Double versus single cartridge of 4% articaine infiltration into the retro-molar area for lower third molar surgery
| Autor: | Bishwa Prakash Bhattarai, Teeranut Chaiyasamut, Kamonpun Sawang, Natthamet Wongsirichat, Verasak Pairuchvej, Sirichai Kiattavornchareon |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Molar
medicine.medical_specialty medicine.drug_class Articaine Impacted Tooth 03 medical and health sciences 0302 clinical medicine Third molar surgery 030202 anesthesiology medicine Anesthetics Local Local anesthetic business.industry Infiltration Soft tissue 030206 dentistry medicine.disease Surgery Third Molar Epinephrine Anesthesia Anesthetic Original Article business Infiltration (medical) medicine.drug |
| Zdroj: | Journal of Dental Anesthesia and Pain Medicine |
| ISSN: | 2383-9317 2383-9309 |
| Popis: | BACKGROUND There are no studies regarding 4% articaine infiltration injection into the retro-molar area for an impacted lower third molar (LITM) surgery. This study aimed to evaluate the efficacy of infiltration using 1.7 ml (single cartridge: SC) of 4% articaine versus 3.4 ml (double cartridges: DC) of 4% articaine with 1:100,000 epinephrine in LITM surgery. METHOD This study involved 30 healthy patients with symmetrical LITM. The patients were assigned to receive either a DC or SC of 4% articaine with 1:100,000 epinephrine as a local anesthetic for each operation. Onset, duration, profoundness, need for additional anesthetic administration, total volume of anesthetic used, vitality of the tooth, and pain score during operation were recorded. RESULTS The DC of 4 % articaine had a significantly higher success rate (83.3%) than did the SC (53.3%; P < 0.05). The duration of soft tissue anesthesia was longer in the DC group. The intra-operative pain was higher in the SC group with a significant (P < 0.05) requirement for a supplementary local anesthetic. CONCLUSION We concluded that using DC for the infiltration injection had a higher success rate, longer duration of anesthesia, less intra-operative pain, and a lower amount of additional anesthesia than SC in the surgical removal of LITM. We recommend that a DC of 4% articaine and a 1:100,000 epinephrine infiltration in the retro-molar region can be an alternative anesthetic for LITM surgery. |
| Databáze: | OpenAIRE |
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