10.25241/stomaeduj.2020.7(1).art.6 -abstract

ANESTHESIOLOGY

Unclarities about articaine: efficacy and the risk of paresthesia

DOI: https://doi.org/10.25241/stomaeduj.2020.7(1).art.6

Abstract

Background Articaine is a very popular local anesthetic in dentistry. A lot of claims have been made about articaine over the years, both positive and negative. Many clinicians claim articaine is superior to lidocaine. However, since a study in 1995 claiming an increased risk of paresthesia, there has been debate about whether this is true or not.
Objective To review the current literature to clarify the current ambiguities about the possible superior efficacy and the alleged higher risk of paresthesia.
Data sources As a basis, a handbook on local anesthesia was read, as well as its references to the topics of interest. Afterward, the literature was searched for publications about both the efficacy and the risk of paresthesia from 1990 to 2019.
Study selection Articles about the efficacy with clear data and minimal risk of bias were selected. For paresthesia, the original articles were selected as well as more recent reviews highlighting the flaws in the first studies.
Data extraction Information about the efficacy and the possible superiority of articaine compared to lidocaine was extracted. For paresthesia, the most important historical publications were reviewed and more recent reviews were evaluated.
Data synthesis These data were synthesized in an overview consisting of two parts. First, the properties of articaine were review and what was learned about the efficacy of articaine in relation to other local anesthetics was discussed. Secondly, an overview of the history of paresthesia was given and the flaws and unclarities were highlighted.

Keywords
Articaine; Epinephrine; Efficacy; Paresthesia; Dentistry.

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The Stomatology Edu Journal (Stoma Edu J) is one of the first Green Open Access journals in the field of dental medicine, publishing well-established authors, but equally committed to encouraging early career researchers and professionals alike to publish their work after a non-partisan, objective, double-blind rigorous peer-reviewed process. The Stomatology Edu Journal (Stoma Edu J) is a Green Open Access journal accessible for free on the Internet, hence no processing, peer review fees or article publishing charges payable by the author are required. A Green Open Access (GOA) journal means that all content is freely available to the user or his/her institution without charge. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. Our aim is to publish in the shortest possible time frame and ensure the rapid dissemination of your work via our journal page, but also through our indexing partners…(read more)

STATEMENT

STOMATOLOGY EDU JOURNAL (Stoma Edu J) is a new international dental journal whose main purpose is to inform researchers, educators, graduates, postgraduates and practitioners about the latest trends in the field, which followed, would bring immediate and lasting benefits to the patients; and about opinions of the most authorized specialists on what is best in current practice, for the good of both, patient and dentist.
STOMATOLOGY EDU JOURNAL (Stoma Edu J) is a peer-reviewed, open access international dental journal to be database indexed, meant to contribute to the development and completion of the medical training of practitioners as Dr. Greene Vardiman Black stated: “the professional man has no right to be other than a continual student”.
Open access journal, means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author.