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Original Research

Open Access

Use of EMLA®: is it an injection free alternative?

  • A.K. Munshi1,*,
  • Amitha M. Hegde1
  • R. Latha1

1Department of Pedodontics and Preventive Children's Dentistry, A B Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore –574160

DOI: 10.17796/jcpd.25.3.hn62713500418728 Vol.25,Issue 3,July 2001 pp.215-219

Published: 01 July 2001

*Corresponding Author(s): A.K. Munshi E-mail: XXX

Abstract

This study was conducted to evaluate the use of Eutectic Mixture of Local Anesthetics (EMLA®) for

various clinical procedures such as extraction of the mobile primary teeth, root stumps as well as pulpal

therapy procedures in the primary teeth. Thirty children in need of routine dental procedures were

selected and procedures were done under a single anesthesia of EMLA®. Pain perception and the

effectiveness of anesthesia were evaluated with the Eland’s color scale and Lickert’s scale respectively.

Results showed that use of EMLA® could to some extent eliminate the use of the needle in the procedures

performed especially in pediatric dentistry.


Cite and Share

A.K. Munshi,Amitha M. Hegde,R. Latha. Use of EMLA®: is it an injection free alternative?. Journal of Clinical Pediatric Dentistry. 2001. 25(3);215-219.

References

1. Koenigsberg SR, Maxwell KC. An analysis of the effectiveness of two topical anesthetics, Anesthesia Progress 37: 290-292, 1990.

2. Meechan JG. Intra-oral topical anesthetics: a review, Journal of Dentistry 28: 3-14, 2000.

3. Juhlin L, Evers H, Broberg F. A Lidocaine-Prilocaine cream for superficial skin surgery and painful lesions, Acta Derma Venerol (Stockholm) 60: 544-546, 1980.

4. Cooper CM, Gerrish SP, Hardwick M, Kay R. EMLA® cream reduces the pain of venepuncture in children, European Journal of Anesthesiology 4: 441-448, 1987.

5. Hallen B, Carlsson P, Uppfeldt A. Clinical study of lidocaine-prilocaine cream to relieve the pain of venipuncture, British J Anesthesia 57: 326-328, 1985.

6. Joyce TH, Skjonsky, Taylor MB, Morrow DH, Hess KR. Dermal anesthesia in children using EMLA® Anesthesia Analgesia 70: S184, 1990.

7. Holst A, Evers H. Experimental studies of new topical anesthet-ics on the oral mucosa, Swedish Dentl J 9: 185-191, 1985.

8. Haasio J, Jokinen T, Numminen T, Rosenberg PH. Topical anes-thesia of gingival mucosa by 5% eutectic mixture of lignocaine and prilocaine or by 10% lidocaine spray, British J Oral Maxillo-facial Surg 28: 99-101, 1990.

9. Vickers ER, Punnia-Moorthy A. Pulpal anesthesia from an appli-cation of an eutectic topical anesthetic. Quintessence Internat 24: 547, 1993.

10. Ehrenstrom Reiz GME, Reiz SB. EMLA ® a eutectic mixture of local anesthetics for topical anesthesia, Acta Anesthesiologica Scandinavia 26: 596, 1982.

11. Vickers ER, Marzbhani N, Gerziftoil TM, McLean C, Punnia -Moorthy A:

12. Pharmacokinetics of EMLA Cream applications to oral mucosa, Anesthesia Progress 44: 32-37, 1997.

13. Meechan JG, Donaldson D. A comparison of the effects of EMLA® cream and topical lidocaine during gingival probing. Anesthesia Progress 42: 7-10, 1995.

14. Band J M. Minimizing pain associated with pre-kindergarten IM injection (Thesis) Iowa City, IA ; University of Iowa, 1980.

15. Yap AU, Henry C Who. Electronic and local anesthesia: A clini-cal comparison for operative procedures, Quintessence Interna-tional 27: 549-553, 1996..

16. Kincheloe JE, Mealiea WL, Mattison GD, Seib K. Psychophysi-cal measurement on pain perception after administration of a topical anesthetic, Quintessence Internat 22: 311-315, 1991.

17. Pinkham JR. Pediatric dentistry, Philadelphia, WB Saunders Co. p. 73-81, 1988.

18. Vickers ER, Punnia-Moorthy A. A clinical evaluation of three topical anesthetic agents, Australian Dent J 37: 266-270, 1992.

19. Meechan JG, Winter RA : A comparison of topical anesthesia and electrical nerve stimulation for reducing pain of intra-oral injections. Brit Dent J 181: 333-335, 1996.

20. Pere T, lizuka T, Rosenburg PH, Lindquist C. Topical application of 5% eutectic mixture of lidocaine and prilocaine (EMLA®) before removal of arch bars, Brit J Oral Maxillofacial Surg 30: 153- 156, 1992.

21. DeNunzio M : Topical anesthetic as an adjunct to local anesthe-sia during pulpectomies. J Endodont 24: 202-203, 1998.

22. Pinkham JR. Managing behaviour of the cooperative preschool child. Dent Clinics N Am 39: 771-787, 1997.

23. Gideon Koren, Pascale Burtin, Shinya Ito. Pharmacology and toxi-cology of EMLA. Eutectic mixture of local anesthetics, page 28.

24. Jakobson B, Nilsson A: Methemoglobulinemia associated with a lidocaineprilocaine cream and trimethoprim - sulphamethoxa-zole : A case report, Acta Anesthesiologica Scandinavia 29: 453-455, 1985.

25. Nilsson A, Engberg G, Henneberg S, Danielson K, dE Verdier CH. Inverse relationship between age dependent erythroctye activity of methemoglobin reductase and prilocaine induced methemoglobinemia during infancy. Brit J Anesthesiology 64: 72- 76, 1990.

26. Nilsson A, Engberg G, Henneberg S, Danielson K: Plasma con-centration of Lidocaine and prilocaine and methemoglobin for-mation in infants after epicutaneous application of a 5% Lido-caine-Prilocaine cream (EMLA) Acta Anesthesiologica Scand 3: 624- 648, 1987.

27. Frayling JM, Addison GM, Chattergee K. Methemoglobinemia in children treated with lidocaine-prilocaine cream. Brit Med J 301: 153-154, 1990.


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