Postoperative pain after bupivacaine supplementation in mandibular third molar surgery: splint-mouth randomized double blind controlled clinical trial

Souza, Ana Mara Morais de; Horliana, Anna Carolina Ratto Tempestini; Simone, José Leonardo; Jorge, Waldyr Antônio; Tortamano, Isabel Peixoto

doi:10.1007/s10006-014-0471-4

Cited by 6 publications

(7 citation statements)

References 19 publications

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“…Recent studies of local anesthesia comparing the efficiency of lidocaine with articaine and bupivacaine have been published. [5][6][7][8] In all the onset of action of these drugs is not as much an issue in relation to postoperative pain as the duration of action. Bupivacaine should be the local anesthetic of choice when it comes to achieving long-acting postoperative anesthesia.…”

Section: Pain Controlmentioning

confidence: 99%

Best Practices for Management of Pain, Swelling, Nausea, and Vomiting in Dentoalveolar Surgery

Drew¹

2015

Oral and Maxillofacial Surgery Clinics of North America

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Section: Pain Controlmentioning

confidence: 99%

Best Practices for Management of Pain, Swelling, Nausea, and Vomiting in Dentoalveolar Surgery

Drew¹

2015

Oral and Maxillofacial Surgery Clinics of North America

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“…Perioperative pain reduces the patient's cooperation and then prolongs the surgery [6]. Consequently, the rate of postoperative edema and discomfort also increase [13].…”

Section: Introductionmentioning

confidence: 99%

“…Perioperative pain reduces the patient's cooperation and then prolongs the surgery [ 6 ]. Consequently, the rate of postoperative edema and discomfort also increase [ 13 ]. Efforts to achieve complete intraoperative anesthesia have been the subject of several previous studies.…”

Section: Introductionmentioning

confidence: 99%

Comparison of lidocaine with articaine buccal injection in reducing complications following impacted mandibular third molar surgery: a split-mouth randomized clinical trial

Naghipour

Esmaeelinejad

Dehnad

et al. 2020

J Dent Anesth Pain Med

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Background: Complications following impacted third molar surgery significantly affect patients' quality of life during the immediate postoperative period. This study aimed to achieve the proper anesthesia method by comparing the effect of the application of lidocaine alone with the application of lidocaine and articaine simultaneously in reducing the complications during and following impacted mandibular third molar surgery. Methods: The study design was a split-mouth double-blind randomized clinical trial. The study was conducted on 13 patients (26 samples) referred for elective surgical removal of bilateral impacted mandibular third molar with similar difficulty on both sides. Each patient underwent similar surgical procedures on two separate appointments. Each patient randomly received 2% lidocaine for conventional inferior alveolar nerve block and 4% articaine for local infiltration before the surgery on one side (group A) and 2% lidocaine alone (for both block anesthesia and infiltration) before the surgery on the other side (group B). Intraoperative and postoperative variables for both groups were established and statistically analyzed. Results: The findings showed that pain on the first day after surgery in group A was significantly lower than that in group B. The patients in group A mentioned experiencing less discomfort following the surgery. The increased horizontal swelling on the first and third days following surgery and oblique swelling on the seventh day in patients in group B were statistically significant. Conclusion: Choosing an appropriate anesthetic drug for oral surgery, specifically impacted third molar surgery, is dependent on the clinician's opinion, however; it seems that the combination of lidocaine and articaine may control the patient's pain significantly better than lidocaine alone.

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“…These agents are unable to provide good perioperative analgesia in surgery patients; hence, separate ultra-long LA injection has been used to control postoperative pain. [67] However, using two different LA agents, one for block and other for postoperative analgesia are not safe and economical. [7]…”

Section: Introductionmentioning

confidence: 99%

Role of addition of dexamethasone to lignocaine 2% with adrenaline in dental nerve blocks for third molar surgery: A prospective randomized control trial

Deo

2016

Ann Maxillofac Surg

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Context:Dexamethasone has been frequently used in oral surgical procedure and accepted by oral and maxillofacial surgeon community worldwide. However, this is the first clinical trial that used dexamethasone as adjuvant with lignocaine in dental nerve block (DNB).Aims:The purpose of this double-blind, randomized control trial (RCT) was to compare the effect of dexamethasone with normal saline (NS) in a lignocaine DNB.Settings and Design:This prospective, double-blind, RCT was carried out after obtaining approval from the Institutional Ethical Committee.Subjects and Methods:In forty patients, the present placebo-controlled clinical trial was conducted; allocated randomly into two groups: study group (SG) or control group (CG). The single-dose submucosal dexamethasone or NS injection was administered immediately after 2% lignocaine with epinephrine 1:2,00,000 nerves block during mandibular third molar surgery (TMS). Visual analog scale score, number, and exact time nonsteroidal anti-inflammatory drugs were administered were used to measure postoperative analgesia in 2nd and 7th days.Statistical Analysis Used:All the data were entered into the Spreadsheet (Excel, Microsoft) and Chi-square test, Mann–Whitney U-test, Student's paired and unpaired t-test, and Fisher exact test were used.Results:This study found maximum duration of DNB in SG was 248.88 min and in CG was 175.44 min, whereas minimum duration in SG was 197 min and in CG was 140.78 min.Conclusions:Dexamethasone prolongs the action of lignocaine 2% in DNB for TMS.

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Postoperative pain after bupivacaine supplementation in mandibular third molar surgery: splint-mouth randomized double blind controlled clinical trial

Abstract: There is no appreciable value to the second injection regarding pain and analgesia use, but there was a difference regarding patient acceptance in surgeries of mandibular semi-enclosed and impacted third molars.

Cited by 6 publications

References 19 publications

Best Practices for Management of Pain, Swelling, Nausea, and Vomiting in Dentoalveolar Surgery

Best Practices for Management of Pain, Swelling, Nausea, and Vomiting in Dentoalveolar Surgery

Comparison of lidocaine with articaine buccal injection in reducing complications following impacted mandibular third molar surgery: a split-mouth randomized clinical trial

Role of addition of dexamethasone to lignocaine 2% with adrenaline in dental nerve blocks for third molar surgery: A prospective randomized control trial

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