Lidocaine versus Mepivacaine in Sedated Pediatric Dental Patients: Randomized, Prospective Clinical Study

2014 ◽  
Vol 39 (1) ◽  
pp. 74-78 ◽  
Author(s):  
Aylin Sipahi Çalış ◽  
Esra Cagiran ◽  
Candan Efeoglu ◽  
Aslı Topaloglu Ak ◽  
Huseyın Koca
Keyword(s):  
Clinical Study ◽  
Tooth Extraction ◽  
Pediatric Patients ◽  
Dental Anxiety ◽  
Pain Scale ◽  
Primary Tooth ◽  
Prospective Clinical Study ◽  
Oral Surgical Procedures ◽  
Lidocaine Group ◽  
Group 2

Dental anxiety is usually seen in the pediatric patients. specially in the case of minor oral surgical procedures and exodontia, cooperation of the patients and their families with the dentist will lead to superior treatment outcomes. Pain control is important in dentistry. The aim of this randomized prospective clinical study is to compare the local anaesthetic and haemodynamic effects of 2% lidocaine (Group 1) and 3% mepivacaine (Group 2) in sedated pediatric patients undergoing primary tooth extraction. Study design: 60 pediatric patients undergoing sedation for elective primary tooth extraction was prospectively included in the study in a randomized fashion. Inclusion and exlusion criteria were assigned. Patients were given premedication via oral route. Local anesthesia was achieved before extraction(s). Results: There were no significant differences between the groups in patient demographics, number of teeth extracted, duration of the operation and time from the end of the procedure to discharge (p≯0.05). FLACC pain scale scores were not statistically significant between the groups, except at 20 minutes post-operatively when the score is significantly lower in Group 2 (p=0.029). Conclusion: Prevention of pain during dental procedures can nurture the relationship of the patient and dentist. Tooth extraction under sedation in pediatric patients could be safe with both local anesthetics.

scholarly journals Dental Extractions in Patients on Antiplatelet Therapy: A Clinical Study

2017 ◽  
Vol 03 (01) ◽  
pp. 034-039
Author(s):  
K Sushma ◽  
Jayaprasad Shetty ◽  
Vijayendra Pandey ◽  
Somnath Mukherjee ◽  
Santosh Kumar
Keyword(s):  
Clinical Study ◽  
Cardiovascular Diseases ◽  
Medical History ◽  
Antiplatelet Therapy ◽  
Surgical Procedures ◽  
Tooth Extraction ◽  
Patient Management ◽  
Oral Surgical Procedures ◽  
Mortality And Morbidity ◽  
Dental Practitioners

AbstractCardiovascular diseases cause highest mortality and morbidity worldwide. The introduction of preventive and maintenance antiplatelet therapy has, to a certain extent, contributed to this decline. With millions of health-conscious people using anti-platelet drugs, dental practitioners are frequently confronted with clinical situations wherein a decision has to be made about patient management, in view of the medical history. The aim of this study is to assess the need to stop aspirin before minor oral surgical procedures, including simple and surgical extractions and to discuss the various measures implemented for controlling the bleeding postoperatively. This study analyzes the association of increased bleeding during and after tooth extraction or any other minor oral surgical procedures with patients on antiplatelet therapy. The aim of this study is to assess the need to stop aspirin before minor oral surgical procedures, including simple and surgical extractions, and to discuss the various measures implemented for controlling the bleeding postoperatively. The objectives of the study are to analyze association of increased bleeding during and after tooth extraction or any other minor oral surgical procedures with patients on antiplatelet therapy.

Pre-emptive Analgesia for Postoperative Pain Relief in Children – Role of Paracetamol

2009 ◽  
pp. 9-16
Author(s):  
Rubina Yasmin ◽  
AKM Akhtaruzzaman ◽  
Paresh Chandra Sarker ◽  
Neaz Ahmed ◽  
Ranadhir Kumar Kundu ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Postoperative Pain ◽  
Diclofenac Sodium ◽  
Total Duration ◽  
Pain Scale ◽  
Prospective Clinical Study ◽  
High Dose ◽  
Induction Of Anaesthesia

This prospective clinical study was carried out in the Dept. of Anaesthesia, Analgesia and Intensive Care Medicine, BSMMU, Dhaka, during the period of May 2003 to July 2003. The study was done to emphasize the importance of giving analgesics preemptively instead of waiting for the child to complain of pain and to produce smooth recovery after surgery by decreasing immediate postoperative pain in children by a simple, safe acceptable drug. The children scheduled for tonsillectomy under general anaesthesia were recruited in this study. The analgesic efficiency of rectal paracetamol in two doses, 25 mg/kg bodywt.(Gr-P25) and 50 mg/kg. bodywt. (Gr-P50) were compared with Diclofenac Sodium suppository 1mg/ kg body weight (Gr-D) given half an hour before induction of anaesthesia. Pain scoring was done by TPPPS (Toddler Pre-schooler postoperative pain scale). Heart rate and blood pressure were stable in Gr-P50 and Gr-D. Time of first demand of analgesic was delayed in Gr-P50 and Gr-D. Total paracetamol consumption in 24 hours was less in Gr-P50(181±14.25) and Gr-D (212±25) than Gr-P25(318± 26.39). Total duration of analgesia in Gr- P50 (657±9.94) mins. and in Gr- D(502±10.63) mins. and in Gr-P25(288±23.17) mins. Pre-emptive high dose rectal paracetamol appears to be more effective than diclofenac sodium suppository for postoperative analgesia in children undergoing tonsillectomy. Journal of BSA, Vol. 18, No. 1 & 2, 2005 p.9-16

Sign in / Sign up

Export Citation Format

Share Document