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Randomized Controlled Trial
Copyright: ©Author(s) 2026.
World J Clin Cases. Apr 6, 2026; 14(10): 118053
Published online Apr 6, 2026. doi: 10.12998/wjcc.v14.i10.118053
Table 1 Baseline characteristics of the participants, n (%)/mean ± SD
Baseline characteristics
Age7.15 ± 0.67
GenderMales: 12 (60)
Females: 8 (40)
Weight25.4 ± 1.47
Frankl behaviour rating-visit 1Positive: 6 (44)
Definitely positive: 14 (56)
Frankl behaviour rating-visit 2Positive: 9 (45)
Definitely positive: 11 (55)
Table 2 Pain experienced during injection with 4% articaine and 2% lignocaine according to the Wong-Baker Faces Pain Rating Scale, n (%)
Item
No hurt (0)
Little bit (2)
Little more (4)
Even more (6)
Whole lot (8)
Hurt worst (10)
Median (interquartile range)
P value
Articaine3 (15.0)8 (40.0)5 (25.0)3 (15.0)1 (5.0)0 (0.0)2 (2, 4)0.16
Lignocaine7 (35.0)7 (35.0)4 (20.0)1 (5.0)1 (5.0)0 (0.0)2 (0, 4)
Table 3 Pain experienced during injection with 4% articaine and 2% lignocaine according to the Face, Legs, Activity, Cry, and Consolability scale, n (%)
Item
Relaxed (1)
Mild (2)
Moderate (3)
Severe (4)
Median (interquartile range)
P value
Articaine8 (40.0)8 (40.0)3 (15.0)1 (5.0)2 (1, 2)0.856
Lignocaine7 (35.0)8 (40.0)5 (25.0)0 (0.0)2 (1, 2)
Table 4 Pain experienced during access cavity preparation with 4% articaine and 2% lignocaine according to the Wong-Baker Faces Pain Rating Scale, n (%)
Item
No hurt (0)
Little bit (2)
Little more (4)
Even more (6)
Whole lot (8)
Hurt worst (10)
Median (interquartile range)
P value
Articaine10 (50.0)9 (45.0)1 (5.0)0 (0.0)0 (0.0)0 (0.0)1 (0, 2)0.043a
Lignocaine5 (25.0)9 (45.0)2 (10.0)3 (15.0)1 (5.0)0 (0.0)2 (0, 4)
Table 5 Pain experienced during access cavity preparation with 4% articaine and 2% lignocaine according to the Face, Legs, Activity, Cry, and Consolability scale, n (%)
Item
Relaxed (1)
Mild (2)
Moderate (3)
Severe (4)
Median (interquartile range)
P value
Articaine14 (70.0)5 (25.0)1 (5.0)0 (0.0)1 (1, 2)0.010a
Lignocaine5 (25.0)9 (45.0)2 (10.0)4 (20.0)2 (1, 3)
Table 6 Pain experienced during canal instrumentation with 4% articaine and 2% lignocaine according to the Wong-Baker Faces Pain Rating Scale, n (%)
Item
No hurt (0)
Little bit (2)
Little more (4)
Even more (6)
Whole lot (8)
Hurt worst (10)
Median (interquartile range)
P value
Articaine15 (75.0)5 (25.0)0 (0.0)0 (0.0)0 (0.0)0 (0.0)0 (0, 0)0.132
Lignocaine10 (50.0)5 (25.0)1 (5.0)0 (0.0)0 (0.0)4 (20.0)0 (0, 10)
Table 7 Pain experienced during canal instrumentation with 4% articaine and 2% lignocaine according to the Face, Legs, Activity, Cry, and Consolability scale, n (%)
Item
Relaxed (1)
Mild (2)
Moderate (3)
Severe (4)
Median (interquartile range)
P value
Articaine17 (85.0)3 (15.0)0 (0.0)0 (0.0)1 (1, 1)0.032a
Lignocaine12 (60.0)3 (15.0)1 (5.0)4 (20.0)1 (1, 2)