Articaine Hydrochloride: A Safe Alternative to Lignocaine?

From Volume 35, Issue 4, May 2008 | Pages 253-256

Authors

John Paul Wells

BDS(Wales), MFGDP(UK), MFDS RCS(Eng)

Royal Navy, General Dental Practitioner, RNAS Culdrose, Helston, Cornwall, UK

Articles by John Paul Wells

Heather Beckett

BSc, BDS, FDS RCS(Eng), MSc

Consultant in Restorative Dentistry, Portsmouth Hospitals NHS Trust, Queen Alexandra Hospital, Southwick Hill Road, Portsmouth, UK

Articles by Heather Beckett

Abstract

A focused literature search to appraise the safety and suitability of articaine as a substitute for lignocaine was conducted. An evidence-based approach to the current available literature suggests that articaine is an effective and well-tolerated anaesthetic for dental use. However, practitioners should be aware of a possible, as yet unproven, link between 4% concentrations of local anaesthetic solution and nerve damage.

Article