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Adding 10% Magnesium sulfate to 2% Lidocaine improves IANB efficacy, offering better pain control in patients with pulpitis.
A recent investigation in the “European Endodontic Journal” highlighted the effectiveness of combining Lidocaine with Magnesium sulfate to improve inferior alveolar nerve block (IANB) in individuals with symptomatic irreversible pulpitis in mandibular molars. Given the challenges of managing pain during root canal treatment, this study investigated whether adding Magnesium sulfate to Lidocaine could improve anesthetic efficacy. In this randomized double-blinded clinical trial, 86 patients were randomly segregated into 2 groups:
Using a visual analogue scale (VAS), recording of preoperative and perioperative pain levels was carried out. The MGS group exhibited a higher success rate in IANB. The mean perioperative pain score was markedly lower in the MGS group when compared to the LDC group (Table 1).
Hence, using Magnesium sulfate as an adjunct to Lidocaine markedly improves the anesthetic efficiency of IANB in pulpitis, paving the way for more comfortable dental experiences.
European Endodontic Journal
Effectiveness of Lidocaine versus Lidocaine with Magnesium Sulphate During Inferior Alveolar Nerve Block in Patients with Symptomatic Irreversible Pulpitis: A Randomised Double-Blinded Clinical Trial
Kavimalar Sitharthan et al.
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