scholarly journals Comparison of Articaine and Lidocaine for Buccal Infiltration After Inferior Alveolar Nerve Block For Intraoperative Pain Control During Impacted Mandibular Third Molar Surgery

2017 ◽  
Vol 64 (2) ◽  
pp. 80-84 ◽  
Author(s):  
Geraldo Prisco da Silva-Junior ◽  
Liane Maciel de Almeida Souza ◽  
Francisco Carlos Groppo
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Inferior Alveolar Nerve Block ◽  
Mandibular Third Molar ◽  
Intraoperative Pain ◽  
Group 2 ◽  
Mandibular Third Molar Surgery ◽  
Buccal Infiltration

In order to compare the efficacy of lidocaine and articaine for pain control during third molar surgery, 160 patients presenting bilateral asymptomatic impacted mandibular third molars were selected. They received 1.8 mL of 2% lidocaine with epinephrine 1:100,000 during inferior alveolar nerve block. In group 1 (n = 80), an infiltrative injection of 0.9 mL of 2% lidocaine with epinephrine 1:100,000 was performed in buccal-distal mucosa of the third molar. Group 2 (n = 80) received 0.9 mL of 4% articaine with epinephrine 1:100,000 in the contralateral side. All procedures were performed at the same visit, by a single operator, in a double-blind and parallel design. The duration of each surgery and the moment when the patient expressed pain were noted. Data were analyzed by nonpaired t test and chi-square test (alpha = 5%). Duration of surgery did not differ (p = .83) between Groups 1 (19.8 ± 2.3 minutes) and 2 (19.7 ± 3.0 minutes). Pain was expressed more in group 1 (26.3%) than in group 2 (10%) (odds ratio = 3.2, p = .0138). In both groups, tooth sectioning was the most painful event (p < .0001). No influence of gender (p = .85) or age (p = .96) was observed in pain response. Buccal infiltration of 4% articaine with epinephrine 1:100,000 showed more efficacy than 2% lidocaine with epinephrine 1:100,000 when used in combination with inferior alveolar nerve block in controlling intraoperative pain related to impacted mandibular third molar surgery.

scholarly journals Use of bufferized dental anesthetics in dental surgery

2021 ◽  
Vol 34 (1) ◽  
pp. 35-43
Author(s):  
Adel Alfonso Martinez-Martinez ◽  
Elio Jimenez-Batista ◽  
Alexander Morales-Jimenez
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Injection Pain ◽  
Third Molar Surgery ◽  
Inferior Alveolar Nerve Block ◽  
Dental Surgery ◽  
Mandibular Third Molar ◽  
Mandibular Third Molar Surgery ◽  
Buccal Infiltration

Introduction and objective: The addition of epinephrine to the anesthetic solution reduces the pH of the solution to a range between 2.9 and 4.4.The acidity of the anesthetic may delay onset and contribute to injection pain. Objective: to determine the intensity of pain during a mandibular third molar surgery after using buffered 4% articaine with epinephrine 1:100000 in the inferior alveolar nerve block with buccal infiltration. Materials and methods: an observational and descriptive clinical study was performed. The buffered solution was alkalinized with 8.4% sodium bicarbonate with a ratio of 9:1, using a hand-mixing methodology, the sample were patients who required a mandibular third molar surgery. After standardizing the anesthetic technique, it was used the inferior alveolar nerve block followed by buccal infiltration. Results: 32 patients (20 female - 62.5% and 12 male - 37.5%), with an average age of 21.12 years (mean ± standard deviation [SD]: 21.12 ± 3.61) were admitted to the study. When assessing the pain puncture and during the injection, 94% of patients classified it as mild pain according to VAS. When evaluating the latency period, the average time was less than two minutes and the perioral soft tissue anesthesia was 62%. Only a small percentage of patients required complementary anesthesia. Conclusion: buffered 4% of articaine with epinephrine in the inferior alveolar nerve block with buccal infiltration significantly decreased onset time, injection pain and need for complementary anesthesia in third molar surgery.

scholarly journals 4% lidocaine versus 4% articaine for inferior alveolar nerve block in impacted lower third molar surgery

2017 ◽  
Vol 17 (1) ◽  
pp. 29 ◽  
Author(s):  
Kiatanant Boonsiriseth ◽  
Sittipong Chaimanakarn ◽  
Prued Chewpreecha ◽  
Natee Nonpassopon ◽  
Manop Khanijou ◽  
...  
Keyword(s):  
Nerve Block ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Inferior Alveolar Nerve Block

Lingual nerve neuropathy: more than just third molar surgery and inferior alveolar nerve blocks

Dental Update ◽  
2019 ◽  
Vol 46 (8) ◽  
pp. 775-789
Author(s):  
Wei Cheong Ngeow ◽  
Wen Lin Chai
Keyword(s):  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Lingual Nerve ◽  
Third Molar Surgery ◽  
Anatomical Location ◽  
Nerve Blocks ◽  
Dental Procedures ◽  
Mandibular Third Molar ◽  
Dental Practitioners ◽  
Mandibular Third Molar Surgery

Neuropathy of the lingual nerve, when it occurs, often results from third molar surgery, or the provision of inferior alveolar nerve blocks. Investigators have reported that the anatomical location and the unpredictable course of the lingual nerve play important roles in it being affected by these procedures. However, there are many other causes of neuropathy with which most medical and dental practitioners are unfamiliar. This article briefly reviews the course of the lingual nerve, and summarizes the causes and reports of all uncommon aetiologies of neuropathy that can occur along the path of a lingual nerve. The clinical implication and management of lingual nerve neuropathy is discussed. CPD/Clinical Relevance: The reader should appreciate the importance of accurately diagnosing lingual nerve neuropathy as it can manifest from many other dental procedures and non-dental causes, apart from routine mandibular third molar surgery and local anaesthetic injections.

