阿替卡因与利多卡因下牙槽神经阻滞在下颌骨植入手术中的应用:一项随机对照试验。

IF 2.2 3区 医学
Y Gülnahar, A-L Alpan, E Gülnahar
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引用次数: 0

摘要

背景:本研究的目的是比较%4阿替卡因和%2利多卡因对下颌骨种植手术中下牙槽神经阻滞(IANB)的影响。材料和方法:将后颌骨种植体患者分为利多卡因组和阿替卡因组进行IANB治疗。采用t检验、Mann-Whitney U检验、Spearman系数、Pearson卡方检验对VAS =视觉模拟量表、术中及注射疼痛、唇麻时间、下颌管-种植体尖端距离、年龄、性别、骨密度、种植体数量、释放切口、邻牙、手术时间进行分析。该试验遵循Consort声明中关于报告随机对照试验的建议。结果:共纳入577例患者,共分析种植体1185颗。两组注射、手术VAS评分差异无统计学意义(p>0.05)。利多卡因组唇部麻木时间为3.06±3.22min,阿替卡因组唇部麻木时间为2.96±3.09min (p>0.05)。结论:%4阿替卡因组与%2利多卡因组在下颌后种植体应用时的疼痛感觉无显著差异。结论:%4阿替卡因组与%2利多卡因组在下颌后种植体应用时的疼痛感觉无显著差异。两种麻醉药均为植入物的应用提供了充分的麻醉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Articaine versus lidocaine inferior alveolar nerve block in posterior mandible implant surgeries: a randomized controlled trial.

Articaine versus lidocaine inferior alveolar nerve block in posterior mandible implant surgeries: a randomized controlled trial.

Articaine versus lidocaine inferior alveolar nerve block in posterior mandible implant surgeries: a randomized controlled trial.

Articaine versus lidocaine inferior alveolar nerve block in posterior mandible implant surgeries: a randomized controlled trial.

Background: The aim of this study is to compare the effects of %4 articaine and %2 lidocaine on inferior alveolar nerve block (IANB) for implant surgery in the posterior mandible.

Material and methods: The patients who have inserted implants in the posterior mandible were divided into 2 groups for IANB: lidocaine and articaine. VAS = visual analog scale, pain during surgery and injection, lip numbness time, mandibular canal-implant apex distance, age, gender, bone density, implant number, release incision, adjacent teeth, and duration of surgery were analyzed using t-test, Mann-Whitney U test, Spearman's coefficient, and, Pearson's chi-squared test. This trial followed the recommendations of the Consort Statement for reporting randomized controlled trials.

Results: 577 patients were included and 1185 dental implants were analyzed. There was no significant difference between the two groups in terms of injection and surgery VAS values (p>0.05). The lip numbness time of lidocaine was 3.06±3.22min while articaine was found to be 2.96±3.09min (p>0.05). Mandibular canal-implant apex distance was found to be 2.28±0.75mm in the articaine and 2.45±0.86mm in the lidocaine group (p<0.05). Release incision was made more in the articaine group (51/252) than in the lidocaine group (40/325) (p<0.05).

Conclusions: There was no difference between the %4 articaine and %2 lidocaine in terms of pain perception in posterior mandible implant applications. Both anesthetics provided adequate anesthesia for implant application.

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来源期刊
CiteScore
4.50
自引率
0.00%
发文量
52
期刊介绍: 1. Oral Medicine and Pathology: Clinicopathological as well as medical or surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, as well as orofacial neurological disorders, and systemic conditions with an impact on the oral cavity. 2. Oral Surgery: Surgical management aspects of diseases affecting oral mucosa, salivary glands, maxillary bones, teeth, implants, oral surgical procedures. Surgical management of diseases affecting head and neck areas. 3. Medically compromised patients in Dentistry: Articles discussing medical problems in Odontology will also be included, with a special focus on the clinico-odontological management of medically compromised patients, and considerations regarding high-risk or disabled patients. 4. Implantology 5. Periodontology
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