The Impact of 4% Articaine on ECG: Insights from a Randomised Control Trial

Document Type : Original Article

Authors

DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY ADHIPARASAKTHI DENTAL COLLEGE AND HOSPITAL MELMARUVATHUR, TAMIL NADU, INDIA

Abstract

AND BACKGROUND OF THE STUDY
Articaine can be used as alternative drug of choice for lignocaine because it has rapid onset and longer duration of action so
these qualities of articaine can be beneficial for patient travelling from long distance in which patient can be free from pain. The
aim of this study is to Compare the efficacy and safety such
as blood pressure and pulse rate ,ECG of the both of 4% Articaine with 1:100,000 epinephrine and 2% Lignocaine with
1:100,000 epinephrine in patients operated for mandibular third molar impaction.
METHOD This is a randomized controlled clinical trial a total 30 subjects were participated in the study with age ranging from
2245- years and parameters such as Drug volume(ml) ,Duration of surgical procedure, Intra operative pain evaluation, Onset
of anesthesia, Duration of anesthesia, Duration of postoperative analgesia, ECG,blood pressure,pulse,spo2,temperature were
assessed .
Results: It was evident that 4% articaine has longer duration of action and great postoperative analgesia in terms of 2% lignocaine
and there was no significant difference in ECG,blood pressure,pulse ,spo2,temperature
Conclusion It was established that 4% articaine is more effective than 2% lignocaine. Hence might be thought of as a lignocaine
substitute in clinical settings.A local anaesthetic solution that is efficient enough to produce sufficient anaesthesia while causing
minimal problems is essential for minor oral surgical procedures sufficient anaesthesia while causing minimal problems is
essential for minor oral surgical proceduresKeywordsspo2, blood pressure, ecg, lignocaine, articaine

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History

  • Receive Date: 16 February 2024
  • Revise Date: 20 February 2024
  • Accept Date: 10 March 2024

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