Comparative Evaluation of Alveolar Nerve Block with 2% Lidocaine-Epinephrine and 4% Articaine-Epinephrine Buccal Infiltration in Mandibular Premolar and Molar Region in Children: A Double-Blind, Randomized Trial.

ABSTRACT: Background/Objectives: Effective pain control in pediatric dentistry combines behavior management, local anesthesia, and follow-up care. This study compared the efficacy of inferior alveolar nerve block (IANB) with 2% lidocaine and epinephrine versus buccal infiltration (BI) with 4% articaine and epinephrine in treating primary molars, permanent premolars, and molars in children. Methods: Sixty children aged 5-18 years were randomly assigned to two groups in a double-blind study. One group received 1.7 mL BI with 4% articaine, and the other 1.8 mL IANB with 2% lidocaine for dental treatment. Pain was assessed using the self-reported Visual Analog Scale (VAS) and Wong-Baker Faces Pain Rating Scale (W-BFRS), while anesthesia effectiveness and behavior were evaluated using the F

SUBMITTER: Komsic J 

PROVIDER: S-EPMC11854341 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature