reader, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu 600100
Address for Correspondence:
Dr Janani Balachandran,
Reader, Department of Conservative Dentistry and Endodontics, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu 600100 Phone No: 9941100678
Email: janani.balachandran@gmail.com
Abstract
Introduction:
This exploratory, prospective, randomised, double-blind clinical investigation's main objective was to assess the effectiveness of pulpotomy treatments for mandibular molars with irreversible pulpitis using 2% lignocaine with and without epinephrine.
Methods:
The subjects were split into two groups at random. The Heft Parker Visual Analogue Scale was used to capture the subject's self-reported pain reaction before the study began (pre HP VAS scores). All subjects received a standard IANB along with buccal infiltration of either plain 2% lignocaine (test group) or 2% lignocaine with 1:1000,000 epinephrine (control group). The level of pain was assessed using the HP VAS scale once again following caries excavation and pulp exposure (Post HP VAS Scores), and a full pulpotomy was carried out by amputating the pulp to the canal orifices level. Following this haemostasis was attained and MTA (ProRoot; Dentsply, Tulsa, OK, USA) capping done. Temporary restorations were given immediately. Patients were recalled after 2 weeks for a permanent restoration.
Results:
The variance analysis (one way ANOVA) and post hoc Tukey LSD statistical investigation revealed a significant distinction in success rates between the two trial groups (p-value = 0.037).
Conclusions:
In mandibular molars with irreversible pulpitis receiving critical pulp treatment, IANB and buccal infiltration with 2% lignocaine without epinephrine can be taken into consideration as suitable substitutes for producing pulpal analgesia.
Keywords:
2% Lignocaine without Epinephrine, Irreversible pulpitis, Randomized control trial, Pain management, Pulpotomy
Financial support and sponsorship
Nil
Conflicts of interest
There are no conflicts of interest.
How to cite this article: Balachandran, J. (2023). Anaesthetic efficacy of 2% lignocaine without adrenaline in patients with irreversible pulpitis in mandibular molars undergoing vital pulp therapy: A prospective, randomized, double-blind study: Original Research. International Journal of Endodontic Rehabilitation, 9. https://doi.org/10.56501/intjendorehab.2023.813
