Efficacy of Intraseptal Anesthesia Obtained by Computer-controlled Articaine With Epinephrine Delivery in Scaling and Root Planing

Abstract

Abstract Objectives The primary aim of this study was to compare the anesthetic efficacy of the intraseptal anesthesia (ISA) obtained with three doses of 4% articaine with 1:100,000 epinephrine (4%Ar + Ep) for scaling and root planing (SRP), using a computer-controlled local anesthetic delivery system (CCLADS). Secondary aims were to compare the clinical anesthetic parameters in relation to different jaw regions and examine the possible influence of sex and smoking habits on them. Materials and Methods SRP under ISA obtained with different doses (0.1 ml, 0.2 ml, and 0.3 ml) of 4%Ar + Ep was performed in 360 patients. The success rate, onset, duration of soft tissue anesthesia, the anesthetic field widths were recorded by pinprick testing. Results The anesthesia success was high (90–95%). The onset was immediate. The duration and anesthetic field widths showed a dose-related significance, however without a consistent sex-related or smoking-related significance. The multiple logistic regression analysis revealed a 2-fold higher chance of anesthesia success by increasing the dose, and increased bleeding on probing-related and female sex-reduced probability of anesthesia success. Conclusions ISA obtained with 0.3 ml of 4%Ar + Ep delivered by computer-controlled local anesthetic delivery system provided a high anesthetic success and the adequate clinical anesthetic parameters for SRP in all regions of both jaws. Clinical Relevance ISA obtained with 4%Ar + Ep provides an effective anesthesia for SRP. Anesthetic success rate may be reduced in the presence of gingival inflammation and in females, as well. Study was registered in a Clinical Trials database (NCT04392804, registration date May 9th, 2020).