Evaluation of acceptance and preference of topical lidocaine application versus articaine injection anesthesia after nonsurgical periodontal treatment: A randomized clinical trial

Background To compare acceptance and preference of topical lidocaine gel anesthesia with articaine injection anesthesia in patients with moderate periodontitis undergoing scaling and root debridement. Methods Ninety‐one patients completed this randomized multicenter split‐mouth controlled study and...

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Bibliographic Details
Published in:	Journal of periodontology (1970) Vol. 95; no. 9; pp. 821 - 831
Main Authors:	Dörfer, Christof, Chmiela, Kathrin, Arweiler, Nicole B., Petersilka, Gregor J., Dommisch, Henrik, Heckel, Ralph, Kahl, Maren, Kuzmanova, Denica, Purucker, Peter, Springer, Claudia
Format:	Journal Article
Language:	English
Published:	United States 01-09-2024
Subjects:	Administration, Topical Adult Aged anesthesia Anesthesia, Dental - methods Anesthesia, Local - methods Anesthetics, Local - administration & dosage articaine Carticaine - administration & dosage dental scaling Dental Scaling - methods Female Gels Humans Hypesthesia - chemically induced Hypesthesia - etiology Injections lidocaine Lidocaine - administration & dosage Male Middle Aged Pain Measurement Patient Acceptance of Health Care Patient Compliance Patient Preference Periodontal Debridement - methods Periodontal Pocket - therapy periodontitis Periodontitis - therapy articaine dental scaling lidocaine periodontitis anesthesia
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Summary:	Background To compare acceptance and preference of topical lidocaine gel anesthesia with articaine injection anesthesia in patients with moderate periodontitis undergoing scaling and root debridement. Methods Ninety‐one patients completed this randomized multicenter split‐mouth controlled study and underwent two separate periodontal treatment sessions on different days, one with a topical intrapocket lidocaine gel application and the other with an articaine injection anesthesia in a different order depending on randomization. Parameters measured were the patients’ preference for topical lidocaine gel anesthesia or injection anesthesia with articaine (primary efficacy criterion), their maximum and average pain, and their intensity of numbness as well as experience of side effects; the probing depth; and the dentists’ preference and their evaluations of handling/application, onset and duration of anesthetic effect, and patient compliance. Results After having experienced both alternatives, 58.3% of the patients preferred the topical lidocaine gel instillation into the periodontal pockets. The safety profile of the lidocaine gel differed positively from the safety profile of articaine injection in type and frequency of adverse drug reactions. The dentistsʼ acceptance and preference regarding either anesthetic method studied were balanced. Conclusions Instillation of lidocaine gel into the periodontal pocket is a preferred alternative to injection anesthesia for most of the patients and an equivalent alternative for dentists in nonsurgical periodontal therapy.
Bibliography:	Christof Dörfer and Henrik Dommisch contributed equally to this study. ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ISSN:	0022-3492 1943-3670 1943-3670
DOI:	10.1002/JPER.23-0466