Volume 1, Issue 4 (12-2016)                   J Res Dent Maxillofac Sci 2016, 1(4): 26-31 | Back to browse issues page

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Shariatmadarahmadi R, Avadi M, Dastani A. Evaluating the Effect of EMLA Anesthetic Gel on the Level of Pain upon Probing in Patients with Chronic Periodontitis. J Res Dent Maxillofac Sci 2016; 1 (4) :26-31
URL: http://jrdms.dentaliau.ac.ir/article-1-129-en.html
Evaluating the Effect of EMLA Anesthetic Gel on the Level of Pain upon Probing in Patients with Chronic Periodontitis
R Shariatmadarahmadi * 1, MR Avadi2 , A Dastani3
1- ,Periodontics Dept,Dental Branch of Tehran, Islamic Azad University, Tehran, Iran , dr.r.shariatmadari@gmil.com
2- Nanotechnology Dept,School of Pharmacy,Pharmaceutical Sciences Branch,Dental Branch of Tehran, Islamic Azad University,
3- Dentist
Abstract:   (4938 Views)

Background and aim: Probing is the only reliable method for diagnosing periodontal diseases; however, it is a painful examination. The purpose of this study was evaluation of the effect of EMLA anesthetic gel on the level of pain upon probing in patients with chronic periodontitis referring to the periodontology department of the dental branch of Islamic Azad University of Tehran during 2013-2014.

Materials and methods: This double-blind split mouth clinical trial involved 20 eligible patients. All the teeth in two quadrants of each patient's mouth were randomly selected to be either treated with the anesthetic gel or the placebo and were probed in six points. Afterwards, the level of pain was measured using the VAS ruler. Thirty seconds after applying the gel and probing, the pain was measured again and registered.

Results: The levels of pain before and after using the gel were compared using the statistical tests. The levels of pain before and after using the placebo gel were 5.4±1.8 and 5.1±1.8, respectively and pain variations in this group equaled 0.25±0.9 (P= 0.4). The levels of pain before and after using the anesthetic gel were 5.65±1.7 and 2.1±1.2, respectively. Pain variations in this group equaled 3.55±1.3 and this difference was statistically significant (P<0.001).

Conclusion: The results of the present study showed that EMLA anesthetic gel is effective in reducing the pain upon probing.

Keywords: EMLA, gel, placebo, periodontal pocket
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Type of Study: Original article | Subject: Periodontology
References
1. Claffey N.Decision Making in periodontal therapy. J Clin Periodontol 1991;18(6):384-9.
2. van Steenberghe D, Garmyn P, Geers L, Hendrickx E, Maréchal 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(11):1465-70.
3. Al-Ajmix M, Bogle G, Cole R, Rathbun E, Riggs M, Egelberg J.Ability of
4. examiner to estimate the pain experienced by patients from probing during
5. initial periodontal examination. J Periodontol 2005;76(6):985-90.
6. Sarlati F , Simdar N, Shariatmadarahmadi R, Shabahangfar MR.Comparative evaluation of immediate effect of root instrumentation with curettes and mini-insert ultrasonic scalers on Clinical Attachment Level.J Res Dentomaxillofac Sci.2016;1(3):38-43.
7. Fowler C, Garrett S ,Cigger M, EgelbergJ. Histologic prob positionin treated
8. and untreated human periodontal tissues .J ClinPeriodontol 1982;9(5):373-85.
9. Oikarinen V J,Ylipaavalniemi P,Evers H,.Pain and temperature sensation
10. related local analgesia . Int J Oral Surg 1975;4(4):151-6.
11. Scott J, Huskisson EG.Graphic representation of pain.pain 1976;2(2):175-84.
12. Bennett K, Torrance G,Tugwell P.Methodologic challenges in the development of utility measures of health-related quality of life in rheumatoid arthritis . Control Clin Trials 1991;12(4 Suppl):118S-128S.
13. 9 Ehrenström Reiz GM, Reiz SL.EMLA - a eutectic mixture of local anaesthetics for topical anaesthesia.Acta Anaesthesiol Sc and 1982;26(6):596-8.
14. Hassio J, Numminen M , Rosenberg PH, Jokinen T. Topical anaesthesia of gingival mucosa by 5% eutectic mixture of lignocaine and prilocaine or by 10% lignocaine spray. Br Joral Maxiloface Surg 1990;28(2):99-101.
15. Tulga f,Multu Z . Four type of topical anesthetic agents:evaluation Of clinical
16. effectiveness . J Clin Peditr Dent 1999;23(3):217-20.
17. Munshi AK , Hegde AM,Lath R .Use of EMLA:is it an injection free Alternative?. J Clin Pediatr Dent 2001;25(3):215-9.
18. Cavino BG. Pharmacology of Local anesthetic agents. BrJ Anaesth 1986;58(7):701-16.
19. Mishra A, Priyanka M, Pradeep K, Reddy Pathakota K. Comparative Evaluation of Pain Scores during Periodontal Probing with or without Anesthetic Gels. Anesthesiol Res Pract. 2016;2016:5768482.
20. Winning L, Polyzois L, Nylund K, Kelly A , Claffey N. A placebo-Controlled Trial to Evaluate an Anesthetic Gel When Probing in Patients With Advanced Periodontitis. J Periodontol 2012;83(12):1492-8.
21. Donaldson D, Meechan JG.A comparison of the effects of EMLA cream and topical 5% lidocaine on discomfort during gingival probing. Anesth Prog 1995;42(1):7-10.
22. Jeffcoat MK, Geurs NC, Magnusson I, MacNeill SR, Mickels N, Roberts F,et al. Intrapocket anesthesia for scaling and root planing: results of a double-blind multicenter trial using lidocaine prilocaine dental gel. J Periodontol 2001;72(7):895-900.
23. Donaldson D, Gelskey SC, Landry RG, Matthews DC, Sandhu HS. A placebo-controlled multi-centred evaluation of an anaesthetic gel (Oraqix) for periodontal therapy. J Clin Periodontol 2003;30(3):171-5.
24. Magnusson I, Geurs NC, Harris PA, Hefti AF, Mariotti AJ, Mauriello SM,et al. Intrapocket anesthesia for scaling and root planing in pain-sensitive patient. J Periodontol 2003;74(5):597-602.
25. Karadottir H, Lenoir L, Barbierato B, Bogle M, Riggs M, Sigurdsson T,et al. Pain experienced by patients during periodontal maintenance treatment. J Periodontol 2002;73(5):536-42.
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