Local anesthesia with lidocaine 2% or articaine 4% in maxillary permanent first molars with Molar Incisor Hypomineralization (a randomized clinical study)
Abstract
Objectives: Comparison of lidocaine 2% and articaine 4% in terms of injection pain and efficacy of anesthesia in children with Molar Incisor Hypomineralization (MIH).
Materials and Methods: The sample included 7 children. Each child randomly received lidocaine 2% or articaine 4% in the first session, with the other solution used in the second. The two scales used are: the WBF Subjective Scale and the FLACC Behavioral Scale.
Results: Articaine injection was more painful than lidocaine in buccal and/or palatal infiltration without a statistically significant difference according to both scales. Both solutions were effective when treating MIH-maxillary molars with no statistical difference according to the WBF scale. Although the mean pain value for lidocaine (2.2±1.89) was lower compared to articaine (3.4±1.13( according to the FLACC scale, the difference was not statistically significant.
Conclusion: There is no difference between the two solutions in terms of injection pain. Lidocaine is more effective than articaine in anesthetizing MIH-maxillary
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