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Anesthetic efficacy of a labial infiltration of 3.6mL of 4% articaine 1:100,000 epinephrine compared to a labial plus lingual infiltration using 3.6mL 4% articaine with 1:100,000 epinephrine in mandibular anterior teeth

Smithson, James Allen, II
http://rave.ohiolink.edu/etdc/view?acc_num=osu1628109533168943

Abstract Details

2021, Master of Science, Ohio State University, Dentistry.
Nuzum et al previously showed that a combination labial plus lingual infiltration of 3.6 mL of 4% articaine with 1:100,000 epinephrine in the anterior mandible is superior to a labial infiltration of 1.8 mL of the same solution. However, it is not known whether the total volume of anesthetic or the location of deposition had the greatest effect. The purpose of this prospective, randomized, single-blind study is to determine the anesthetic efficacy of a labial infiltration of 3.6 mL of 4% articaine with 1:100,000 epinephrine compared to a labial plus lingual infiltration using a 3.6 mL volume of 4% articaine with 1:100,000 epinephrine in mandibular anterior teeth. One hundred subjects randomly received two sets of injections consisting of a labial (buccal) infiltration injection of 1.8 mL of 4% articaine with 1:100,000 epinephrine plus lingual infiltration of the same solution, and a labial infiltration injection of 1.8 ml of 4% articaine with 1:100,000 epinephrine plus an additional infiltration of 1.8 ml of 4% articaine with 1:100,000 epinephrine (3.6 mL total) in two separate appointments, spaced at least one week apart, in a crossover design. In mandibular lateral incisors, the buccal and lingual combination exhibited a significantly higher anesthetic success rate of 99% as compared to an 82% success rate with the two buccal injections group. In conclusion, a combination labial plus lingual infiltration of 4% articaine with 1:100,000 epinephrine statistically improved anesthetic success when compared to two buccal infiltrations of the same solution.
Sara Fowler (Advisor)
John Nusstein (Committee Member)
Melissa Drum (Committee Member)
76 p.
Dental Care

Recommended Citations

Citations

  • Smithson, II, J. A. (2021). Anesthetic efficacy of a labial infiltration of 3.6mL of 4% articaine 1:100,000 epinephrine compared to a labial plus lingual infiltration using 3.6mL 4% articaine with 1:100,000 epinephrine in mandibular anterior teeth [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1628109533168943

    APA Style (7th edition)

  • Smithson, II, James. Anesthetic efficacy of a labial infiltration of 3.6mL of 4% articaine 1:100,000 epinephrine compared to a labial plus lingual infiltration using 3.6mL 4% articaine with 1:100,000 epinephrine in mandibular anterior teeth. 2021. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1628109533168943.

    MLA Style (8th edition)

  • Smithson, II, James. "Anesthetic efficacy of a labial infiltration of 3.6mL of 4% articaine 1:100,000 epinephrine compared to a labial plus lingual infiltration using 3.6mL 4% articaine with 1:100,000 epinephrine in mandibular anterior teeth." Master's thesis, Ohio State University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=osu1628109533168943

    Chicago Manual of Style (17th edition)

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This open access ETD is published by The Ohio State University and OhioLINK.