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Liposomal anesthetic gel for pain control during periodontal therapy in adults: a placebo-controlled RCT
Moraes, Gustavo Simao; Santos, Isadora Benato dos; Pinto, Shelon Cristina Souza; Pochapski, Marcia Thais; Farago, Paulo Vitor; Pilatti, Gibson Luiz; Santos, Fabio Andre.
  • Moraes, Gustavo Simao; Universidade Estadual de Ponta Grossa. Departamento de Odontologia. Ponta Grossa. BR
  • Santos, Isadora Benato dos; Universidade Estadual de Ponta Grossa. Departamento de Odontologia. Ponta Grossa. BR
  • Pinto, Shelon Cristina Souza; Universidade Estadual de Ponta Grossa. Departamento de Odontologia. Ponta Grossa. BR
  • Pochapski, Marcia Thais; Universidade Estadual de Ponta Grossa. Departamento de Odontologia. Ponta Grossa. BR
  • Farago, Paulo Vitor; Universidade Estadual de Ponta Grossa. Departamento de Ciências Farmacêuticas. Ponta Grossa. BR
  • Pilatti, Gibson Luiz; Universidade Estadual de Ponta Grossa. Departamento de Odontologia. Ponta Grossa. BR
  • Santos, Fabio Andre; Universidade Estadual de Ponta Grossa. Departamento de Odontologia. Ponta Grossa. BR
J. appl. oral sci ; 28: e20190025, 2020. tab, graf
Article in English | LILACS, BBO | ID: biblio-1056588
ABSTRACT
Abstract Periodontal therapy usually requires local anesthesia. If effective, a non-invasive, liposomal anesthetic gel could increase the levels of acceptance of patients in relation to periodontal therapy.

Objective:

This study investigated the efficacy of liposomal anesthetic gel for pain control during periodontal therapy.

Methodology:

Forty volunteers with moderate to severe chronic periodontitis were recruited, of which at least three sextants required periodontal therapy. At least one of the selected teeth had one site with a probing depth of ≥4 mm. The volunteers received the following three gels a placebo, lidocaine/prilocaine (Oraqix®), or a liposomal lidocaine/prilocaine, which were applied to different sextants. Pain frequency was registered during treatment and the volunteers received a digital counter to register any painful or uncomfortable experiences. At the end of each session, the volunteers indicated their pain intensity using rating scales (NRS-101 and VRS-4). The volunteers had their hemodynamic parameters measured by a non-invasive digital monitor.

Results:

Pain frequency/intensity did not show statistical difference between intervention groups. The tested gels did not interfere with the hemodynamic indices. Dental anxiety, suppuration and probing depth could influence pain during periodontal therapy.

Conclusion:

Our results suggest limited indications for the use of non-invasive anesthesia when used for scaling and root planing. Intra-pocket anesthetic gel could be a good option for anxious patients, or those who have a fear of needles.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Pain / Dental Scaling / Root Planing / Gels / Anesthesia, Dental / Anesthetics, Local Type of study: Controlled clinical trial Limits: Adult / Aged / Female / Humans / Male Language: English Journal: J. appl. oral sci Journal subject: Dentistry Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Estadual de Ponta Grossa/BR

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Full text: Available Index: LILACS (Americas) Main subject: Pain / Dental Scaling / Root Planing / Gels / Anesthesia, Dental / Anesthetics, Local Type of study: Controlled clinical trial Limits: Adult / Aged / Female / Humans / Male Language: English Journal: J. appl. oral sci Journal subject: Dentistry Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Estadual de Ponta Grossa/BR