Applicability and effectiveness of the use of articaine in Pediatric Dentistry: A literature review
DOI:
https://doi.org/10.33448/rsd-v13i11.47303Keywords:
Dental anesthesia; Articaine; Children.Abstract
Objective: The present study seeks to review the literature regarding the effectiveness of using articaine in different anesthetic techniques in pediatric dentistry patients, in order to support its applicability for use by dentists regarding the appropriate choice of anesthetic salt and techniques to be used. Methodology: This is an integrative literature review study with a qualitative approach that sought to analyze the applicability and effectiveness of the use of articaine in pediatric dentistry. Articles available in the Scientific Electronic Library Online (SciELO) electronic library were selected, in the Latin American and Caribbean Health Literature database (LILACS) accessed through the Virtual Health Library (VHL) and in the database from PubMed. Results: The studies compared the effectiveness of articaine, in the infiltration technique, compared to lidocaine in BNAI, being equally effective, where the infiltration technique is less painful. However, there is controversy about its use in children under 4 years of age. Conclusion: Articaine is a local anesthetic with rapid action, low toxicity, high potency, and differentiated biotransformation. Showing effectiveness in pediatric dentistry, with appropriate knowledge and techniques.
References
Alzahrani, F., Duggal, M. S., Munyombwe, T., & Tahmassebi, J. F. (2018). Anaesthetic efficacy of 4% articaine and 2% lidocaine for extraction and pulpotomy of mandibular primary molars: an equivalence parallel prospective randomized controlled trial. International journal of paediatric dentistry, 28(3), 335–344. https://doi.org/10.1111/ipd.12361
Bani-Hani, T., Al-Fodeh, R., Tabnjh, A., & Leith, R. (2024). The Use of Local Anesthesia in Pediatric Dentistry: A Survey of Specialists' Current Practices in Children and Attitudes in Relation to Articaine. International journal of dentistry, 2024, 2468502. https://doi.org/10.1155/2024/2468502
Çalış, A. S., Cagiran, E., Efeoglu, C., Ak, A. T., & Koca, H. (2014). Lidocaine versus mepivacaine in sedated pediatric dental patients: randomized, prospective clinical study. The Journal of clinical pediatric dentistry, 39(1), 74–78. https://doi.org/10.17796/jcpd.39.1.g12782873611827u
Dias, E. (2014). Terapêutica Medicamentosa em Odontologia. Artes Médicas Editora.
Elheeny A. A. H. (2020). Articaine efficacy and safety in young children below the age of four years: An equivalent parallel randomized control trial. International journal of paediatric dentistry, 30(5), 547–555. https://doi.org/10.1111/ipd.12640
Ghaffari, E., Roozbahani, N. A., Ghasemi, D., & Baninajarian, H. (2022). A comparison between articaine mandibular infiltration and lidocaine mandibular block anesthesia in second primary molar: A randomized clinical trial. Dental research journal, 19, 103.
Jorgenson, K., Burbridge, L., & Cole, B. (2020). Comparison of the efficacy of a standard inferior alveolar nerve block versus articaine infiltration for invasive dental treatment in permanent mandibular molars in children: a pilot study. European archives of paediatric dentistry official journal of the European Academy of Paediatric Dentistry, 21(1), 171–177. https://doi.org/10.1007/s40368-019-00496-8
Leith, R., Lynch, K., & O'Connell, A. C. (2012). Articaine use in children: a review. European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 13(6), 293–296. https://doi.org/10.1007/BF03320829
Li, L., & Sun, D. L. (2023). Adverse effects of articaine versus lidocaine in pediatric dentistry: a meta-analysis. The Journal of clinical pediatric dentistry, 47(6), 21–29. https://doi.org/10.22514/jocpd.2023.078
Luo, W., Zheng, K., Kuang, H., Li, Z., Wang, J., & Mei, J. (2022). The potential of articaine as new generation of local anesthesia in dental clinics: A review. Medicine, 101(48), e32089. https://doi.org/10.1097/MD.0000000000032089
Malamed, S. F., Gagnon, S., & Leblanc, D. (2000). Efficacy of articaine: a new amide local anesthetic. Journal of the American Dental Association (1939), 131(5), 635–642. https://doi.org/10.14219/jada.archive.2000.0237
Mittal, M., Sharma, S., Kumar, A., Chopra, R., & Srivastava, D. (2015). Comparison of Anesthetic Efficacy of Articaine and Lidocaine During Primary Maxillary Molar Extractions in Children. Pediatric dentistry, 37(7), 520–524.
Oertel, R., Rahn, R., & Kirch, W. (1997). Clinical pharmacokinetics of articaine. Clinical pharmacokinetics, 33(6), 417–425. https://doi.org/10.2165/00003088-199733060-00002
Ramadurai, N., Gurunathan, D., Samuel, A. V., Subramanian, E., & Rodrigues, S. J. L. (2019). Effectiveness of 2% Articaine as an anesthetic agent in children: randomized controlled trial. Clinical oral investigations, 23(9), 3543–3550. https://doi.org/10.1007/s00784-018-2775-5
Sixou, J. L., & Marie-Cousin, A. (2015). Intraosseous anaesthesia in children with 4 % articaine and epinephrine 1:400,000 using computer-assisted systems. European archives of paediatric dentistry: official journal of the European Academy of Paediatric Dentistry, 16(6), 477–481. https://doi.org/10.1007/s40368-015-0197-5
Tirupathi, S. P., & Rajasekhar, S. (2020). Can single buccal infiltration with 4% articaine induce sufficient analgesia for the extraction of primary molars in children: a systematic literature review. Journal of dental anesthesia and pain medicine, 20(4), 179–186. https://doi.org/10.17245/jdapm.2020.20.4.179
Tong, H. J., Alzahrani, F. S., Sim, Y. F., Tahmassebi, J. F., & Duggal, M. (2018). Anaesthetic efficacy of articaine versus lidocaine in children's dentistry: a systematic review and meta-analysis. International journal of paediatric dentistry, 28(4), 347–360. https://doi.org/10.1111/ipd.12363
Tudeshchoie, D. G., Rozbahany, N. A., Hajiahmadi, M., & Jabarifar, E. (2013). Comparison of the efficacy of two anesthetic techniques of mandibular primary first molar: A randomized clinical trial. Dental research journal, 10(5), 620–623.
Wright, G. Z., Weinberger, S. J., Friedman, C. S., & Plotzke, O. B. (1989). Use of articaine local anesthesia in children under 4 years of age--a retrospective report. Anesthesia progress, 36(6), 268–271.
Wright, G. Z., Weinberger, S. J., Marti, R., & Plotzke, O. (1991). The effectiveness of infiltration anesthesia in the mandibular primary molar region. Pediatric dentistry, 13(5), 278–283.
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Copyright (c) 2024 Maria Clara Marinho de Carvalho; Tarsila Duarte Rosal; Tainá de Castelo Branco Araújo; Elesbão Ferreira Viana Junior; Márcia Regina Soares Cruz
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