Anesthetic efficacy of 4% articaine buccal infiltration in the urgency treatment of mandibular molars with symptomatic irreversible pulpitis: a randomized clinical trial

Marcelo Capitanio; Izabela Volpato Marques Tookuni; Nair Narumi Orita Pavan; Isolde Terezinha Santos Previdelli; Angélica Nascimento dos Santos; Marcos Sergio Endo

doi:10.33448/rsd-v10i5.14651

Autores/as

Marcelo Capitanio Universidade Estadual de Maringá https://orcid.org/0000-0002-9172-9993
Izabela Volpato Marques Tookuni Universidade Estadual de Maringá https://orcid.org/0000-0002-4486-165X
Nair Narumi Orita Pavan Universidade Estadual de Maringá https://orcid.org/0000-0003-0931-3241
Isolde Terezinha Santos Previdelli Universidade Estadual de Maringá https://orcid.org/0000-0002-8686-420X
Angélica Nascimento dos Santos Universidade Estadual de Maringá https://orcid.org/0000-0002-6176-7729
Marcos Sergio Endo Universidade Estadual de Maringá https://orcid.org/0000-0002-8980-3779

DOI:

https://doi.org/10.33448/rsd-v10i5.14651

Palabras clave:

Anestesia dental; Articaína; Endodoncia; Pulpitis; Prueba de la pulpa dental.

Resumen

El objetivo de este estudio fue evaluar la eficacia anestésica de la articaína al 4% por la técnica de infiltración vestibular (IV) tras el bloqueo del nervio alveolar inferior (BNAI) con mepivacaína al 2%, ambas con epinefrina 1: 100.000, en el tratamiento de urgencia de molares mandibulares con pulpitis irreversible sintomática (PIS). Se trata de un estudio prospectivo, con un diseño experimental del tipo de ensayo clínico randomizado paralelo controlado y ciego. Treinta pacientes diagnosticados con PIS fueron asignados aleatoriamente, con el grupo control (G1) recibiendo el BNAI con 1.8 mL de mepivacaína, mientras que el grupo experimental (G2) también recibió la IV con 1.8 mL de articaína. Para evaluar la eficacia anestésica, se utilizó el análisis labial y la prueba de sensibilidad eléctrica (PSE). Además, una escala visual analógica verificó la presencia de dolor. Se aplicaron ANOVA de dos vías y la prueba de chi-cuadrado a un nivel de significancia del 5%. Hubo una reducción en la percepción del dolor después de ambas técnicas (p <0,001), sin diferencias entre los grupos (p = 0,479). Las tasas de éxito anestésico fueron 26,6% para BNAI (G1) y 40% para BNAI + IV (G2), sin diferencias significativas entre los dos tratamientos (p = 0,699). La IV con articaína al 4% después de BNAI con mepivacaína al 2%, ambos con epinefrina 1: 100.000, no aumentó significativamente el éxito anestésico en pacientes con PIS.

Citas

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Eficacia de la articaína al 4% por la técnica de infiltración vestibular en el tratamiento de urgencia de molares mandibulares con pulpitis irreversible sintomática: ensayo clínico randomizado

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