Effectiveness of a novel topical anesthetic gel in patients undergoing non surgical periodontal therapy.
Abstract
Objectives: To evaluate the efficacy of a topical anesthetic gel containing potassium nitrate, benzocaine and tetracaine in patients undergoing non surgical periodontal therapy.
Materials and Methods: The present study was a randomised, double blind, placebo controlled, split mouth design trial carried out in 300 patients. Two quadrants in each patient were selected for non surgical periodontal therapy. The drug gel and placebo were liberally applied over the teeth and gingiva on the selected quadrants and the treatment was started after two minutes. Patients were asked to evaluate their pain experience at the end of treatment of their respective quadrants using verbal rating scale.
Results: The mean pain score on using the drug gel was 0.433+0.737 as compared to the mean pain score of 2.35+0.761 on using the placebo gel, and the results were statistically significant. The drug gel out performed the placebo gel. None of the patients reported of any local or systemic side effects.
Conclusions: The topical anesthetic gel provided excellent pain control for the patients undergoing non surgical periodontal therapy. It can also be considered as a good option during periodontal examination and maintenance visits to increase the patients comfort.
References
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- 2. Heins PJ, Karpinia KA, Maruniak JW, Moorhead JE, Gibbs CH. Pain threshold values during periodontal probing: as-sessment of maxillary incisor and molar sites. J Periodontol 1998;69:812-818.
- 3. Grant DA, Lie T, Clark SM, Adams DF. Pain and discomfort levels in patients during root surface débridement with sonic metal or plastic inserts. J Periodontol 1993;64:645-650.
- 4. Matthews DC, McCulloch CA. Evaluating patient perceptions as short-term outcomes of periodontal treatment: a comparison of surgical and non-surgical therapy. J Periodontol 1993;64:990-997.
- 5. Heft MW, Perelmuter SH, Cooper BY, Magnusson I, Clark WB. Relationship between gingival inflammation and pain-fulness of periodontal probing. J Clin Periodontol 1991;18:213-215.
- 6. Milgrom P, Coldwell S, Getz T, Weinstein P, Ramsey D. Four dimensions of fear of dental injections. J Am Dent Assoc 1997;128:756-762.
- 7. Van Steenberghe D, Garmyn P, Geers L, Hendrickx E, Maré-chal M, Huizar K, et al. Patients’ Experience of pain and discomfort during instrumentation in the diagnosis and non-surgical treatment of periodontitis. J Periodontol 2004;75:1465-1470
- 8. Svensson P, Petersen K.J, Svensson H. Efficacy of topical anesthetic on
- 9. pain and unpleasantness during scaling of gingival pockets. Anesth Prog 1994;41:35-39.
- 10. Garmyn P, Geers L, Marechal M et al. Patients experience of pain and discomfort during instrumentation in the diagnosis and non-surgical treatment of periodontitis. J Clin Periodontol 2000;27:52(abst 135).
- 11. Scott J & Huskinsson E.C. Graphic representation of pain Pain 1976;2:175-184.
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- 13. Vickers ER, Punnia Moorthy A. A clinical evaluation of three topoical anesthetic agents. Aust dent J 1992;37:266-270.
- 14. Cavino BG. Pharmacology of local anesthetic agents. Br J Anaest 1986;58:701.
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- 16. Milton H, Steven H, Alex J. Kno3/Benzocaine/Tetracaine gel use for maintenance visit pain control. Gen Dent 2007;55:312-315.
- 17. Estafan DJ. Invasive and non invasive dental anlgesia techniques. Gen Dent 1998;46:600-603.
Abstract
References
- 1. Canakçi CF, Canakçi V. Pain experienced by patients under-going different periodontal therapies. J Am Dent Assoc 2007;138:1563-1573.
- 2. Heins PJ, Karpinia KA, Maruniak JW, Moorhead JE, Gibbs CH. Pain threshold values during periodontal probing: as-sessment of maxillary incisor and molar sites. J Periodontol 1998;69:812-818.
- 3. Grant DA, Lie T, Clark SM, Adams DF. Pain and discomfort levels in patients during root surface débridement with sonic metal or plastic inserts. J Periodontol 1993;64:645-650.
- 4. Matthews DC, McCulloch CA. Evaluating patient perceptions as short-term outcomes of periodontal treatment: a comparison of surgical and non-surgical therapy. J Periodontol 1993;64:990-997.
- 5. Heft MW, Perelmuter SH, Cooper BY, Magnusson I, Clark WB. Relationship between gingival inflammation and pain-fulness of periodontal probing. J Clin Periodontol 1991;18:213-215.
- 6. Milgrom P, Coldwell S, Getz T, Weinstein P, Ramsey D. Four dimensions of fear of dental injections. J Am Dent Assoc 1997;128:756-762.
- 7. Van Steenberghe D, Garmyn P, Geers L, Hendrickx E, Maré-chal M, Huizar K, et al. Patients’ Experience of pain and discomfort during instrumentation in the diagnosis and non-surgical treatment of periodontitis. J Periodontol 2004;75:1465-1470
- 8. Svensson P, Petersen K.J, Svensson H. Efficacy of topical anesthetic on
- 9. pain and unpleasantness during scaling of gingival pockets. Anesth Prog 1994;41:35-39.
- 10. Garmyn P, Geers L, Marechal M et al. Patients experience of pain and discomfort during instrumentation in the diagnosis and non-surgical treatment of periodontitis. J Clin Periodontol 2000;27:52(abst 135).
- 11. Scott J & Huskinsson E.C. Graphic representation of pain Pain 1976;2:175-184.
- 12. Luria R.E. The validity and reliability of the visual analog mood scale. Journal of psychiatric research 1975;12:51-57.
- 13. Vickers ER, Punnia Moorthy A. A clinical evaluation of three topoical anesthetic agents. Aust dent J 1992;37:266-270.
- 14. Cavino BG. Pharmacology of local anesthetic agents. Br J Anaest 1986;58:701.
- 15. Nayak R, Sudha P. Evaluation of three topical anaesthetic agents against pain : A clinical study. Indian J Dent Res 2006;17:155-160
- 16. Milton H, Steven H, Alex J. Kno3/Benzocaine/Tetracaine gel use for maintenance visit pain control. Gen Dent 2007;55:312-315.
- 17. Estafan DJ. Invasive and non invasive dental anlgesia techniques. Gen Dent 1998;46:600-603.
Details
| Primary Language | English |
|---|---|
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | May 1, 2013 |
| Submission Date | October 3, 2012 |
| Published in Issue | Year 2013Volume: 16 Issue: 2 |
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