A Randomized Control Study to Compare the Efficacy of Carbonated Lignocaine with Lignocaine Hydrochloride in Mandibular Nerve Blocks: A Pilot Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 4
Abstract
Aim: To compare the efficacy of carbonated lidocaine with lidocaine hydrochloride in relation to the pain, onset of anesthesia and duration in mandibular nerve blocks Materials and method: Patients in the age group of 18-60 years were included in this study. They were randomly divided into two groups- a control group (receiving lignocaine hydrochloride with adrenaline) and a study group (receiving carbonated lignocaine with adrenaline). Following injection, pain at the site of injection, onset of action of the anesthetic and its duration were assessed. Results: A total of 25 patients were done- 13-control group and 12-study group. There was found to be no significant difference in thepain, onset of action or duration of either of the two solutions. However, 7 of the 25 patients with a dentoalveolar abscesswere also included in the study. It was noted that in these patients, local anesthetic action of carbonated lignocaine was significantly more effective than that of the acidic lignocaine hydrochloride. Conclusion: local anesthetics used routinely in dental clinics are ineffective at infection sites. However in this study we have found that alkalinized lignocaine has a good anesthetic action at infection sites, causing neutralization of the acidic environment and enhancing the nerve block.
Authors and Affiliations
Dr. Lingaraj J. B. , Dr. Anjali Vijayakumar
Keywords
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- EP ID EP370905
- DOI 10.9790/0853-1704101316.
- Views 69
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