Category: Anesthesia 5

Anesthetic Comparisons of 4% Concentrations of Articaine, Lidocaine, and Prilocaine as Primary Buccal Infiltrations of the Mandibular First Molar: A Prospective Randomized, Double-blind Study

By Dr. Barry H. Korzen | Posted December 14, 2014

Obtaining profound anesthesia is one of the basic tenents of good endodontic practise. “Studies have shown the superiority of 4% articaine with 1:100,000 epinephrine over 2% lidocaine with 1:100,000 epinephrine when used as a primary buccal infiltration of the mandibular first molar.” To help determine the role of concentration in the increased efficacy of 4% articaine the authors of this paper compared “the pulpal anesthesia obtained with 4% concentrations of articaine, lidocaine, and prilocaine formulations as primary buccal infiltrations of the mandibular first molar.”

Efficacy of preoperative ibuprofen on the success of inferior alveolar nerve block in patients with symptomatic irreversible pulpitis: a randomized clinical trial

By Dr. Barry H. Korzen | Posted October 9, 2013

Control of patient discomfort during endodontic treatment is paramount to successful treatment. The present study was a double-blind, randomized, placebo-controlled clinical trial that concluded preoperative oral administration of IBU significantly improved the efficacy of IANB in patients with symptomatic irreversible pulpitis.