Anesthetic Efficacy in Irreversible Pulpitis

Anesthetic Efficacy of Articaine, Lidocaine and Mepivacaine in Patients With Irreversible Pulpitis of Mandibular Molar

The purpose of this study was to compare the anesthetic efficacy of articaine, lidocaine and mepivacaine in patients with irreversible pulpitis of mandibular molar.

Conventional inferior alveolar nerve block (IANB) is the most commonly used technique for achieving pulpal anesthesia in posterior mandibular endodontic procedures. However, IANB has a high failure rate and success rates are even lower when applied for the treatment of mandibular posterior teeth with irreversible pulpitis.

Inclusion Criteria:

• clinical diagnosis of irreversible pulpitis
• good health
• had at least 1 adjacent tooth plus a healthy canine

Exclusion Criteria:

• took medication could be interacting with any of the anesthetics used