评估非手术牙周治疗后局部利多卡因应用与阿替卡因注射麻醉的接受度和偏好:随机临床试验。

IF 4.2 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Christof Dörfer, Kathrin Chmiela, Nicole B. Arweiler, Gregor J. Petersilka, Henrik Dommisch, Ralph Heckel, Maren Kahl, Denica Kuzmanova, Peter Purucker, Claudia Springer
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引用次数: 0

摘要

背景:比较局部利多卡因凝胶麻醉和阿替卡因注射麻醉对接受洗牙和牙根清创的中度牙周炎患者的接受度和偏好:比较中度牙周炎患者在接受洗牙和根部清创术时对局部利多卡因凝胶麻醉和阿替卡因注射麻醉的接受程度和偏好:91名患者完成了这项随机多中心分口对照研究,并在不同的日期分别接受了两次牙周治疗,一次是局部窝内利多卡因凝胶麻醉,另一次是阿替卡因注射麻醉,根据随机分配的不同顺序进行。测量的参数包括:患者对局部利多卡因凝胶麻醉或阿替卡因注射麻醉的偏好(主要疗效标准)、最大和平均疼痛程度、麻木强度以及副作用体验;探针深度;牙医的偏好及其对操作/应用、麻醉效果的开始和持续时间以及患者依从性的评价:结果:在体验过两种选择后,58.3% 的患者更倾向于将局部利多卡因凝胶注入牙周袋。在药物不良反应的类型和频率方面,利多卡因凝胶的安全性与阿替卡因注射剂的安全性有正面差异。牙医对所研究的两种麻醉方法的接受度和偏好度都很均衡:结论:对大多数患者来说,将利多卡因凝胶注入牙周袋是注射麻醉的首选替代方法,而对牙医来说,这也是牙周非手术治疗的同等替代方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Evaluation of acceptance and preference of topical lidocaine application versus articaine injection anesthesia after nonsurgical periodontal treatment: A randomized clinical trial

Evaluation of acceptance and preference of topical lidocaine application versus articaine injection anesthesia after nonsurgical periodontal treatment: A randomized clinical trial

Background

To compare acceptance and preference of topical lidocaine gel anesthesia with articaine injection anesthesia in patients with moderate periodontitis undergoing scaling and root debridement.

Methods

Ninety-one patients completed this randomized multicenter split-mouth controlled study and underwent two separate periodontal treatment sessions on different days, one with a topical intrapocket lidocaine gel application and the other with an articaine injection anesthesia in a different order depending on randomization. Parameters measured were the patients’ preference for topical lidocaine gel anesthesia or injection anesthesia with articaine (primary efficacy criterion), their maximum and average pain, and their intensity of numbness as well as experience of side effects; the probing depth; and the dentists’ preference and their evaluations of handling/application, onset and duration of anesthetic effect, and patient compliance.

Results

After having experienced both alternatives, 58.3% of the patients preferred the topical lidocaine gel instillation into the periodontal pockets. The safety profile of the lidocaine gel differed positively from the safety profile of articaine injection in type and frequency of adverse drug reactions. The dentistsʼ acceptance and preference regarding either anesthetic method studied were balanced.

Conclusions

Instillation of lidocaine gel into the periodontal pocket is a preferred alternative to injection anesthesia for most of the patients and an equivalent alternative for dentists in nonsurgical periodontal therapy.

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来源期刊
Journal of periodontology
Journal of periodontology 医学-牙科与口腔外科
CiteScore
9.10
自引率
7.00%
发文量
290
审稿时长
3-8 weeks
期刊介绍: The Journal of Periodontology publishes articles relevant to the science and practice of periodontics and related areas.
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