Articaine use in children: a review.
Eur Arch Paediatr Dent
; 13(6): 293-6, 2012 Dec.
Article
in En
| MEDLINE
| ID: mdl-23235128
ABSTRACT
BACKGROUND:
Lidocaine has been considered the gold standard for local analgesia agents in dentistry for years. Articaine is now widely used but there has been a reluctance to use it in children. REVIEW Compared with lidocaine, articaine is 1.5 times as potent and only 0.6 times as toxic and has been shown to be superior in achieving successful anaesthesia following infiltration. The use of inferior alveolar nerve blocks (IANB) can be almost eliminated in children by using articaine due to its ability to effectively anaesthetic teeth up to the first permanent molar region. In addition, diffusion of the anaesthetic agent onto the palatal surface may also eliminate the discomfort of palatal infiltration. Soft tissue analgesia may be prolonged, but the risk of other adverse reactions is similar to other local anaesthetic agents.CONCLUSION:
The use of articaine achieves successful pain control while reducing the volume administered and is advocated as a safe and effective alternative to lidocaine for use in children.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Carticaine
/
Dental Care for Children
/
Anesthesia, Dental
/
Anesthesia, Local
/
Anesthetics, Local
Type of study:
Diagnostic_studies
Limits:
Child
/
Humans
Language:
En
Journal:
Eur Arch Paediatr Dent
Year:
2012
Document type:
Article