{"id":8658,"date":"2023-10-02T10:42:16","date_gmt":"2023-10-02T08:42:16","guid":{"rendered":"https:\/\/www.dentalcadmos.com\/?p=8658"},"modified":"2023-10-02T10:42:16","modified_gmt":"2023-10-02T08:42:16","slug":"clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla","status":"publish","type":"post","link":"https:\/\/www.dentalcadmos.com\/en\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/","title":{"rendered":"Clinical efficacy of lignocaine with epinephrine for mini-implant placement in the maxilla"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong>OBJECTIVES:<\/strong> To evaluate the clinical effectiveness of 0.5 ml of 2% lignocaine with 1:200,000 epinephrine when infiltrated in the maxillary posterior buccal segment compared with 20% benzocaine gel applied topically near the site of mini-implant placement.<\/p>\n<p style=\"text-align: justify;\"><strong>MATERIALS AND METHODS:<\/strong> Seventeen patients were recruited based on the eligibility criteria namely healthy individuals without allergies and who were not on any medication within the age group of 15-28 years belonging to both genders.<br \/>\nAll patients required bilateral buccal mini-implants for orthodontic anchorage in the maxillary posterior region between the maxillary second premolar and maxillary first permanent molar. Each patient received approximately 0.5 gm of topical anaesthetic (20% benzocaine) administered with cotton applicator on one side. The mini-implant was placed after 5 minutes upon administration of the topical anaesthetic. Thirty minutes later 0.5 ml of infiltrative anaesthetic (2% lignocaine with 1:200,000 epinephrine) was injected on the other side in the buccal vestibule near the site of mini-implant placement. The mini-implant was placed after 5 minutes. The two different anaesthetic were alternated between the right and left side for each consecutive patient.<br \/>\nOutcome measure was assessed using a pain rating scale. The pain response was evaluated during drilling (T1), during mini-implant placement (T2), five minutes after mini-implant placement (T3), 10 minutes after placement (T4) and 15 minutes after placement (T5) on both sides.<br \/>\nDescriptive statistics were calculated for pain scores obtained during and after the mini-implant procedure and at different time point namely 5 minutes, 10 minutes and 15 minutes after mini-implant placement. A factorial repeated measures analysis of variance was used to determine any differences.<br \/>\nPearson\u2019s correlation co-efficient was done to determine the correlation between age and pain score.<\/p>\n<p style=\"text-align: justify;\"><strong>RESULTS:<\/strong> The mean age of the patient was 18.93\u00b13.12 years. 20% benzocaine was inadequate to provide sufficient anaesthesia in three patients who had to be excluded from the study. Statistical analysis of the remaining patients in both the groups showed a mean pain score ranging from 2 to 2.71 at T1, T2 and T3 and 1 to 1.36 at T4 and T5 indicating that some pain was encountered irrespective of the type of anaesthetic. Infiltrative anaesthetic was slightly better than the topical anaesthetic, especially at T4 and T5.<br \/>\nComparison of pain scores did not show any statistical significance between the two anaesthetic at the five different time points (T1, P = 0.85; T2, P = 0.81; T3, P = 1.00; T4, P = 0.28; T5, P = 0.56).<br \/>\nThere was no statistically significant correlation between pain response and age or gender.<\/p>\n<p style=\"text-align: justify;\"><strong>CONCLUSIONS:<\/strong> Although infiltration of 0.5 ml of 2% lignocaine with 1:200,000 epinephrine is better than topical application of 20% benzocaine, it appears to be inadequate to alleviate pain completely during mini-implant placement. Increasing the volume of infiltrative anaesthetic may be considered.<\/p>\n<p style=\"text-align: justify;\"><strong>CLINICAL SIGNIFICANCE:<\/strong> It is preferable to use infiltrative anaesthetic compared to topical anaesthetic for placement of mini-implant in the maxillary posterior buccal segment to minimise pain and reduce patient anxiety during the mini-implant placement procedure.<\/p>\n<p><i>Per continuare la lettura gli abbonati possono scaricare l\u2019allegato.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>OBJECTIVES: To evaluate the clinical effectiveness of 0.5 ml of 2% lignocaine with 1:200,000 epinephrine when infiltrated in the maxillary posterior buccal segment compared with 20% benzocaine gel applied topically near the site of mini-implant placement. MATERIALS AND METHODS: Seventeen patients were recruited based on the eligibility criteria namely healthy individuals without allergies and who &hellip; <a href=\"https:\/\/www.dentalcadmos.com\/en\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/\">Continued<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Clinical efficacy of lignocaine with epinephrine for mini-implant placement in the maxilla - Dental Cadmos<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dentalcadmos.com\/en\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Clinical efficacy of lignocaine with epinephrine for mini-implant placement in the maxilla - Dental Cadmos\" \/>\n<meta property=\"og:description\" content=\"OBJECTIVES: To evaluate the clinical effectiveness of 0.5 ml of 2% lignocaine with 1:200,000 epinephrine when infiltrated in the maxillary posterior buccal segment compared with 20% benzocaine gel applied topically near the site of mini-implant placement. MATERIALS AND METHODS: Seventeen patients were recruited based on the eligibility criteria namely healthy individuals without allergies and who &hellip; Continued\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.dentalcadmos.com\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/\" \/>\n<meta property=\"og:site_name\" content=\"Dental Cadmos\" \/>\n<meta property=\"article:published_time\" content=\"2023-10-02T08:42:16+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"edra\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.dentalcadmos.com\/#website\",\"url\":\"https:\/\/www.dentalcadmos.com\/\",\"name\":\"Dental Cadmos\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.dentalcadmos.