A Preliminary Study to compare The Pain Perception of Topical gel Versus Injected Local Infiltration/Block Anaesthesia during Non-Surgical Periodontal Therapy Madhavan Sanjay1, Gajnedran Priya Lochana2,* 1Graduate Student, Saveetha Dental College, Saveetha University, Saveetha Institute of Medical and Technical Sciences, Chennai, India 2Senior Lecturer, Department of Periodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai *Corresponding Author E-mail: priyalochana.87@gmail.com
Online published on 20 December, 2018. Abstract Aim To compare the pain perception level between topical benzocaine gel and injected lidocaine during scaling and root planing procedures. Objective To evaluate the effectiveness of topical gel versus injected local infiltration/block anaesthesia towards patients’ pain while undergoing periodontal procedures. Materials and Methods 20 systemically healthy chronic periodontitis patients are to be selected from the outpatient department of Saveetha Dental College. Before scaling and root planing procedures, the dental quadrants on one side is assigned to receive topical 20% benzocaine gel or injection anaesthesia using 2% lidocaine. Quadrant on the other side will receive the alternative. Randomisation done using paper chit method. Pain perception and patients’ preference of choice of anaesthesia is to be assessed using the Visual Analogue Scale (VAS) and Numerical Rating Scale(NRS). Results Injection anaesthesia was associated with a little higher preference in VAS scale and numerical rating scales than the gel group, but the variance was not statistically significant (P=0.506 and P=0.180). Conclusion Even though there was a slight preference to injection, it can be concluded that 20% benzocaine gel be a valued substitute for injected 2% lignocaine anaesthesia during SRP/curettage which can decrease the anxiety and distress associated with it. Top Keywords Anaesthesia, benzocaine, lidocaine, root planing, scaling. Top |