Articaine is superior to lidocaine in providing pulpal anesthesia

Abstract

Systematic review conclusion. Articaine provides a higher rate of anesthetic success in anesthetizing pulpal tissues than does lidocaine, although the method of administration used and the patient’s pulpal status may diminish this effect. Critical summary assessment. Data from a randomized clinical trial provided evidence of the superior anesthetic qualities of 4 percent articaine compared with those of 2 percent lidocaine, although the difference possibly could be less evident if the teeth are inflamed or the method of delivery is by means of block injection. Evidence