Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial
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 randomi...
| Autores: | ; ; ; ; ; |
|---|---|
| Tipo de documento: | Artículo |
| Estado: | Published version |
| Fecha de publicación: | 2012 |
| País: | España |
| Institución: | Universidad de Barcelona |
| Repositorio: | Dipòsit Digital de la UB |
| OAI Identifier: | oai:diposit.ub.edu:2445/52483 |
| Acceso en línea: | https://hdl.handle.net/2445/52483 |
| Nivel de acceso: | Acceso abierto |
| Palabra clave: | Anestèsia en odontologia Assaigs clínics Dolor postoperatori Dent molar Anestèsia local Extracció dental Anesthesia in dentistry Clinical trials Postoperative pain Molar Local anesthesia Teeth extraction |
| _version_ | 1878739209736421376 |
|---|---|
| author | Sancho Puchades, Manuel |
| author2 | Vílchez Pérez, Miguel-Ángel Valmaseda Castellón, Eduardo Paredes García, Jordi Berini Aytés, Leonardo Gay Escoda, Cosme |
| author2_role | author author author author author |
| author_browse | Berini Aytés, Leonardo Gay Escoda, Cosme Paredes García, Jordi Sancho Puchades, Manuel Valmaseda Castellón, Eduardo Vílchez Pérez, Miguel-Ángel |
| author_facet | Sancho Puchades, Manuel Vílchez Pérez, Miguel-Ángel Valmaseda Castellón, Eduardo Paredes García, Jordi Berini Aytés, Leonardo Gay Escoda, Cosme |
| author_role | author |
| collection | Dipòsit Digital de la UB |
| description | 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. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | ES_bd237b31c9174da6f20c7f9beea04d6d |
| institution | Universidad de Barcelona |
| instname_str | Universidad de Barcelona |
| network_acronym_str | ES |
| network_name_str | España |
| oai_identifier_str | oai:diposit.ub.edu:2445/52483 |
| publishDate | 2012 |
| publishDateSort | 2012 |
| publisher | Medicina Oral SL |
| publisherStr | Medicina Oral SL |
| reponame_str | Dipòsit Digital de la UB |
| spelling | Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial Sancho Puchades, Manuel Vílchez Pérez, Miguel-Ángel Valmaseda Castellón, Eduardo Paredes García, Jordi Berini Aytés, Leonardo Gay Escoda, Cosme Anestèsia en odontologia Assaigs clínics Dolor postoperatori Dent molar Anestèsia local Extracció dental Anesthesia in dentistry Clinical trials Postoperative pain Molar Local anesthesia Teeth extraction 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. Medicina Oral SL https://hdl.handle.net/2445/52483 |
| spellingShingle | Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial Sancho Puchades, Manuel Anestèsia en odontologia Assaigs clínics Dolor postoperatori Dent molar Anestèsia local Extracció dental Anesthesia in dentistry Clinical trials Postoperative pain Molar Local anesthesia Teeth extraction |
| status_str | publishedVersion |
| title | Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial |
| title_full | Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial |
| title_fullStr | Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial |
| title_full_unstemmed | Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial |
| title_short | Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial |
| title_sort | Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial |
| topic | Anestèsia en odontologia Assaigs clínics Dolor postoperatori Dent molar Anestèsia local Extracció dental Anesthesia in dentistry Clinical trials Postoperative pain Molar Local anesthesia Teeth extraction |
| topic_facet | Anestèsia en odontologia Assaigs clínics Dolor postoperatori Dent molar Anestèsia local Extracció dental Anesthesia in dentistry Clinical trials Postoperative pain Molar Local anesthesia Teeth extraction |
| url | https://hdl.handle.net/2445/52483 |