Anaesthetic efficacy of articaine versus lidocaine in children's dentistry: a systematic review and meta‐analysis

@article{Tong2018AnaestheticEO,
  title={Anaesthetic efficacy of articaine versus lidocaine in children's dentistry: a systematic review and meta‐analysis},
  author={Huei Jinn Tong and Fatma Salem Alzahrani and Yu Fan Sim and Jinous F. Tahmassebi and Monty S Duggal},
  journal={International Journal of Paediatric Dentistry},
  year={2018},
  volume={28},
  pages={347–360}
}
BACKGROUND Over the last few years, numerous reviews and studies have awarded articaine hydrochloride local anaesthetic (LA) a superior reputation, with outcomes of different studies demonstrating a general tendency for articaine hydrochloride to outperform lidocaine hydrochloride for dental treatment. [] Key Method Original research studies that compared articaine with lidocaine for dental treatment in children were included.

Figures and Tables from this paper

Articaine in dentistry: an overview of the evidence and meta-analysis of the latest randomised controlled trials on articaine safety and efficacy compared to lidocaine for routine dental treatment
TLDR
Articaine is a safe and efficacious local anaesthetic for all routine dental procedures in patients of all ages, and more likely to achieve successful anaesthesia than lidocaine in routine dental treatment.
United Kingdom pediatric dentistry specialist views on the administration of articaine in children
TLDR
Articaine use in pediatric dentistry is common; however, evidence supporting its practice is limited and guidance to aid decision-making when treating pediatric patients under LA would be beneficial.
The Editor recommends this issue's article to the reader: Anaesthetic efficacy of Articaine versus Lidocaine in children's dentistry: a systematic review and meta-analysis.
  • Medicine, Psychology
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  • 2018
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This is a systematic review and meta-analysis that have summarized the current evidence on two anaesthetic solutions, articaine and lidocaine when injected in children, and post-operative pain was significantly reduced after using articaine.
Efficacy of Articaine vs Lignocaine for infiltration anaesthesia during primary molar extractions
TLDR
A review encompassing a limited number of studies suggests that single buccal infiltration of articaine may have a role in primary molar extractions, and articaine might have a better anaesthetic effect compared to lignocaine.
Can buccal infiltration of articaine replace traditional inferior alveolar nerve block for the treatment of mandibular molars in pediatric patients?: A systematic review and meta-analysis
TLDR
Evidence suggests that buccal infiltration of articaine is a viable alternative to IANB with lignocaine in pediatric patients for treating mandibular molars.
Efficacy and adverse events of 4% articaine compared with 2% lidocaine on primary molars extraction: a randomized controlled trial.
TLDR
There was no difference in the efficacy of articaine compared to lidocaine for primary molar extraction, and articaine was more painful during the injection.
Comparison of the efficacy of a standard inferior alveolar nerve block versus articaine infiltration for invasive dental treatment in permanent mandibular molars in children: a pilot study
  • K. Jorgenson, L. Burbridge, B. Cole
  • Medicine
    European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry
  • 2019
TLDR
It is shown that invasive dental treatment on a mandibular molar tooth can be completed successfully in children using a BI of articaine, and the perceived pain of injection and treatment when using an inferior dental block using 4% articaine is comparable to an IDB with lidocaine.
Evaluation of Electronic Dental Anesthesia as a Non-Invasive Method in Children: A Review Study
TLDR
The findings of this review study emphasize the importance of analgesic techniques in pediatric dental procedures and the use of new techniques along with conventional methods of analgesia should be taken into consideration, especially in pediatric dentistry.
Articaine use does not routinely eliminate the need for palatal injections for primary maxillary molar extractions: a randomized cross-over clinical trial
TLDR
Single buccal infiltration of 4% articaine can be administered as an alternative for conventional infiltration of 2% lidocaine to avoid fear or uncooperative behavior of the child patient.
Anesthetic efficacy of single buccal infiltration of 4% articaine compared to routine inferior alveolar nerve block with 2% lidocaine during bilateral extraction of mandibular primary molars: a randomized controlled trial
TLDR
The articaine infiltration technique may be an alternative to the IANB for the extraction of primary mandibular molars and was evaluated on 30 patients aged between 6 and 9 years.
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Pediatric patients received equal volumes, but higher mg/kg doses, of articaine than lidocaine during both simple and complex dental procedures, and VAS scores indicate that articaine is an effective local anesthetic in children and that articulatedaine is as effective as lidocane when measured on this gross scale.
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It is shown that invasive dental treatment on a mandibular molar tooth can be completed successfully in children using a BI of articaine, and the perceived pain of injection and treatment when using an inferior dental block using 4% articaine is comparable to an IDB with lidocaine.
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