Evaluation of butorphanol and diazepam in dental practice

ABSTRACT

This study was proposed on 30 adult male patients, who were-divided into three groups group I which was composed of 10 patients recieved 2 ml. [10 mg.] diazepam i.v. supplimented by lidocaine HCL2% as local analgesia. Group II which also was composed of 10 patients recieved 2 ml. [4 mg.]. Butorphanol i.v. supplimented by lidocaine HCL 2% as local analgesia, while group III was composed of the last 10 patients and recieved i.v. injection of lml. [5 mg.] diazepam and 1 ml. [2 mg.] butorphanol tartrate only without local analgesia administeration. Evaluation of vital signs was performed before and 6 minutes after i.v. injection. From this study, blood pressure showed declination in group I, where Diazepam was used with lidocaine HCL and also in group III where Diazepam was used in combination with Butorphanol. No significant changes were observed in pulse rate in all groups except that there was slight decrease in group III. No changes were detected in E. C. G. in all groups. Sedation during operation was perfect in group II and reasonable smooth recovery was also obtained. No complications were observed in all groups. Intravenous administeration of butorphanol supplimented by lidocaine HCL as local analgesia is the ideal method for wxtraction in excited cases' without side efficts and if prolonged surgical period is required, Diazepam supplimented by Lidocine HCL or a combination of Diazepam and Butorphanol are used with safety