Comparative Analysis of the Effectiveness of the Topical Administration of Benzocaine and EMLA® on Oral Pain and Tactile Sensitivity

Objectives. To compare the effectiveness of the topical administration of benzocaine and EMLA on oral pain and tactile sensitivity. Materials and Methods. A randomized, double-blind, split-mouth clinical trial was carried out with 20 volunteers. The sensorial and quantitative tests were applied befo...

Full description

Saved in:
Bibliographic Details
Main Authors: David Gomes de Alencar Gondim, Antonio Marcos Montagner, Ivo Cavalcante Pita-Neto, Romildo José de Siqueira Bringel, Francisco Aurelio Luchesi Sandrini, Eduardo Fernando Chaves Moreno, Amanda Mendes de Sousa, Andreza Bastos Correia
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2018/7916274
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850160684882460672
author David Gomes de Alencar Gondim
Antonio Marcos Montagner
Ivo Cavalcante Pita-Neto
Romildo José de Siqueira Bringel
Francisco Aurelio Luchesi Sandrini
Eduardo Fernando Chaves Moreno
Amanda Mendes de Sousa
Andreza Bastos Correia
author_facet David Gomes de Alencar Gondim
Antonio Marcos Montagner
Ivo Cavalcante Pita-Neto
Romildo José de Siqueira Bringel
Francisco Aurelio Luchesi Sandrini
Eduardo Fernando Chaves Moreno
Amanda Mendes de Sousa
Andreza Bastos Correia
author_sort David Gomes de Alencar Gondim
collection DOAJ
description Objectives. To compare the effectiveness of the topical administration of benzocaine and EMLA on oral pain and tactile sensitivity. Materials and Methods. A randomized, double-blind, split-mouth clinical trial was carried out with 20 volunteers. The sensorial and quantitative tests were applied before the contact with topical anesthetic and after the application. Results. In the superficial tactile perception test, when we compared each group singly, there were statistically significant values in the decrease of superficial tactile perception when compared to the moment prior to the application of anesthetic agents. For the sensitivity to mechanical pain, no statistical significant difference was observed at evaluated times. In the needle penetration test, in an intergroup analysis, we found a decrease in the pain sensitivity to needle penetration at 5 min (p=0.053) and at 10 min (p=0.019) after the contact of the anesthetic drug with the oral mucosa. Conclusion. The application of topical anesthetic drugs reduces the discomfort associated with this procedure, mainly until the first 10 minutes. Only the needle penetration sensitivity test showed sufficient sensitivity to reveal a difference in the anesthetic effect between EMLA and benzocaine. This trial is registered with RBR-2N2GSW.
format Article
id doaj-art-a52e90348b3242298dcc6642f0c55bc7
institution OA Journals
issn 1687-8728
1687-8736
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series International Journal of Dentistry
spelling doaj-art-a52e90348b3242298dcc6642f0c55bc72025-08-20T02:23:05ZengWileyInternational Journal of Dentistry1687-87281687-87362018-01-01201810.1155/2018/79162747916274Comparative Analysis of the Effectiveness of the Topical Administration of Benzocaine and EMLA® on Oral Pain and Tactile SensitivityDavid Gomes de Alencar Gondim0Antonio Marcos Montagner1Ivo Cavalcante Pita-Neto2Romildo José de Siqueira Bringel3Francisco Aurelio Luchesi Sandrini4Eduardo Fernando Chaves Moreno5Amanda Mendes de Sousa6Andreza Bastos Correia7São Leopoldo Mandic Institute and Research Center, Campinas, SP, BrazilSão Leopoldo Mandic Institute and Research Center, Campinas, SP, BrazilSchool of Dentistry, UNILEÃO-University Center, Juazeiro do Norte, CE, BrazilSchool of Dentistry, UNILEÃO-University Center, Juazeiro do Norte, CE, BrazilSchool of Dentistry, UNILEÃO-University Center, Juazeiro do Norte, CE, BrazilSchool of Dentistry, UNILEÃO-University Center, Juazeiro do Norte, CE, BrazilSchool of Dentistry, UNILEÃO-University