E-ISSN 2548-0839
Volume : 9 Issue : 3 Year : 2024

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1.6
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Journal Citation Reports (Clarivate, 2024)(Dentistry, Oral Surgery & Medicine (Science))
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Effectiveness of Lidocaine versus Lidocaine with Magnesium Sulphate During Inferior Alveolar Nerve Block in Patients with Symptomatic Irreversible Pulpitis: A Randomised Double-Blinded Clinical Trial [Eur Endod J]
Eur Endod J. 2024; 9(3): 198-202 | DOI: 10.14744/eej.2024.58569

Effectiveness of Lidocaine versus Lidocaine with Magnesium Sulphate During Inferior Alveolar Nerve Block in Patients with Symptomatic Irreversible Pulpitis: A Randomised Double-Blinded Clinical Trial

Kavimalar Sitharthan1, Dhanavel Chakravarthy1, Vijayaraja Selvapandiyan1, Subramanian Ajithkumar1, Manoj Thirunavukarasu2, Harshavardhan Manokaran3
1Department of Conservative Dentistry and Endodontics, Indira Gandhi Institute of Dental Sciences, Sri Balaji Vidyapeeth, Pondicherry, India
2Department of Conservative Dentistry and Endodontics, Rajas Dental College & Hospital, Tamil Nadu, India
3Department of Conservative Dentistry and Endodontics, JKKN Dental College & Hospital, Tamil Nadu, India

Objective: This study aimed to compare the effectiveness of lidocaine with magnesium sulphate in patients undergoing root canal treatment following irreversible pulpitis.
Methods: A total of 86 patients were randomised to receive 1.8 ml of 2% lidocaine replaced with 0.2 ml of 10% magnesium sulphate with 1: 80,000 epinephrine (n=43) as MGS group and 1.8 ml of 2% lidocaine with 1: 80,000 epinephrine (n=43) as LDC group. Preoperative visual analogue scale (VAS) pain scores were record-ed. Patients were instructed to report any perioperative pain felt during the access cavity preparation and when introducing the first patency file (#10 k) in the root canal and perioperative VAS recorded.
Results: The success rate of the inferior alveolar nerve block (IANB) was higher in the MSG group. The mean±SD of perioperative pain was 0.16±0.37 in the MSG group and 3.13±0.77 in the LDC group. The MGS group produced better anaesthetic efficacy with a p-value of 0.01.
Conclusion: Based on the results, adding 10% magnesium sulphate to 2% lidocaine increased the effective-ness of IANB in patients with symptomatic irreversible pulpitis of mandibular molar teeth.

Keywords: Anaesthetic effectiveness, irreversible pulpitis lidocaine, magnesium sulphate

Corresponding Author: Kavimalar Sitharthan
Manuscript Language: English
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