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.dentalcadmos.com\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/#webpage\",\"url\":\"https:\/\/www.dentalcadmos.com\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/\",\"name\":\"Clinical efficacy of lignocaine with epinephrine for mini-implant placement in the maxilla - Dental Cadmos\",\"isPartOf\":{\"@id\":\"https:\/\/www.dentalcadmos.com\/#website\"},\"datePublished\":\"2023-10-02T08:42:16+00:00\",\"dateModified\":\"2023-10-02T08:42:16+00:00\",\"author\":{\"@id\":\"https:\/\/www.dentalcadmos.com\/#\/schema\/person\/dae8bc45e635361a55553f0aac0857fe\"},\"breadcrumb\":{\"@id\":\"https:\/\/www.dentalcadmos.com\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.dentalcadmos.com\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.dentalcadmos.com\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/www.dentalcadmos.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Clinical efficacy of lignocaine with epinephrine for mini-implant placement in the maxilla\"}]},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.dentalcadmos.com\/#\/schema\/person\/dae8bc45e635361a55553f0aac0857fe\",\"name\":\"edra\",\"image\":{\"@type\":\"ImageObject\",\"@id\":\"https:\/\/www.dentalcadmos.com\/#personlogo\",\"inLanguage\":\"en-US\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/e2aad0a8340bb6125c47d6b52ca5828e?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/e2aad0a8340bb6125c47d6b52ca5828e?s=96&d=mm&r=g\",\"caption\":\"edra\"},\"url\":\"https:\/\/www.dentalcadmos.com\/en\/author\/edra\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Clinical efficacy of lignocaine with epinephrine for mini-implant placement in the maxilla - Dental Cadmos","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.dentalcadmos.com\/en\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/","og_locale":"en_US","og_type":"article","og_title":"Clinical efficacy of lignocaine with epinephrine for mini-implant placement in the maxilla - Dental Cadmos","og_description":"OBJECTIVES: To evaluate the clinical effectiveness of 0.5 ml of 2% lignocaine with 1:200,000 epinephrine when infiltrated in the maxillary posterior buccal segment compared with 20% benzocaine gel applied topically near the site of mini-implant placement. MATERIALS AND METHODS: Seventeen patients were recruited based on the eligibility criteria namely healthy individuals without allergies and who &hellip; Continued","og_url":"https:\/\/www.dentalcadmos.com\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/","og_site_name":"Dental Cadmos","article_published_time":"2023-10-02T08:42:16+00:00","twitter_card":"summary_large_image","twitter_misc":{"Written by":"edra","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebSite","@id":"https:\/\/www.dentalcadmos.com\/#website","url":"https:\/\/www.dentalcadmos.com\/","name":"Dental Cadmos","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.dentalcadmos.com\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/www.dentalcadmos.com\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/#webpage","url":"https:\/\/www.dentalcadmos.com\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/","name":"Clinical efficacy of lignocaine with epinephrine for mini-implant placement in the maxilla - Dental Cadmos","isPartOf":{"@id":"https:\/\/www.dentalcadmos.com\/#website"},"datePublished":"2023-10-02T08:42:16+00:00","dateModified":"2023-10-02T08:42:16+00:00","author":{"@id":"https:\/\/www.dentalcadmos.com\/#\/schema\/person\/dae8bc45e635361a55553f0aac0857fe"},"breadcrumb":{"@id":"https:\/\/www.dentalcadmos.com\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.dentalcadmos.com\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.dentalcadmos.com\/clinical-efficacy-of-lignocaine-with-epinephrine-for-mini-implant-placement-in-the-maxilla\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.dentalcadmos.com\/"},{"@type":"ListItem","position":2,"name":"Clinical efficacy of lignocaine with epinephrine for mini-implant placement in the maxilla"}]},{"@type":"Person","@id":"https:\/\/www.dentalcadmos.com\/#\/schema\/person\/dae8bc45e635361a55553f0aac0857fe","name":"edra","image":{"@type":"ImageObject","@id":"https:\/\/www.dentalcadmos.com\/#personlogo","inLanguage":"en-US","url":"https:\/\/secure.gravatar.com\/avatar\/e2aad0a8340bb6125c47d6b52ca5828e?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/e2aad0a8340bb6125c47d6b52ca5828e?s=96&d=mm&r=g","caption":"edra"},"url":"https:\/\/www.dentalcadmos.com\/en\/author\/edra\/"}]}},"_links":{"self":[{"href":"https:\/\/www.dentalcadmos.com\/en\/wp-json\/wp\/v2\/posts\/8658"}],"collection":[{"href":"https:\/\/www.dentalcadmos.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.dentalcadmos.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.dentalcadmos.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dentalcadmos.com\/en\/wp-json\/wp\/v2\/comments?post=8658"}],"version-history":[{"count":1,"href":"https:\/\/www.dentalcadmos.com\/en\/wp-json\/wp\/v2\/posts\/8658\/revisions"}],"predecessor-version":[{"id":8661,"href":"https:\/\/www.dentalcadmos.com\/en\/wp-json\/wp\/v2\/posts\/8658\/revisions\/8661"}],"wp:attachment":[{"href":"https:\/\/www.dentalcadmos.com\/en\/wp-json\/wp\/v2\/media?parent=8658"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.dentalcadmos.com\/en\/wp-json\/wp\/v2\/categories?post=8658"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.dentalcadmos.com\/en\/wp-json\/wp\/v2\/tags?post=8658"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}