Hypoalgesic effect of EMLA and lidocaine gel applied on human oral mucosa: quantitative evaluation by sensory and pain thresholds to argon laser stimulation

Anesth Prog. 1992;39(1-2):4-8.

Abstract

Sensory and pain thresholds to argon laser stimulation were used to evaluate the analgesic efficacy and duration of a eutectic mixture of local anesthetics (EMLA) and a 2% lidocaine gel applied topically on the oral mucosa. Application of EMLA for 2 min on the tongue and gingiva increased the pain thresholds by 92.8% and 63.4% respectively. Corresponding values for lidocaine gel were 53.6% and 21.9%. Standardized variation of the EMLA application period (2, 5, and 15 min) produced significantly different analgesic profiles on the tongue but not on the gingiva. Application of EMLA for 5 and 15 min on the tongue and for 2, 5, and 15 min on the gingiva increased the pain thresholds to a predefined analgesic level (2.15 W) for 2 to 25 min. The present experimental model for assessment of oral mucosa pain is suggested to be well-suited for investigations of intraoral analgesia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Topical
  • Adult
  • Analysis of Variance
  • Anesthetics, Local / administration & dosage*
  • Drug Combinations
  • Female
  • Gels
  • Humans
  • Lasers
  • Lidocaine / administration & dosage*
  • Lidocaine, Prilocaine Drug Combination
  • Male
  • Mouth Mucosa
  • Pain Measurement
  • Pain Threshold
  • Prilocaine / administration & dosage*
  • Sensory Thresholds
  • Time Factors

Substances

  • Anesthetics, Local
  • Drug Combinations
  • Gels
  • Lidocaine, Prilocaine Drug Combination
  • Prilocaine
  • Lidocaine