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논문 기본 정보

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학술저널
저자정보
Boonsiriseth, Kiatanant (Department of Oral &Maxillofacial Surgery, Faculty of Dentistry, Mahidol University) Chaimanakarn, Sittipong (Department of Oral &Maxillofacial Surgery, Faculty of Dentistry, Mahidol University) Chewpreecha, Prued (Department of Oral &Maxillofacial Surgery, Faculty of Dentistry, Mahidol University) nonpassopon, Natee (Department of Oral &Maxillofacial Surgery, Faculty of Dentistry, Mahidol University) Khanijou, Manop (Department of Oral &Maxillofacial Surgery, Faculty of Dentistry, Mahidol University) Ping, Bushara (Faculty of Odonto-Stomatology, University of Health Sciences of Cambodia [UHS]) Wongsirichat, Natthamet (Department of Oral &Maxillofacial Surgery, Faculty of Dentistry, Mahidol University)
저널정보
대한치과마취과학회 Journal of dental anesthesia and pain medicine Journal of dental anesthesia and pain medicine 제17권 제1호
발행연도
2017.1
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29 - 35 (7page)

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Background: No study has compared lidocaine with articaine, each at a concentration of 4% and combined with epinephrine. The purpose of this study was to compare the effectiveness of 4% lidocaine with that of 4% articaine, with a concentration of 1:100,000 epinephrine added to each, in an inferior alveolar nerve block for surgery on impacted lower third molars. Method: This study was conducted at the Faculty of Dentistry, Mahidol University in Bangkok, Thailand. The randomized, single-blind, comparative split-mouth study was carried out in patients with symmetrically impacted lower third molars, as identified on panoramic radiographs. Each patient underwent surgery for the removal of the lower third molars by the same surgeon under local anesthesia at two separate visits, 3 weeks apart. The onset and duration of local anesthesia, intra-operative pain, surgical duration, and number of additional anesthetics administered were recorded. Results: The subjective and objective onset of action for the local anesthetics showed statistically significant differences (P < 0.05). However, the intra-operative pain, surgical duration, duration of local anesthesia, and number of additional anesthetics administered did not show statistically significant differences. Conclusion: The use of 4% articaine for the inferior alveolar nerve block was clinically more effective in the onset of subjective and objective anesthesia as compared with the use of 4% lidocaine. Based on the pain scores from the visual analogue scale, 4% lidocaine provided more analgesia during the procedure, and patients noted less intra-operative pain than with 4% articaine; however, the difference was not clinically significant.
#Alveolar Nerve #Inferior #Articaine #Lidocaine #Nerve Block #Third Molar #Visual Analog Scale

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참고문헌 (21)

참고문헌 신청
Malamed SF / 2014 / Handbook of Local Anesthetisia / Mosby :366~369 google schola Ping B / 2014 / Effect of high concentration lidocaine for mandibular teeth anesthesia : Review literature / M Dent J 34:364~372 google schola Bushara Ping / 2015 / The efficacy of an elevated concentration of lidocaine HCl in impacted lower third molar surgery / Journal of Dental Anesthesia and Pain Medicine 15(2):69~76 Crossref Bushara Ping / 2015 / Hemodynamic changes associated with a novel concentration of lidocaine HCl for impacted lower third molar surgery / Journal of Dental Anesthesia and Pain Medicine 15(3):121~128 Crossref Whitcomb M / 2010 / A prospective, randomized, double-blind study of the anesthetic efficacy of sodium bicarbonate buffered 2%lidocaine with 1:100,000 epinephrine in inferior alveolar nerve blocks / Anesth Prog 57:59~66 google schola

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