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2012-05-01

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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/52483

Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial

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Recurs relacionat

http://dx.doi.org/doi:10.4317/medoral.17628

Resum

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.

Matèries

Anestèsia en odontologia, Assaigs clínics, Dolor postoperatori, Dent molar, Anestèsia local, Extracció dental

Matèries (anglès)

Anesthesia in dentistry, Clinical trials, Postoperative pain, Molar, Local anesthesia, Teeth extraction

Citació

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Articles publicats en revistes (Odontoestomatologia)

Citació

SANCHO PUCHADES, Manuel, et al. Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial. Medicina Oral. Patología Oral y Cirugia Bucal. Vol.  2012, num. 17, pags. 3. ISSN 1698-4447. [consulted: 8 of August of 2026]. Available at: https://hdl.handle.net/2445/52483

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