Comparative Effect of Topical Local Anaesthetic Spray & Gel in the Reduction of Pain on Periodontal Probing in Individuals with Untreated Chronic Periodontitis

Keywords: Lignocaine, Pain, Periodontitis


INTRODUCTION: The experience of pain during dental procedures is a concern to many individuals. In periodontal practice, the first meet between the patient and the periodontist is usually a periodontal examination.

AIM: The present study aims to compare the efficacy of  local anaesthetic gel & spray in the reduction of pain on periodontal probing in a group of individuals with untreated chronic periodontitis.

MATERIALS AND METHODS: Thirty participants meeting the inclusion criteria were included in the study and had full-mouth periodontal probing done at six sites per tooth. The participants were divided into 2 groups: Group I;15 patients with LOX 2% gel and Group II;15 patients were assessed with lignocaine spray. Intragroup comparison was done using paired t-test and Analysis of Variance was done for inter group comparison.

RESULTS: The pre and post VAS score of the two groups over the periods were recorded of 2 minutes & 5 minutes. In Group I, the mean VAS at 2 min decreases comparatively from the base-line & remained lower significantly at 5 min  as compared to the  baseline. In contrast, in Group II, it decreased comparatively at 2 minutes but increases  at 5 minutes and reaches  almost the baseline value.

CONCLUSION: For early pain relief, study found LOX 2% gel more effective than lignocaine spray in the of untreated chronic periodontitis.


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Author Biographies

Saransh Srivastava

MDS (Periodontics), Assistant Professor, Department of Periodontics, School od Dental Sciences, Sharda University


MDS (Periodontics), Consultant Surgeon and Private Practitioner


1. Claffey N. Decision making in periodontal therapy. The re-evaluation. J Clin Periodontol 1991;18:384-9.
2. van Steenberghe D, Garmyn P, Geers L, Hendrickx E, Maréchal M, Huizar K, et al. Patients’ experience of pain and discomfort during instrumentation in the diagnosis and non-surgical treatment of periodontitis. J Periodontol 2004;75:1465-70.
3. Al-Ajmix M, Bogle G, Cole R, Rathbun E, Riggs M, Egelberg J. Ability of examiners to estimate the pain experienced by patients from probing during initial periodontal examination. J Periodontol 2005;76:985-90
4. Magnusson I, Jeffcoat MK, Donaldson D, Otterbom IL, Henriksson J. Quantification and analysis of pain in nonsurgical scaling and/or root planing. J Am Dent Assoc 2004;135:1747-54.
5. Scott J, Huskisson EC. Graphic representation of pain. Pain 1976;2:175-84.
6. Bennett K, Torrance G, Tugwell P. Methodologic challenges in the development of utility measures of health-related quality of life in rheumatoid arthritis. Control Clin Trials 1991;12 4 Suppl:118S-28.
7. van Steenberghe D, Bercy P, De Boever J, Adriaens P, Geers L, Hendrickx E, et al. Patient evaluation of a novel non-injectable anesthetic gel: A multicenter crossover study comparing the gel to infiltration anesthesia during scaling and root planing. J Periodontol 2004;75:1471-8.
8. Milgrom P, Coldwell SE, Getz T, Weinstein P, Ramsay DS. Four dimensions of fear of dental injections. J Am Dent Assoc. 1997;128:756-66
9. Friskopp J, Nilsson M, Isacsson G. The anesthetic onset and duration of a new lidocaine/prilocaine gel intra-pocket anesthetic (Oraqix) for periodontal scaling/root planing. J Clin Periodontol 2001;28:453-8.
10. Friskopp J, Huledal G. Plasma levels of lidocaine and prilocaine after application of Oraqix, a new intrapocket anesthetic, in patients with advanced periodontitis. J Clin Periodontol 2001;28:425-9.
11. Jeffcoat MK, Geurs NC, Magnusson I, MacNeill SR, Mickels N, Roberts F, et al. Intrapocket anesthesia for scaling and root planing: Results of a double-blind multicenter trial using lidocaine prilocaine dental gel. J Periodontol 2001;72:895-900.
12. Donaldson D, Gelskey SC, Landry RG, Matthews DC, Sandhu HS. A placebo-controlled multi-centred evaluation of an anaesthetic gel (Oraqix) for periodontal therapy. J Clin Periodontol 2003;30:171-5.
13. Magnusson I, Geurs NC, Harris PA, Hefti AF, Mariotti AJ, Mauriello SM, et al. Intrapocket anesthesia for scaling and root planing in pain-sensitive patients. J Periodontol 2003;74:597-602.
14. Karadottir H, Lenoir L, Barbierato B, Bogle M, Riggs M, Sigurdsson T, et al. Pain experienced by patients during periodontal maintenance treatment. J Periodontol 2002;73:536-42.
15. Heft MW, Perelmuter SH, Cooper BY, Magnusson I, Clark WB. Relationship between gingival inflammation and painfulness of periodontal probing. J Clin Periodontol 1991;18:213-5.
16. Satya Bhushan NV, Nayak RN. A comparison of the efficacy of topical application of lignocaine hydrochloride 5% gel and bupivacaine hydrochloride 5% gel for extraction of teeth. J Maxillofac Oral Surg 2010 Jun;9(2):119-126
17. Deepika A, Rao CR, Vinay C, Uloopi KS, Rao VV. Effectiveness of two flavored topical anesthetic agents in reducing injection pain in children: a comparative study. J ClinPediatr Dent 2012 Fall;37(1):15-18.
18. Hersh EV, Houpt MI, Cooper SA, Feldman RS, Wolff MS, Levin LM. Analgesic efficacy and safety of an intraoral lidocaine patch. J Am Dent Assoc 1996 Nov;127(11):1626-1634.
19. Meechan JG. Intraoral topical anesthesia. Periodontology 2000, 2008 Feb;46(1):56-79.
20. Tulga F, Mutlu Z. Four types of topical anesthetic agents: evaluation of clinical effectiveness. J ClinPediatr Dent 1999 Spring;23(3):217-220.
21. Haasio J, Jokinen T, Numminen M, Rosenberg PH. Topical anesthesia of gingival mucosa by 5% eutectic mixture of lignocaine and prilocaine or by 10% lignocaine spray. Br J Oral Maxillofac Surg 1990;28(2):99-101.
DOI: 10.26440/IHRJ/0311.02320
Published: 2020-02-23
How to Cite
Saransh Srivastava, PriyankaTandon. Comparative Effect of Topical Local Anaesthetic Spray & Gel in the Reduction of Pain on Periodontal Probing in Individuals with Untreated Chronic Periodontitis. IHRJ [Internet]. 2020Feb.23 [cited 2021Aug.1];3(11):363-7. Available from: