Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial
Med. oral patol. oral cir. bucal (Internet)
; 17(3): 462-468, mayo 2012. ilus, tab
Article
in English
| IBECS
| ID: ibc-103482
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
Objective:
To compare the anesthetic action of 0.5% bupivacaine in relation to 4% articaine, both with 1200,000 epinephrine, in the surgical removal of lower third molars. As a secondary objective hemodynamic changes using both anesthetics were analyzed.StudyDesign:
Triple-blind crossover randomized clinical trial. Eighteen patients underwent bilateral removal of impacted lower third molars using 0.5% bupivacaine or 4% articaine in two different appointments. Preoperative, intraoperative and postoperative variables were recorded. Differences were assessed with McNemar tests and repeated measures ANOVA tests.Results:
Both solutions exhibited similar latency times and intraoperative efficacy. Statistical significant lower pain levels were observed with bupivacaine between the fifth (p=0.011) and the ninth (p=0.007) postoperative hours. Bupivacaine provided significantly longer lasting soft tissue anesthesia (p<0.05). Systolic blood pressure and heart rate values were significantly higher with articaine.Conclusions:
Bupivacaine could be a valid alternative to articaine especially due to its early postoperative pain prevention ability (AU)RESUMEN
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Bupivacaine
/
Carticaine
/
Anesthesia, Dental
/
Molar, Third
Type of study:
Controlled clinical trial
/
Etiology study
/
Risk factors
Limits:
Humans
Language:
English
Journal:
Med. oral patol. oral cir. bucal (Internet)
Year:
2012
Document type:
Article
Institution/Affiliation country:
Researcher of the IDIBELL Institute/Spain
/
School of Dentistry of the University of Barcelona/Spain
/
University of Barcelona/Spain