Efficacy of Benzocaine and Lidocaine Bioadhesive Patches in Various Minor Oral Surgical Procedures in Children - An Evaluative Study

Context: The key to successful management of a child in the dental clinic depends greatly on providing painless anaesthesia. Topical anaesthesia using bioadhesive patches may be a breakthrough in this field. Aims: The purpose of the study was to compare the efficacy of Benzocaine and Lidocaine bioad...

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Main Authors: Nisha E. John, Ramakrishnan Erakkodan, Natta Sreelakshmi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-04-01
Series:Indian Journal of Dental Research
Subjects:
Online Access:https://journals.lww.com/10.4103/ijdr.ijdr_192_21
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author Nisha E. John
Ramakrishnan Erakkodan
Natta Sreelakshmi
author_facet Nisha E. John
Ramakrishnan Erakkodan
Natta Sreelakshmi
author_sort Nisha E. John
collection DOAJ
description Context: The key to successful management of a child in the dental clinic depends greatly on providing painless anaesthesia. Topical anaesthesia using bioadhesive patches may be a breakthrough in this field. Aims: The purpose of the study was to compare the efficacy of Benzocaine and Lidocaine bioadhesive patches in reducing pain associated with various minor oral surgical procedures in children. Methods and Materials: Hundred subjects, aged 6–9 years, requiring various minor oral surgical procedures such as extractions of primary teeth, nerve blocks, mucocele excision or drainage of abscesses were divided equally into Groups 1 and 2. In Group 1, custom fabricated Benzocaine patches were placed for 5 minutes at the target site prior to the procedure, and in Group 2, Lidocaine patches were used in the same manner. Each subject completed a visual analogue scale (VAS) and Wong-Baker Faces pain scale (FPS) after each procedure. Pulse rate and saturation of peripheral oxygen were assessed using pulse oximeter. The duration of the study was from September 2014 to September 2015. Statistical Analysis Used: The statistical analysis was done using paired t test, ANOVA and Bonferroni post hoc analysis. P value less than 0.05 were considered as statistically significant. Results: A significant difference in pain scores was observed favouring the use of Benzocaine over Lidocaine patches (P < 0.05). However, no significant differences in pulse oximeter readings were observed. Conclusions: A statistically significant reduction in pain rating scores was observed in the Benzocaine group after a five-minute application of the patch.
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spelling doaj-art-397d624f8eb941f1ba466343c73894a92025-02-09T09:39:14ZengWolters Kluwer Medknow PublicationsIndian Journal of Dental Research0970-92901998-36032023-04-0134214514910.4103/ijdr.ijdr_192_21Efficacy of Benzocaine and Lidocaine Bioadhesive Patches in Various Minor Oral Surgical Procedures in Children - An Evaluative StudyNisha E. JohnRamakrishnan ErakkodanNatta SreelakshmiContext: The key to successful management of a child in the dental clinic depends greatly on providing painless anaesthesia. Topical anaesthesia using bioadhesive patches may be a breakthrough in this field. Aims: The purpose of the study was to compare the efficacy of Benzocaine and Lidocaine bioadhesive patches in reducing pain associated with various minor oral surgical procedures in children. Methods and Materials: Hundred subjects, aged 6–9 years, requiring various minor oral surgical procedures such as extractions of primary teeth, nerve blocks, mucocele excision or drainage of abscesses were divided equally into Groups 1 and 2. In Group 1, custom fabricated Benzocaine patches were placed for 5 minutes at the target site prior to the procedure, and in Group 2, Lidocaine patches were used in the same manner. Each subject completed a visual analogue scale (VAS) and Wong-Baker Faces pain scale (FPS) after each procedure. Pulse rate and saturation of peripheral oxygen were assessed using pulse oximeter. The duration of the study was from September 2014 to September 2015. Statistical Analysis Used: The statistical analysis was done using paired t test, ANOVA and Bonferroni post hoc analysis. P value less than 0.05 were considered as statistically significant. Results: A significant difference in pain scores was observed favouring the use of Benzocaine over Lidocaine patches (P < 0.05). However, no significant differences in pulse oximeter readings were observed. Conclusions: A statistically significant reduction in pain rating scores was observed in the Benzocaine group after a five-minute application of the patch.https://journals.lww.com/10.4103/ijdr.ijdr_192_21benzocainebioadhesive patchesfpslidocainevas
spellingShingle Nisha E. John
Ramakrishnan Erakkodan
Natta Sreelakshmi
Efficacy of Benzocaine and Lidocaine Bioadhesive Patches in Various Minor Oral Surgical Procedures in Children - An Evaluative Study
Indian Journal of Dental Research
benzocaine
bioadhesive patches
fps
lidocaine
vas
title Efficacy of Benzocaine and Lidocaine Bioadhesive Patches in Various Minor Oral Surgical Procedures in Children - An Evaluative Study
title_full Efficacy of Benzocaine and Lidocaine Bioadhesive Patches in Various Minor Oral Surgical Procedures in Children - An Evaluative Study
title_fullStr Efficacy of Benzocaine and Lidocaine Bioadhesive Patches in Various Minor Oral Surgical Procedures in Children - An Evaluative Study
title_full_unstemmed Efficacy of Benzocaine and Lidocaine Bioadhesive Patches in Various Minor Oral Surgical Procedures in Children - An Evaluative Study
title_short Efficacy of Benzocaine and Lidocaine Bioadhesive Patches in Various Minor Oral Surgical Procedures in Children - An Evaluative Study
title_sort efficacy of benzocaine and lidocaine bioadhesive patches in various minor oral surgical procedures in children an evaluative study
topic benzocaine
bioadhesive patches
fps
lidocaine
vas
url https://journals.lww.com/10.4103/ijdr.ijdr_192_21
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AT ramakrishnanerakkodan efficacyofbenzocaineandlidocainebioadhesivepatchesinvariousminororalsurgicalproceduresinchildrenanevaluativestudy
AT nattasreelakshmi efficacyofbenzocaineandlidocainebioadhesivepatchesinvariousminororalsurgicalproceduresinchildrenanevaluativestudy