This Evidence-Based Dentistry column examines whether articaine, when compared to lidocaine, increases the risk of paresthesia in adults undergoing dental block anesthesia. After conducting a comprehensive literature search, the evidence suggests that 4% articaine may enhance the probability of achieving profound block anesthesia, with a very low risk of paresthesia, comparable to other dental local anesthetics. Considering this evidence in conjunction with the patient's preferences and values is crucial when making clinical decisions.
Balevi, Ben DDS, MSc
"10-Minute EBD: Does Articaine Compared to Lidocaine Result in a Higher Risk of Paresthesia?,"
The Journal of the Michigan Dental Association: Vol. 104:
9, Article 7.
Available at: https://commons.ada.org/journalmichigandentalassociation/vol104/iss9/7