Efficacy of Topical Anaesthesia-Lignocaine vs. Emla in the Management of Needle Prick Pain in Children
Author(s): Maria Anthonet Sruthi and Ganesh Jeevanandan*
Pain control is an integral part of modern dentistry. Needle injection of local anaesthetic itself proves to be painful for the child. Topical anaesthetic agents are widely used in the field of Paediatric dentistry to reduce pain and apprehension during administration of local anaesthesia. The aim of this study is to evaluate and compare the efficacy of two topical anaesthetic agents—Lignocaine 5% gel and EMLA 5% cream (Eutectic mixture of local anaesthetics—Lignocaine 2.5% and prilocaine 2.5%) in reducing pain during administration of local anesthetic injection in children. Children of the age group between 6 and 9 years of age were selected. The two selected topical anaesthetics were applied on the maxillary buccal vestibule following which the local anaesthetic was administered. The pain responses of the children were evaluated using the Wong Baker Faces Pain Rating Scale at the 5th min and 10th min. The results were then statistically analysed using Independent t-test and ? value <0.05 was considered statistically significant. EMLA 5% cream was more effective in pain reduction than Lignocaine 5% gel at the 5th and 10th min. EMLA 5% cream is comparatively better than Lignocaine 5% gel with regards to pain reduction during the administration of local anaesthetic injection in children.