Center, Juazeiro do Norte, CE, BrazilSchool of Dentistry, UNILEÃO-University Center, Juazeiro do Norte, CE, BrazilObjectives. To compare the effectiveness of the topical administration of benzocaine and EMLA on oral pain and tactile sensitivity. Materials and Methods. A randomized, double-blind, split-mouth clinical trial was carried out with 20 volunteers. The sensorial and quantitative tests were applied before the contact with topical anesthetic and after the application. Results. In the superficial tactile perception test, when we compared each group singly, there were statistically significant values in the decrease of superficial tactile perception when compared to the moment prior to the application of anesthetic agents. For the sensitivity to mechanical pain, no statistical significant difference was observed at evaluated times. In the needle penetration test, in an intergroup analysis, we found a decrease in the pain sensitivity to needle penetration at 5 min (p=0.053) and at 10 min (p=0.019) after the contact of the anesthetic drug with the oral mucosa. Conclusion. The application of topical anesthetic drugs reduces the discomfort associated with this procedure, mainly until the first 10 minutes. Only the needle penetration sensitivity test showed sufficient sensitivity to reveal a difference in the anesthetic effect between EMLA and benzocaine. This trial is registered with RBR-2N2GSW.http://dx.doi.org/10.1155/2018/7916274
spellingShingle David Gomes de Alencar Gondim
Antonio Marcos Montagner
Ivo Cavalcante Pita-Neto
Romildo José de Siqueira Bringel
Francisco Aurelio Luchesi Sandrini
Eduardo Fernando Chaves Moreno
Amanda Mendes de Sousa
Andreza Bastos Correia
Comparative Analysis of the Effectiveness of the Topical Administration of Benzocaine and EMLA® on Oral Pain and Tactile Sensitivity
International Journal of Dentistry
title Comparative Analysis of the Effectiveness of the Topical Administration of Benzocaine and EMLA® on Oral Pain and Tactile Sensitivity
title_full Comparative Analysis of the Effectiveness of the Topical Administration of Benzocaine and EMLA® on Oral Pain and Tactile Sensitivity
title_fullStr Comparative Analysis of the Effectiveness of the Topical Administration of Benzocaine and EMLA® on Oral Pain and Tactile Sensitivity
title_full_unstemmed Comparative Analysis of the Effectiveness of the Topical Administration of Benzocaine and EMLA® on Oral Pain and Tactile Sensitivity
title_short Comparative Analysis of the Effectiveness of the Topical Administration of Benzocaine and EMLA® on Oral Pain and Tactile Sensitivity
title_sort comparative analysis of the effectiveness of the topical administration of benzocaine and emla r on oral pain and tactile sensitivity
url http://dx.doi.org/10.1155/2018/7916274
work_keys_str_mv AT davidgomesdealencargondim comparativeanalysisoftheeffectivenessofthetopicaladministrationofbenzocaineandemlaonoralpainandtactilesensitivity
AT antoniomarcosmontagner comparativeanalysisoftheeffectivenessofthetopicaladministrationofbenzocaineandemlaonoralpainandtactilesensitivity
AT ivocavalcantepitaneto comparativeanalysisoftheeffectivenessofthetopicaladministrationofbenzocaineandemlaonoralpainandtactilesensitivity
AT romildojosedesiqueirabringel comparativeanalysisoftheeffectivenessofthetopicaladministrationofbenzocaineandemlaonoralpainandtactilesensitivity
AT franciscoaurelioluchesisandrini comparativeanalysisoftheeffectivenessofthetopicaladministrationofbenzocaineandemlaonoralpainandtactilesensitivity
AT eduardofernandochavesmoreno comparativeanalysisoftheeffectivenessofthetopicaladministrationofbenzocaineandemlaonoralpainandtactilesensitivity
AT amandamendesdesousa comparativeanalysisoftheeffectivenessofthetopicaladministrationofbenzocaineandemlaonoralpainandtactilesensitivity
AT andrezabastoscorreia comparativeanalysisoftheeffectivenessofthetopicaladministrationofbenzocaineandemlaonoralpainandtactilesensitivity