Journal of Scientific Dentistry

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VOLUME 5 , ISSUE 1 ( January-December, 2015 ) > List of Articles

ORIGINAL RESEARCH

Comparison of Analgesic Efficacy of Topical Anaesthetics (Gel, Spray) With Infiltration Anaesthesia During Subgingival Periodontal Procedures

Priyanka Pampani, Santhosh Shenoy B, Biju Thomas, Beena Ani Mathew, Reema M Rao, Saravanan R

Keywords : Benzocaine, Lignocaine, Topical Anaesthesia, Gel, Spray, Pain, Scaling and Root Planning

Citation Information : Pampani P, Shenoy B S, Thomas B, Mathew BA, Rao RM, R S. Comparison of Analgesic Efficacy of Topical Anaesthetics (Gel, Spray) With Infiltration Anaesthesia During Subgingival Periodontal Procedures. 2015; 5 (1):3-10.

DOI: 10.5005/jsd-5-1-3

License: CC BY-NC 4.0

Published Online: 13-08-2020

Copyright Statement:  Copyright © 2015; The Author(s).


Abstract

BACKGROUND: To compare the analgesic efficacy of Lignocaine spray 15% and Benzocaine20% gel with infiltration anaesthesia and to know which of the topical anaesthetic agent is as nearly efficient as 2% Lignocaine infiltration anaesthesia during sub-gingival periodontal procedures. MATERIAL AND METHODS: Randomised spilt – mouth design trial for 20 patients was conducted. Patients were selected based on inclusion and exclusion criteria. Three quadrants in each patient were selected randomly for application of topical local anaesthetic agents like 2% lignocaine spray and 20%benzocaine gel and control group(lignocaine local infiltration technique). Sub-gingival periodontal procedures were performed for these patients. Overall pain was assessed by the patient using numerical pain rating scale(NRS). RESULTS: Comparing the three groups, significant difference was observed between gel vs spray, gel vs control(infiltration), spray vs control (infiltration) (p value< 0.05). There is significant difference in the three groups as evidenced by kruskalwallis test. The highest median is in the spray followed by gel and the control group. There is significant difference seen in all the subgroups as assessed by dunns test. CONCLUSION: Our study concludes that 20% benzocaine gel can be used as an alternative to conventional 2% lignocaine infiltration anaesthesia when compared to 15% lignocaine spray.


