Abstract
Background and Objectives
The study aims to evaluate the pain efficacy of EMLA versus ice in palatine nerve blocks undergoing extraction.
Materials and Methods
A prospective randomized study, single-blind, split-mouth study carried out on a total of 20 healthy individuals needing extraction of bilateral maxillary teeth under local anesthesia referred to our department in the university from March 2021 to April 2022. Patients were randomly categorized into two groups: Group E (5% EMLA) and Group I (ice application), with 20 operative sites, respectively. In the study, the VAS—pain and satisfaction score and SEM score were analyzed. Statistical analysis was done using SPSS version 20.0 software using the Mann–Whitney U test.
Results
Study results showed that 13 patients were men and 7 were women whose ages ranged from 46 ± 18 years. Statistical analysis of pain on the VAS scale showed that the mean score for Group E and Group I were 2.3 ± 0.47 and 3.2 ± 0.41(mean ± SD), respectively, which was statistically significant (P < 0.001). On the statistical analysis of the SEM scale for Group E and Group I, the mean score was 1.00 ± 0.00 and 1.25 ± 0.44426 (mean ± SD), respectively, which was statistically significant (P < 0.018).
Conclusion
EMLA and ice were both good topical anesthetics each with advantages and disadvantages in clinical use. Each clinician needs to weigh the pros and cons of the different available methods and expenses to determine what type of anesthetic to use for each particular case during treatment.
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References
Primosch RE, Rolland-Asensi G (2001) Comparison of topical EMLA 5% oral adhesive to benzocaine 20% on the pain experienced during palatal anesthetic infiltration in children. J Pediatr Dent 23(1):11–14
Kumari K, Kaur G, Arora SS, Pandheer PK, Singh R, Bhat RA (2020) To compare the effect of ice and the lignocaine gel in reducing pain of needle prick before palatal nerve block. J Oral Surg 14(1):23–28
Duncan JD, Reeves GW, Fitchie JG (1992) Technique to diminish discomfort from the palatal injection. J Prosthet Dent 67:901–902. https://doi.org/10.1016/0022-3913(92)90617-J
Moeen A, Muna A, Basam A, Eman H (2017) Effectiveness of 5% EMLA cream versus 20% Benzocaine Gel as topical anesthetics in dentistry. J Royal Med Serv 24(2):41–47
Chug A, Singh S, Khatana S, Gaur S, Patnana A, Chug V, Kumar P (2021) The clinical efficacy of EMLA as a Topical Anesthetic agent instead of palatal injection during maxillary dental extractions: a randomized controlled trial. J Maxillofac Oral Surg. https://doi.org/10.1007/s12663-02§-01633-x
Holst A, Evers H (1985) Experimental studies of new topical anesthetics on the oral mucosa. Swed Dent J 9:185–191
Sagorika B, Nishita G, Lumbini P, Yeluri R (2019) Cooling the soft tissue and its effect on perception of pain during infiltration and block anesthesia in children undergoing dental procedures: a comparative study. J Dent Res Dent Clin Dent Prospect 13(3):159–165
Hindocha N, Mannem F, Backryd E et al (2019) Ice versus lidocaine 5% gel for topical Anesthesia of oral mucosa – a randomized cross over study. BMC Anesthesiol 19:227
Vickers ER, Purnia Moorthy A (1992) A clinical evaluation of three topical anesthetics agents. Aust Dent J 37:266–270
Maria AS, Ganesh J (2020) Efficacy of topical anesthesia Lignocaine vs. EMLA in management of needle prick pain in children. J Res Med Dent Sci 8(7):186–192
Alsantali A (2018) A comparative trial of ice application versus EMLA cream in alleviation of pain during botulinum toxin injections for palmar hyperhidrosis. Clin Cosmet Investig Dermatol 11:137–140
Bechara FG, Sand M, Altmeyer P, Sand D, Hoffmann K (2007) Skin cooling for botulinum toxin a injection in patients with focal axillary hyperhidrosis; a prospective, randomized, controlled study. Ann Plast Surg 58(3):299–302
Harbert H (1989) Topical ice: a precursor to palatal injections. J Endod 15(1):27–28. https://doi.org/10.1016/S0099-2399(89)80094-9
Kosaraju A, Vandewalle KS (2009) A comparison of a refrigerant and a topical anesthetic gel as pre injection anesthetics: a clinical evaluation. J Am Dent Assoc 140(1):68–72
Franz-Montan M, Ribeiro LNM, Volpato MC, Cereda CMS, Groppo FC, Tofoli GR, de Araújo DR, Santi P, Padula C, de Paula E (2017) Recent advances and perspectives in topical oral anesthesia. Expert Opin Drug Deliv 14(5):673–684
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UH contributed to conception and design of the work, literature search, interpretation of data, data analysis, and manuscript editing. SA contributed to data collection and revising it critically for important intellectual content. AS contributed to final approval of the version to be published. RC drafted the article. SG contributed to manuscript preparation. JBS contributed to data analysis.
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Hemavathi, U., Aymen, S., Shetty, A. et al. Comparative Evaluation of Efficacy of EMLA Versus Ice as Topical Anesthetic in Prior to Needle Prick in Palatine Nerve Blocks—A Randomized Split Mouth Study EMLA Versus Ice as Topical Anesthetic in Dental Nerve Blocks. J. Maxillofac. Oral Surg. 22, 352–358 (2023). https://doi.org/10.1007/s12663-023-01905-8
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DOI: https://doi.org/10.1007/s12663-023-01905-8