Comparative evaluation of efficacy of EMLA and needleless jet anesthesia in non-surgical periodontal therapy

Publication date: Available online 30 April 2018
Source:Journal of Oral Biology and Craniofacial Research
Author(s): Rajan Guptad, Satwinder Kaur, Parveen Dahiya, Mukesh Kumar
The treatment of periodontitis primarily consists of mechanical debridement carried out by means of thorough scaling and root planing that might sometimes be a painful procedure which requires the administration of some form of local anesthesia. The present study comparatively evaluates the anesthetic effect of three such forms, viz; eutectic mixture of 25mg/g lignocaine plus 25mg/g prilocaine (EMLA) and needleless jet anesthesia during SRP. 30 patients with probing depth of 5mm or more and visual analog scale (VAS) score of ≥30mm on probing were selected and asked to assess the pain by VAS and verbal rating scale (VRS) during SRP after application of the two agents. The difference between the visual analogue values of control, EMLA and Madajet XL is highly significant (p <0.001). According to the VRS scores, 6.7% of the subjects in the EMLA group reported no pain, 80% mild pain, and 13.3% moderate pain. In the Madajet XL group, 46.7% reported no pain and 53.3% mild pain. In the control group 100% of the patients reported moderate pain when none of the anesthetic was administered. None reported severe pain. Thus, the data suggest that both anesthetics are able to produce anesthesia of the tissues. The needleless anesthesia was relatively superior in performance to EMLA.



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