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Comparative Evaluation Of Anaesthetic Efficacy Of Articaine And Lignocaine Using A Single Buccal Infiltration For Extraction Of Primary Molars

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Title: “Comparative evaluation of anaesthetic efficacy of articaine and lignocaine using a single buccal infiltration for extraction of primary molars” Introduction: An important aspect of patient management in dentistry is pain control, which is mainly achieved using local anaesthetic drugs (PD). Lidocaine being the safest is the most commonly used (JMOS) and has served as a gold standard in local anaesthetic drugs for the past 50 years (pd). It has revolutionized pain control in dentistry since it was introduced in late 1940s (Malamed). It is an amide anaesthetic with a short onset of action and an intermediate duration of anaesthesia when associated with adrenaline(BDJ). Local anaesthetic injections trigger pain and anxiety in children, employing lidocaine for palatal injection is considered as more painful, because palatal mucosa is compact and tightly bound to the underlying periosteum. Also, mild to moderate pain of the palatal injection is relatively poorly tolerated due to the abundant nerve supply in palatal tissue (PD). The Inferior alveolar nerve block (IANB) is principally employed to obtain local analgesia for children’s mandibular posterior teeth. It has been reported that the IANB has the highest level of patient discomfort when compared with infiltration, palatal injection, mental nerve block or periodontal ligament injections. The child’s behaviour towards subsequent dental treatment can be negatively influenced by an unpleasant treatment experience

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