Double versus single cartridge of 4% articaine infiltration into the retro-molar area for lower third molar surgery
Journal of Dental Anesthesia and Pain Medicine
;
: 121-127, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-68816
ABSTRACT
BACKGROUND:
There are no studies regarding 4% articaine infiltration injection into the retro-molar area for an impacted lower third molar (LITM) surgery. This study aimed to evaluate the efficacy of infiltration using 1.7 ml (single cartridge SC) of 4% articaine versus 3.4 ml (double cartridges DC) of 4% articaine with 1100,000 epinephrine in LITM surgery.METHOD:
This study involved 30 healthy patients with symmetrical LITM. The patients were assigned to receive either a DC or SC of 4% articaine with 1100,000 epinephrine as a local anesthetic for each operation. Onset, duration, profoundness, need for additional anesthetic administration, total volume of anesthetic used, vitality of the tooth, and pain score during operation were recorded.RESULTS:
The DC of 4 % articaine had a significantly higher success rate (83.3%) than did the SC (53.3%; P < 0.05). The duration of soft tissue anesthesia was longer in the DC group. The intra-operative pain was higher in the SC group with a significant (P < 0.05) requirement for a supplementary local anesthetic.CONCLUSION:
We concluded that using DC for the infiltration injection had a higher success rate, longer duration of anesthesia, less intra-operative pain, and a lower amount of additional anesthesia than SC in the surgical removal of LITM. We recommend that a DC of 4% articaine and a 1100,000 epinephrine infiltration in the retro-molar region can be an alternative anesthetic for LITM surgery.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Dente
/
Dente Impactado
/
Carticaína
/
Epinefrina
/
Anestesia
/
Anestésicos Locais
/
Métodos
/
Dente Serotino
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Dental Anesthesia and Pain Medicine
Ano de publicação:
2017
Tipo de documento:
Artigo
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