The efficacy of articaine in pain management during endodontic procedures in pediatric patients

Yilei Che; Minhua Wang; Xiaozhen Wu; Xueling Wang

doi:10.1186/s13741-024-00389-5

The efficacy of articaine in pain management during endodontic procedures in pediatric patients

Perioper Med (Lond). 2024 Apr 30;13(1):33. doi: 10.1186/s13741-024-00389-5.

Authors

Yilei Che¹, Minhua Wang², Xiaozhen Wu¹, Xueling Wang³

Affiliations

¹ Department of Stomatology, Aerospace Center Hospital (ASCH), No.15, YuQuan Road, Haidian District, Beijing, 100049, China.
² Department of Stomatology, Eye Hospital China Academy of Chinese Medical Sciences, Beijing, 100040, China.
³ Department of Stomatology, Aerospace Center Hospital (ASCH), No.15, YuQuan Road, Haidian District, Beijing, 100049, China. Wangxueling2283@163.com.

Abstract

Objective: This trial aimed to study the efficacy of articaine in pain management during endodontic procedures in pediatric patients.

Methods: Ninety-eight children who received endodontic painless treatment were collected and randomly divided into the control group and observation group, with 49 cases in each group. The control group received infiltration anesthesia with lidocaine, and the observation group received infiltration anesthesia with articaine. Anesthesia effect, anesthesia onset time, sensory recovery time, duration of anesthesia, pain intensity, blood pressure, heart rate, and adverse reactions were compared.

Results: The effective rate of anesthesia in the observation group was higher than that in the control group. The anesthesia onset time and sensory recovery time were shorter, the duration of anesthesia was longer, and the VAS score and facial expression score were lower in the observation group than in the control group. The heart rate of the observation group was lower, and diastolic blood pressure was higher than those of the control group. The total incidence of adverse reactions in the observation group was lower than that in the control group.

Conclusion: In the treatment of dental pulp diseases in children, the use of articaine can achieve better anesthesia effect and rapid onset of anesthesia and has less impact on the patient's blood pressure and heart rate, but it also can relieve pain and has good safety after the use of medication. It is worthy of clinical application.

Keywords: Articaine; Blood pressure; Children; Dental pulp disease; Lidocaine; Painless treatment.