Efficacy of lignocaine in gel and spray form during buccal infiltration anesthesia in children: a randomized clinical trial

J Contemp Dent Pract. 2014 Nov 1;15(6):750-4. doi: 10.5005/jp-journals-10024-1611.

Abstract

Aim: To compare the efficacy of 15% lignocaine spray and 8% lignocaine gel as a topical anesthetic, in reducing pain, during buccal infiltration in children.

Materials and methods: Forty-two patients aged between 7 and 12 years requiring restorative procedures/extraction/pulp therapy of primary/ permanent teeth in the maxillary arch, under buccal infiltration anesthesia were selected for the study. The participants were randomly allocated into 2 groups of 21 each. In group A, 8% lignocaine gel and in group B, 15% lignocaine spray was applied prior to buccal infiltration. Pain was assessed using Wong-Baker faces pain rating scale (WBFPRS) and faces legs activity cry and consolability (FLACC) painscale.

Results: Pearson's chi-square test revealed that there was no significant difference in the FLACC scores of the two groups (p = 0.54). Independent t-test demonstrated that there was no significant difference in Wong-Bakers faces pain score between the two agents (p = 0.07).

Conclusion: There is no significant difference in the efficacy of 15% lignocaine spray and 8% lignocaine gel as a topical anesthetic in controlling pain during buccal infiltration anesthesia, in children.

Keywords: Lignocaine; Randomized trial. How to cite this article: Sharma A; Rao A. Efficacy of Lignocaine in Gel and Spray form during Buccal Infltration Anesthesia in Children: A Randomized Clinical Trial. J Contemp Dent Pract 2014;15(6):750-754. Source of support: Nil Conflict of interest: None.; Shenoy R; Suprabha BS; Topical anesthesia.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Administration, Buccal
  • Aerosols
  • Anesthesia, Dental / methods*
  • Anesthesia, Local / methods*
  • Anesthetics, Local / administration & dosage*
  • Child
  • Dental Restoration, Permanent / methods
  • Female
  • Gels
  • Humans
  • Injections / instrumentation
  • Lidocaine / administration & dosage*
  • Male
  • Needles
  • Pain / prevention & control
  • Pain Measurement / methods
  • Root Canal Therapy / methods
  • Tooth Extraction / methods
  • Treatment Outcome

Substances

  • Aerosols
  • Anesthetics, Local
  • Gels
  • Lidocaine