Evaluation of the efficacy of buffered local anesthetic in extraction of infected teeth—randomized double-blind study

Tole, Ninad; Neeli, Arati

doi:10.1007/s10006-024-01206-5

Oral Maxillofac Surg

2024

DOI: 10.1007/s10006-024-01206-5

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Evaluation of the efficacy of buffered local anesthetic in extraction of infected teeth—randomized double-blind study

Ninad Tole,

Arati Neeli

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2024

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Cited by 1 publication

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Buffered versus Non-buffered Local Anaesthesia in Minor Oral Surgery - A Comparative Study

Gorrela,

Srujana,

Arthi

2024

Annals of Maxillofacial Surgery

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Introduction: Commercially available local anaesthetics are acidic solutions associated with the vasopressor sting on injection, relatively slower onset of action and pain during palatal injections. The above drawbacks can be addressed by anaesthetic buffering. This prospective study was aimed at comparing the efficacy of buffered and non-buffered local anaesthesia in the extraction of grossly decayed maxillary molar teeth in relation to pain on local infiltration, onset and duration of action of local anaesthesia. Materials and Methods: This is a prospective randomised controlled trial done on 100 patients who required bilateral extraction of maxillary molar teeth. In the study group, patients were given buffered local anaesthesia (which was prepared by mixing 2% lignocaine with 1:80,000 adrenaline and 8.4% sodium bicarbonate) before extraction. In the control group, non-buffered local anaesthesia (2% lignocaine with 1:80,000 adrenaline) was given before extraction. Results: Statistical data confirmed that buffering reduces pain on infiltration, decreases the onset and increases the duration of action of the local anaesthesia compared to non-buffered local anaesthesia. All the parameters measured were statistically significant (P = 0.001). Discussion: The study concludes that buffered local anaesthesia was more beneficial than non-buffered local anaesthesia in reducing pain on injection, providing a quicker onset of local anaesthesia and increasing the duration of action of the local anaesthesia. Buffering is a safe, easy and efficient process and should be routinely followed to provide a better experience to the patients.

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Buffered versus Non-buffered Local Anaesthesia in Minor Oral Surgery - A Comparative Study

Gorrela,

Srujana,

Arthi

2024

Annals of Maxillofacial Surgery

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Evaluation of the efficacy of buffered local anesthetic in extraction of infected teeth—randomized double-blind study

Cited by 1 publication

References 14 publications

Buffered versus Non-buffered Local Anaesthesia in Minor Oral Surgery - A Comparative Study

Buffered versus Non-buffered Local Anaesthesia in Minor Oral Surgery - A Comparative Study

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