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  1. Novak JM. Classification of diseases and conditions affecting periodontium. In: Newman, Takei Carranza, 10th ed. Philadelphia: W.B. Saunders Company; 2006. p. 103-104.
  2. Jeffcoat MK, Geurs NC, Magnusson I, MacNeill SR, Mickels N, Roberts F, et al. Intrapocket anaesthesia for scaling and root planing: Results of a doubleblind multicenter trial using lidocaine prilocaine dental gel. J Periodontol 2001;72: 895-900.
  3. Canakçi CF, Canakçi V. Pain experienced by patients under-going different periodontal therapies. J Am Dent Assoc 2007;138:1563-73.
  4. Heins PJ, Karpinia KA, Maruniak JW, Moorhead JE, Gibbs CH. Pain threshold values during periodontal probing: Assessment of maxillary incisor and molar sites. J Periodontol 1998;69:812-8.
  5. Grant DA, Lie T, Clark SM, Adams DF. Pain and discomfort levels in patients during root surface débridement with sonic metal or plastic inserts. J Periodontol 1993;64:645-50.
  6. Matthews DC, McCulloch CA. Evaluating patient perceptions as short-term outcomes of periodontal treatment: a comparison of sur gical and non-sur gical therapy. J Periodontol 1993;64:990-7.
  7. Heft MW, Perelmuter SH, Cooper BY, Magnusson I, Clark WB. Relationship between gingival inflammation and painfulness of periodontal probing. J Clin Periodontol 1991; 18:213-5.
  8. Malamed SF. Clinical action of specific agents. Handbook of local anaesthesia. 5th ed. St Louis: Mosby; 2004. p. 62-3.
  9. Magnusson I, Geurs NC, Harris P A, Hefti AF, Mariotti AJ, Mauriello SM et al. Intrapocket Anesthesia for Scaling and Root Planing in Pain Sensitive patients. J Periodontol 2003;74:597-602.
  10. Malamed SF. Clinical action of specific agents. Handbook of local anaesthesia. 5th ed. St Louis: Mosby; 2004. p. 75-6.
  11. Malamed SF. Clinical action of specific agents. Handbook of local anaesthesia. 5th ed. St Louis: Mosby; 2004. p. 78.
  12. Van Steenberghe D, Bercy P, De Boever J. Patient evaluation of a novel non-injectable anesthetic gel: A multicenter crossover study comparing the gel to infiltration anesthesia during scaling and root planing. J Periodontol 2004;75:1471-8.
  13. Milgrom P, Coldwell SE, Getz T, Weinstein P, Ramsay DS. Four dimensions of fear of dental injections. J Am Dent Assoc 1997;128:756-66.
  14. Novak JM. Classification of diseases and conditions affecting periodontium. In: Newman, Takei Carranza, 10th ed. Philadelphia: W.B. Saunders Company; 2006. p. 101.
  15. Bhalla J, Meechan JG, Lawrence HP, Grad HA, Hass DA. Effect of time on clinical ef ficacy of Topical Anesthesia. Anesth Prog 2009;56:36-41.
  16. Page G, Katz J, Stinson J, Issac L, Martin Pichora AL, Campbell F. Validation of the Numerical Rating Scale for Pain Intensity and Unpleasantness in Pediatric Acute Postoperative Pain: Sensitivity to Change Over Time. J Pain 2012;13:359-69.
  17. Svensson P, Petersen JK, Svensson H. Ef ficacy of a topical anesthetic on pain and unpleasantness during scaling of gingival pockets. Anesth Prog 1994;41:35-9.
  18. Guzeldemir E, Toygar HU, Cilasun U. Pain perception and anxiety during scaling in Periodontally healthy subjects. J Periodontol 2008;79:2247-55.
  19. Van Steenberghe D, Garmyn P, Geers L, Hendrickx E, Mare-chal M, Huizar K et al. Patients Experience of pain and discomfort during instrumentation in the diagnosis and non-sur gical treatment of periodontitis. J Periodontol 2004;75:1465-70.
  20. Van Wijk AJ, Duyx MPMA, Hoogstraten J. The effect of written information on pain experience during periodontal probing. J Clin Periodontol 2004; 31: 282–5.
  21. Malamed SF. Pharmacology of vasoconstrictors. Handbook of local anaesthesia. 5th ed. St Louis: Mosby; 2004. p. 51-3.
  22. Stoltenberg JL, Osborn JB, Carlson JF, Hodges JS, Michalowicz BS. A preliminary study of intra-pocket topical versus injected anaesthetic for scaling and root planing. J Clin Periodontol 2007;34:892-6.
  23. Smith T, Getz T, Milgrom P, Weinstein P. Evaluation of treatment at a dental fears research clinic. Spec Care Dent 1987;3:130-4.
  24. Moore RA, Brodsgaard I, Bim H. Manifestations, acquisition and diagnostic categories of dental fear in a self-referred population. Behav Res Ther 1991;29:51-9.
  25. Erten, Akarslan ZZ, Bodrumlu E. Dental fear and anxiety levels of patients attending a dental clinic. Quitessence Int 2006;37:304-10.
  26. Vickers ER, Punnia Moorthy A. A clinical evaluation of three topical anesthetic agents. Aust dent J 1992;37:266-70.
  27. Cavino BG. Pharmacology of local anesthetic agents. Br J Anaest 1986;58:701.
  28. Shaju JP, Amirishetty R, Zade RM. Factors influencing pain experienced during scaling and root planing: A correlative pilot trial. J Periodontol Implant Dent 201 1;3:8-12.
  29. Daithankar A, Shiradkar M, Gourkhede S. Evaluation of the Ef ficacy of Two Amide Group Local Intrapocket Anesthetic Gels in Non Invasive Periodontal Therapy. Int Journal of Contemporary Dentistry; 2011:2.
  30. Milton H, Steven H, Alex J. Kno 3/Benzocaine/Tetracaine gel use for maintenance visit pain control. Gen Dent 2007;55:312-5.
  31. Nayak R, Sudha P. Evaluation of three topical anaesthetic agents against pain: A clinical study. Indian J Dent Res 2006;17:155-60.
  32. Varma S, Bhola S, Mohitey J. Effectiveness of a novel topical anesthetic gel in patients under going non surgical periodontal therapy. Cumhuriyet Dent J 2013;16:99-103.
  33. Chitre AP. Basic techniques of local anaesthesia. Manual of local anaesthesia in dentistry. 1st ed. New Delhi: Jaypee Brothers Medical Publishers; 2006:127-31.
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