{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T22:38:55Z","timestamp":1779143935786,"version":"3.51.4"},"reference-count":25,"publisher":"FapUNIFESP (SciELO)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Braz. Dent. J."],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p>Although the use of injectable anesthesia prior to subgingival scaling and root                planing (SRP) reduces pain, many patients report fear and prolonged numbness of                adjacent tissues. The aim of the present study was to compare the effects of a                eutectic mixture containing 25 mg\/g of lidocaine and 25 mg\/g of prilocaine,                injectable 2% lidocaine, topical 2% benzocaine and a placebo substance on reducing                pain during SRP. In this randomized, split-mouth, masked clinical trial, thirty-two                patients presenting more than two teeth with probing depth and clinical attachment                level \u22655 mm in at least 4 sextants were randomly allocated to four groups:                   EMLA(r); injectable 2% lidocaine; topical 2% benzocaine and placebo.                Pain and discomfort were measured using a visual analogue scale (VAS) and verbal                scale (VS). Repeated-measures analysis of variance and Poisson regression were used                for analysis. Patient satisfaction with the anesthesia was determined at the end of                each treatment session. VAS and VS scores did not differ between injectable 2%                lidocaine and EMLA (p&gt;0.05) and both substances showed significantly better pain                control compared to 2% benzocaine and placebo (p&lt;0.05). 93.7% and 81.2% of the                individuals were satisfied with the injectable anesthetic and EMLA, respectively                (p=0.158). Dissatisfaction with benzocaine and placebo was approximately 10 times                greater than injectable anesthesia (p=0.001). In conclusion, EMLA showed an                equivalent effect on pain control when compared to the injectable anesthesia and                performed better than 2% benzocaine in SRP. Thus, EMLA is a viable anesthetic option                during scaling and root planning, despite the frequent need for second                application.<\/jats:p>","DOI":"10.1590\/0103-6440201300131","type":"journal-article","created":{"date-parts":[[2015,2,7]],"date-time":"2015-02-07T15:16:33Z","timestamp":1423322193000},"page":"26-32","source":"Crossref","is-referenced-by-count":15,"title":["Topical Intrapocket Anesthesia During Scaling and Root Planing: a                Randomized Clinical Trial"],"prefix":"10.1590","volume":"26","author":[{"given":"Raquel Pippi","family":"Antoniazzi","sequence":"first","affiliation":[{"name":"Franciscan University Center,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruna","family":"Cargnelutti","sequence":"additional","affiliation":[{"name":"Franciscan University Center,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela Napole\u00e3o","family":"Freitas","sequence":"additional","affiliation":[{"name":"UFSM - Federal University of Santa                Maria,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mag\u00e1li Beck","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Franciscan University Center,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabricio Batistin","family":"Zanatta","sequence":"additional","affiliation":[{"name":"UFSM - Federal University of Santa                Maria,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos Alberto","family":"Feldens","sequence":"additional","affiliation":[{"name":"ULBRA - Lutheran University of Brazil,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","series-title":"Pain levels in patients during periodontal probing and mechanical                   non-surgical 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