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Dental anxiety in children can be exacerbated by painful treatments. Nerve blocks often fail in cases of irreversible pulpitis, making effective pain management crucial. Hence, this study compared the effectiveness of Lignocaine alone versus combined with pre-operative Ibuprofen for pulpectomy in children.
In children aged 5 to 9 years, oral Ibuprofen boosts the effectiveness of inferior alveolar nerve block with Lignocaine for irreversible pulpitis.
Dental anxiety in children can be exacerbated by painful treatments. Nerve blocks often fail in cases of irreversible pulpitis, making effective pain management crucial. Hence, this study compared the effectiveness of Lignocaine alone versus combined with pre-operative Ibuprofen for pulpectomy in children.
Overall, 122 children (5 to 9 years old) needing pulpectomy in mandibular teeth were divided into two groups. Group A received pre-operative Ibuprofen and Lignocaine (2%) with Adrenaline. Group B received a placebo and the same Lignocaine with Adrenaline. Pain and pulse rates were measured at various stages: baseline, 1 hour after Ibuprofen or placebo, 15 minutes after the nerve block, and during the procedure. Analysis of results was done with the help of chi-square test and repeated measures ANOVA.
Inferior alveolar nerve block (IANB) success rates were higher for Group A when compared to Group B, as shown in Table 1:
The success rate discrepancy between the study groups was statistically meaningful (p<0.001), with an odds ratio of 84.
Pre-operative Ibuprofen greatly enhanced the effectiveness of dental nerve blocks in young children, making pulpectomy much more successful and pain-free.
European Endodontic Journal
Comparison of Effectiveness of Lignocaine and Lignocaine with Pre-Operative Oral Ibuprofen for Pulpectomy in 5 to 9-Year-Old Children: A Randomized Controlled Trial
Zeel Gandhi et al.
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