Title

Comparative evaluation of 4% articaine and 2% lignocaine for maxillary premolar extractions during orthodontic treatment

Authors

Afsal Basheer¹, Rajesh Waskle², Rucha Davalbhakta³, Sameer Chauhan⁴, Sujit Anil Vyavahare⁵, Swati Sagar⁶ & Pratik Surana^7,*

Affiliation

¹Department of Oral and Maxillofacial Surgery, King Khalid Hospital, Al-Majmaah, Riyadh, Saudi Arabia; ²Department of Oral & Maxillofacial Surgery, Govt. College of Dentistry, Indore, Madhya Pradesh, India; ³Department of Pediatric and Preventive Dentistry, Bharati Vidyapeeth Deemed to be University Dental College and Hospital, Pune, Maharashtra, India; ⁴Department of Prosthodontics and Crown Bridge, K. M. Shah Dental College and Hospital, Sumandeep Vidyapeeth deemed to be University, Pipariya, Waghodia, Vadodara, Gujarat-3917605, India; ⁵Department of Oral & Maxillofacial Surgeon, Oracare Multi-speciality Dental Clinic and Implant Center, Navi Mumbai, Kharghar, Maharashtra- 410210, India; ⁶Department of Dentistry, Darbhanga Medical College and Hospital, Laheriasarai, Darbhanga, Bihar, India; ⁷Department of Pedodontics and Preventive Dentistry, Maitri College of Dentistry and Research Centre, Durg, Chhattisgarh, India; * Corresponding author

Email

Afsal Basheer - E-mail: bafsal@gmail.com; Phone: + 91 8867322960

Rajesh Waskle - E-mail: rajeshwaskle@gmail.com; Phone: +91 7000064609

Rucha Davalbhakta - E-mail: rucha.davalbhakta@bharatividyapeeth.edu; Phone: + 91 9823774640 Sameer Chauhan - E-mail: csameer309@gmail.com; Phone: +91 9998177067

Sujit Anil Vyavahare - E-mail: sujitvyavahare@gmail.com; Phone: + 91 9766173749

Swati Sagar - E-mail: doctor.swatisagar@gmail.com; Phone + 91 7903320959

Pratik Surana - E-mail: suranadrpratik@gmail.com; Phone: +91 8871310111

Article Type

Research Article

Date

Received July 1, 2026; Revised July 31, 2026; Accepted July 31, 2026, Published July 31, 2026

Abstract

Effective pain control during maxillary premolar extraction requires a local anesthetic with rapid onset and adequate duration of action. Therefore, it is of interest to examine the anesthetic efficiency of 4% articaine and 2% lignocaine in 40 patients. The onset and duration of anesthesia, pain during injection, extraction and post-anesthetic complications were evaluated. Thus, data shows that articaine showed a significantly faster onset of anesthesia, prolonged anesthetic duration and obviated the need for supplemental palatal infiltration compared with lignocaine.

Keywords

Anesthetic efficacy, tooth extraction, articaine hydrochloride

Citation

Basheer et al. Bioinformation 22(7): 4336-4340 (2026)

Edited by

P Kangueane

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.