Study of the Anesthetic Efficacy of Inferior Alveolar Nerve Block using Articaine in Irreversible Pulpitis

2014 ◽  
Vol 15 (1) ◽  
pp. 71-74 ◽  
Author(s):  
Zeeshan H Ahmad ◽  
H Ravikumar ◽  
Rupali Karale ◽  
RS Preethanath ◽  
Anil Sukumaran
Keyword(s):  
Nerve Block ◽  
Visual Analog Scale ◽  
Inferior Alveolar Nerve ◽  
Inferior Alveolar Nerve Block ◽  
Analog Scale ◽  
Cavity Preparation ◽  
The Third ◽  
Group 2 ◽  
Buccal Infiltration ◽  
Irreversible Pulpitis

ABSTRACT Aim The purpose of this study was to determine the anesthetic efficacy of inferior alveolar nerve block (IANB) using 4% articaine and 2% lidocaine supplemented with buccal infiltration. Materials and methods Forty five patients, diagnosed with irreversible pulpitis of a mandibular posterior tooth were included in the study. The first group of 15 patients received 2% lidocaine with 1:200000 epinephrine, the second group 2% lidocaine with 1: 80,000 epinephrine and the third group of 15 subjects received 4% articaine with 1:100000 epinephrine. During the access cavity preparation those patients who complained of pain received an additional buccal infiltration. The percentage of subjects who got profound anesthesia and failure to achieve anesthesia were calculated and tabulated using a visual analog scale. Results The results revealed that 87% of subjects who received 4% Articaine with 1:100,000 epinephrine got satisfactory anesthesia with inferior alveolar nerve block alone. Only 2 (13%) subjects received an additional buccal infiltration and none of the patients failed to obtain complete anesthesia with articaine. In comparison only 40% of subjects got complete anesthesia with 2% lidocaine with 1:200000 and 60% with 2% lidocaine with 1:80,000. Conclusion It can be concluded that 4% articaine can be used effectively for obtaining profound anesthesia for endodontic procedures in patients with irreversible pulpitis. How to cite this article Ahmad ZH, Ravikumar H, Karale R, Preethanath RS, Sukumaran A. Study of the Anesthetic Efficacy of Inferior Alveolar Nerve Block using Articaine in Irreversible Pulpitis. J Contemp Dent Pract 2014;15(1):71-74.

scholarly journals Quality of analgesia after lower third molar surgery: A randomised, double-blind study of levobupivacaine, bupivacaine and lidocaine with epinephrine

2015 ◽  
Vol 72 (1) ◽  
pp. 50-56 ◽  
Author(s):  
Denis Brajkovic ◽  
Vladimir Biocanin ◽  
Marija Milic ◽  
Milan Vucetic ◽  
Renata Petrovic ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Nerve Block ◽  
Postoperative Analgesia ◽  
Inferior Alveolar Nerve ◽  
Third Molar ◽  
Third Molar Surgery ◽  
Inferior Alveolar Nerve Block ◽  
Surgical Extraction ◽  
Long Acting

Background/Aim. Surgical extraction of lower third molars is followed by mild or severe postoperative pain which peaks at maximal intensity in the first 12 hours and has a significant impact on a patient?s postoperative quality of life. The use of long-acting local anaesthetics is a promising strategy to improve postoperative analgesia. The aim of the present study was to investigate analgesic parameters and patient satisfaction after using 0.5% levobupivacaine (Lbup), 0.5% bupivacaine (Bup) and 2% lidocaine with epinephrine 1:80,000 (Lid + Epi) for an inferior alveolar nerve block following lower third molar surgery. Methods. A total of 102 patients (ASA I) were divided into three groups, each of which received either 3 mL of Lbup, Bup or Lid + Epi. The intensity of postoperative analgesia was measured using a verbal rating scale (VRS). The total amounts of rescue analgesics were recorded on the first and during seven postoperative days. Patients satisfaction was noted using a modified verbal scales. Results. A significantly higher level of postoperative pain was recorded in Lid + Epi group compared to Bup and Lbup groups. No significant differences were seen between Bup and Lbup, but a significant reduction in the need for rescue analgesics was seen postoperatively in both Lbup and Bup (50%) in comparison with Lid + Epi (80%) in the first 24 hours. The same significant trend in rescue analgesic consumption was recorded for seven postoperative days. Patients? overall satisfaction was significantly lower for Lid + Epi (10%) than for Lbup (56%) and Bup (52%). Conclusion. The use of a new and long-acting local anaesthetic 0.5% levobupivacaine is clinically relevant and effective for an inferior alveolar nerve block and postoperative pain control after third molar surgery. In our study Lbup and Bup controled postoperative pain more efficiently after lower third molar surgery compared to Lid + Epi.

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