Comparison of efficacy and pain perception using 0.5% Bupivacaine and 2% Lidocaine in periodontal Surgery - A split mouth randomized clinical trial.

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Shanmukha Srinivas Manikanta Tirumalasetty, Dwarakanath Chinniswami Doraisami, Santosh Venkata Ramesh Konathala, Subhadra Gautami Penmetsa, Naga Venkata Satya Sai Sruthima Gottumukkala
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Abstract

Purpose: To evaluate the effectiveness of bupivacaine and lidocaine local anesthesia on the intra-surgical and post-surgical pain control in patients undergoing periodontal flap surgery.

Materials and methods: A randomized, single-blind, split-mouth design was employed in patients who are scheduled for periodontal flap surgery for at least two similar sextants with similar anesthetic techniques. Fifty patients (age range 16-65 years, 32 males and 28 females) enrolled in the present study. On one-site, the flap surgery was performed using 2% lidocaine with 1:200000 epinephrine and on the other with 0.5% bupivacaine with 1:200000 epinephrine. Base line clinical parameters, probing pocket depth, clinical attachment level were recorded. Pain during intra operative period, at the time of loss of numbness and for three consecutive days was measured using visual analog scale (VAS).

Results: Significant differences were observed between the two groups in the intra operative pain scores (p=0.0045) and pain scores at the time of loss of numbness (p=0.0005) but not at the 1st, 2nd and 3rd day after the surgery.

Conclusion: Bupivacaine was markedy more effective than the lidocaine. Thus the usage of bupivacaine can be substantiated for periodontal surgeries for the control of pain in the intra operative and immediate post-operative period to increase patients' comfort.

Abstract Image

牙周手术中使用 0.5% 布比卡因和 2% 利多卡因的疗效和痛觉比较 - 一项分口随机临床试验。
目的:评估布比卡因和利多卡因局部麻醉对牙周皮瓣手术患者术中和术后疼痛控制的效果:采用随机、单盲、分口设计,对计划接受牙周皮瓣手术的患者进行至少两次类似的六分仪手术,并采用类似的麻醉技术。50名患者(年龄在16-65岁之间,男性32人,女性28人)参加了本次研究。其中一个部位使用 2% 利多卡因加 1:200000 肾上腺素,另一个部位使用 0.5% 布比卡因加 1:200000 肾上腺素。记录了基本临床参数、探查袋深度、临床附着水平。使用视觉模拟量表(VAS)测量术中、麻木消失时和连续三天的疼痛情况:结果:两组患者在术中疼痛评分(P=0.0045)和麻木消失时疼痛评分(P=0.0005)方面存在显著差异,但在术后第 1、2 和 3 天疼痛评分无显著差异:结论:布比卡因比利多卡因更有效。因此,在牙周手术中使用布比卡因可以有效控制术中和术后即刻的疼痛,从而提高患者的舒适度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
European Oral Research
European Oral Research DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.60
自引率
0.00%
发文量
23
审稿时长
12 weeks
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