Smith LE Author
Subjects of specialization
Affiliation
Anesthesiology
Department of Anesthesiology, Vanderbilt University, USA.
Dr. Loren E. Smith is an anesthesiologist in Nashville, Tennessee and is affiliated with Vanderbilt University Medical Center. She received her medical degree from University Cincinnati College of Medicine and has been in practice between 6-10 years.
Research Article Open Access
Author(s): Smith DK, Smith LE and Blume JD
Purpose: Multiple randomized controlled trials have compared the efficacy of 2% lidocaine with 1:100,000 epinephrine to 4% articaine with 1:100,000 epinephrine. However, there is still uncertainty about expected success probabilities with various anesthetic modalities that needs to be addressed in the literature.
Methods: A search of PubMed and Google yielded over 200 potential articles. 13 randomized controlled trials met the eligibility criteria for inclusion in the analysis. Analyses compared lidocaine and articaine in teeth with and without a diagnosis of pulpitis for maxillary infiltration, mandibular buccal infiltration, and inferior alveolar nerve block (IANB).
Results: Articaine demonstrated superior anesthetic efficacy regardless of the type of injection administered ... view moreĀ»