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The objective of our study was to compare the clinical and anesthetic efficacy of 4% articaine, 0.5% bupivacaine, and 2% lignocaine in maxillary extractions. Materials and methods: The study was conducted in Department of Oral and Maxillofacial Surgery, on 50 systemically healthy subjects (18–75 years) requiring multiple maxillary extractions. Patients were labeled into 3 groups (2% lignocaine, 4% articaine, 0.5% bupivacaine using split mouth technique. Parameters includes: Time of anesthetic onset, Duration of postoperative analgesia, Postoperative anesthesia, and visual analog scale (VAS). A volume of 1.8–2 ml of 2% lignocaine or 4% articaine or 0.5% bupivacaine was infiltrated in the buccal vestibule (local infiltration) before extraction. Results: The results showed that time of onset of action was significantly faster in 4% articaine when compared to 2% lignocaine and 0.5% bupivacaine. Conclusion: Articaine have being proved to have better potency and efficacy in terms of onset of action and lower pain scores comparison but lignocaine still remained the gold standard local anesthetic agent in Dental practice due to its faster time of onset, less time of anesthesia and cost effectiveness when compared articaine and bupivacaine. Bupivacaine proved more efficient in pain control and remained concentrated for major procedures.

To compare Clinical and Anesthetic Efficacy of 4% Articaine, 0.5% Bupivacaine, and 2% Lignocaine in Maxillary Extractions