World Journal of Dentistry

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VOLUME 5 , ISSUE 2 ( April-June, 2014 ) > List of Articles

RESEARCH ARTICLE

Comparative Evaluation of the Efficacy of Topical Anesthetics in Reducing Pain during Administration of Injectable Local Anesthesia in Children

Vikas Bendgude, Hrishikesh Walimbe, Mohammed Nadeem Ahmed Bijle, Sneha Muchandi, Rahul Deshpande, Arti Dolas, Shrishti Chaturvedi

Citation Information : Bendgude V, Walimbe H, Bijle MN, Muchandi S, Deshpande R, Dolas A, Chaturvedi S. Comparative Evaluation of the Efficacy of Topical Anesthetics in Reducing Pain during Administration of Injectable Local Anesthesia in Children. World J Dent 2014; 5 (2):129-133.

DOI: 10.5005/jp-journals-10015-1273

Published Online: 01-06-2014

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Introduction

Pain control is an integral part of modern dentistry. Needle injection of local anesthetic which is the commonest modality of pain control itself proves to be painful for the child. Hence, it is important for the pediatric dentists to resort to a pain free method of administering local anesthesia for a patient. Topical anesthetics have proven to reduce the pain experience during administration of local anesthetic injection. The aim of this study is to evaluate and compare the efficacy of two topical anesthetic agents—EMLA 5% cream (Eutectic mixture of local anesthetics—Lignocaine 2.5% and prilocaine 2.5%) and Benzocaine 20% gel in reducing the pain during administration of local anesthetic injection in children.

Materials and methods

EMLA 5% cream and Benzocaine 20% gel were used in the study. Children from mixed dentition age group between 6 and 9 years of age were selected. The two selected topical anesthetics were applied on buccal mucosa at two different appointments in a given child, following which the local anesthetic was administered on the test site. The pain responses of the child were evaluated using the Wong Baker Faces Pain Rating Scale. The results were then statistically analyzed using Mann-Whitney U-test.

Results

EMLA 5% cream was three times highly effective in pain reduction than Benzocaine 20% gel.

Conclusion

EMLA 5% cream is comparatively better than benzocaine 20% gel with regards to pain reduction during the administration of local anesthetic injection in children.

How to cite this article

Walimbe H, Muchandi S, Bijle MNA, Bendgude V, Deshpande R, Dolas A, Chaturvedi S. Comparative Evaluation of the Efficacy of Topical Anesthetics in Reducing Pain during Administration of Injectable Local Anesthesia in Children. World J Dent 2014;5(2):129-133.


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