KAVİMALAR SITHARTHAN, DHANAVEL CHAKRAVARTHY, VİJAYARAJA SELVAPANDIYAN, SUBRAMANİAN AJITHKUMAR, MANOJ THIRUNAVUKARASU, HARSHAVARDHAN MANOKARAN
European Endodontic Journal - 2024;9(3):198-202
Objective: This study aimed to compare the effectiveness of lidocaine with magnesium sulphate in patients undergoing root canal treatment following irreversible pulpitis. Methods: A total of 86 patients were randomised to receive 1.8 ml of 2% lidocaine replaced with 0.2 ml of 10% magnesium sulphate with 1:80,000 epinephrine (n=43) as MGS group and 1.8 ml of 2% lidocaine with 1:80,000 epinephrine (n=43) as LDC group. Preoperative visual analogue scale (VAS) pain scores were recorded. Patients were instructed to report any perioperative pain felt during the access cavity preparation and when introducing the first patency file (#10 k) in the root canal and perioperative VAS recorded. Results: The success rate of the inferior alveolar nerve block (IANB) was higher in the MSG group. The mean±SD of perioperative pain was 0.16±0.37 in the MSG group and 3.13±0.77 in the LDC group. The MGS group produced better anaesthetic efficacy with a p-value of 0.01. Conclusion: Based on the results, adding 10% magnesium sulphate to 2% lidocaine increased the effectiveness of IANB in patients with symptomatic irreversible pulpitis of mandibular molar teeth.
