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http://hdl.handle.net/2445/52483
Title: | Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial |
Author: | Sancho Puchades, Manuel Vílchez Pérez, Miguel-Ángel Valmaseda Castellón, Eduardo Paredes García, Jordi Berini Aytés, Leonardo Gay Escoda, Cosme |
Keywords: | Anestèsia en odontologia Assaigs clínics Dolor postoperatori Dent molar Anestèsia local Extracció dental Anesthesia in dentistry Clinical trials Postoperative pain Molar Local anesthesia Teeth extraction |
Issue Date: | 1-May-2012 |
Publisher: | Medicina Oral SL |
Abstract: | Objective: To compare the anesthetic action of 0.5% bupivacaine in relation to 4% articaine, both with 1:200,000 epinephrine, in the surgical removal of lower third molars. As a secondary objective hemodynamic changes using both anesthetics were analyzed. Study Design: 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. |
Note: | Reproducció del document publicat a: http://dx.doi.org/doi:10.4317/medoral.17628 |
It is part of: | Medicina Oral, Patología Oral y Cirugia Bucal, 2012, vol. 17, num. 3, p. 462-468 |
URI: | http://hdl.handle.net/2445/52483 |
Related resource: | http://dx.doi.org/doi:10.4317/medoral.17628 |
ISSN: | 1698-4447 |
Appears in Collections: | Articles publicats en revistes (Odontoestomatologia) |
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