期刊
CLINICAL ORAL INVESTIGATIONS
卷 22, 期 9, 页码 2981-2988出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00784-018-2386-1
关键词
Articaine; Bupivacaine; Postoperative pain; Acute pain; Third molar surgery
ObjectiveThe objective of this randomized controlled clinical trial (RCT) was to compare the effect of bupivacaine and articaine at habitual doses on pain intensity and the need for analgesics after lower third molar extraction.Materials and methodsThe final study sample comprised 50 Caucasian volunteers (26 males and 24 females; age range, 18-30years) undergoing scheduled surgical extraction of impacted lower third molar. A computer-generated random sequence was used to allocate participants to the articaine (4%) or bupivacaine (0.5%) group. Surgeons and patients were blinded by labeling the articaine and bupivacaine carpules with numbers (1 and 2, respectively). Postoperative pain intensity (primary outcome) was evaluated with a visual analogue scale (VAS), while the requirement for and timing of rescue medication and the quality of intraoperative anesthesia were also measured (secondary outcomes).ResultsVAS-measured pain intensity was significantly higher (p<0.05) in the articaine group than in the bupivacaine group at all time points except for 8h post-surgery (p=0.052). Rescue medication was required by 13 (52%) patients in the articaine group and 8 (32%) patients in the bupivacaine group, although the difference did not reach statistical significance (p=0.252). The groups did not significantly differ (p=0.391) in the quality of the intraoperative anesthesia.ConclusionsBupivacaine is a valid alternative to articaine in third molar surgery and may offer residual anesthesia as a means of reducing postoperative pain. However, further well-designed RCTs are required in larger study populations to verify the effectiveness of bupivacaine to achieve residual analgesia after oral surgery.Clinical relevanceThese findings suggest that bupivacaine may be useful as a coadjuvant to control acute postoperative pain.Trial registrationACTRN12617001138370
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据