Comparison between lidocaine and 50/50 mixture of lidocaine with bupivacaine when used in inferior alveolar nerve and lingual nerve block for patients undergoing third molar surgery
Journal Title: International Journal of Oral Health Dentistry - Year 2018, Vol 4, Issue 2
Abstract
Aim The purpose of this study was to compare and evaluate the onset of action duration of action and analgesia of a 5050 mixture of lidocaine and bupivacaine when injected for surgical extraction of mandibular third molar Materials and Method 50 patients between the age group of 18 to 40 years undergoing bilateral mandibular third molar extractions reporting to the Department of Oral and Maxillofacial Surgery were chosen for this study Patients underwent extractions of bilateral mandibular third molars with inferior alveolar nerve and lingual nerve block Extraction of the mandibular third molar on one side was done using 25 NSAIDS taken was recorded at the end of 5th daycc of 2 Lidocaine with 1 80000 adrenaline and the contralateral third molar was extracted using a mixture of 125cc of 2 Lidocaine with 1 80000 adrenaline 125cc of 05 Bupivacaine 5050 mixture Onset of action duration of action was recorded based on EPT Electronic pulp tester response Post operative analgesics Results Independent sample ttest was used for statistical analysis There was a statistical significant difference between two solutions in terms of both onset and duration of action The combination of Lidocaine Bupivacaine offered a prolonged duration of action in the patients undergoing third molar surgery There was no difference in number of analgesics taken in both the groupsConclusion Prolonged duration of action of mixture of local anesthetic agent was not desirable in most minor surgical procedures performed by oral and maxillofacial surgeon Consumption of NSAIDs noted to be same in both the groups makes no advantage of bupivacaine in terms of analgesia There was no clinical advantage of mixing two anesthetic solutions even though Statistical differences noted in two parameters studied Keywords Lidocaine Bupivacaine 5050 mixture Third Molar Surgery
Authors and Affiliations
Pradeep P. S. , Shanavas Palliyal
Keywords
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- EP ID EP492448
- DOI 10.18231/2395-499X.2018.0019
- Views 79
- Downloads 0
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