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
Artigo
em Inglês
| IBECS
| ID: ibc-103482
Biblioteca responsável:
ES1.1
Localização: 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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Coleções:
Bases de dados nacionais
/
Espanha
Base de dados:
IBECS
Assunto principal:
Bupivacaína
/
Carticaína
/
Anestesia Dentária
/
Dente Serotino
Tipo de estudo:
Ensaio clínico controlado
/
Estudo de etiologia
/
Fatores de risco
Limite:
Humanos
Idioma:
Inglês
Revista:
Med. oral patol. oral cir. bucal (Internet)
Ano de publicação:
2012
Tipo de documento:
Artigo
Instituição/País de afiliação:
Researcher of the IDIBELL Institute/Spain
/
School of Dentistry of the University of Barcelona/Spain
/
University of Barcelona/Spain