Objective evaluation of topical viscous 5% lignocaine jelly on pain during management of dry socket

ABSTRACT

This study evaluated the efficacy of topical viscous 5% lignocaine jelly for the alleviation of pain experienced during instrumention of mandibular third molar extraction sites diagnosed with dry socket and for pain releif during the post instrumentation period. Thirty adult patient with a diagnosis of dry socket in mandibular third molar extraction site were included in this blind study. All patient had their sutures removed. The socket irritated and 5% lignocaine jelly placed on the tip and side of tongue to blind the patient against the test substances. The subjects were then randomly distributed into two groups Group I had non-active jelly base placed in to the socket 2 minutes preior to the placement of a standard obtundant dressing. Group 2 had viscous 5% lignocaine jelly placed into the socket in the some mannar. Patients subjectively quantified their pain intensity, before treatment immediately post manipulation, at 5- minute intervals to 30 minutes, and 45 to 60 minutes. They also subjectively quantified their pain relief at each of the time intervals following instrumentation. There was no statistical differences between the pretreatment pain experienced by both groups. The use of lignocaine jelly had a measurable [P>0.05] but was not statistically significant. At every time interval, the use of 5% lignocaine jelly showed a statistically significant [P<0.05] decrease in pain preception and a statistically significant increase in pain relief when compared with the active jelly