Bupivacaine vs. lidocaine: a comparison of local anesthetic efficacy in impacted third molar surgery
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ORIGINAL ARTICLE
Bupivacaine vs. lidocaine: a comparison of local anesthetic efficacy in impacted third molar surgery Ozlem Velioglu 1 & Aylin Sipahi Calis 2 & Huseyin Koca 2 & Emre Velioglu 3 Received: 24 June 2019 / Accepted: 23 January 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Objectives The aim of this study was to compare the anesthetic efficacy, the duration of anesthesia, and the postoperative analgesia of lidocaine and bupivacaine and to determine any difference in hemodynamic parameters in patients who required impacted third molar removal. Materials and methods Thirty-eight patients between the ages of 18 and 40, with no systemic disease, were included in the study, with an indication of impacted lower third molar extraction. One of two local anesthetic agents (Marcaine and Jetokain Simplex) was randomly selected for tooth extractions. The parameters evaluated were the onset of anesthetic agent action, the duration of operation, the duration of postoperative analgesia, and postoperative visual analog scale scores. Hemodynamic parameters were observed and evaluated preoperatively and during the operation. All data were evaluated statistically. Results When the time of anesthesia onset was analyzed according to both anesthetic solutions, the difference was in favor of lidocaine (p = 0.01). The duration of action was longer in the bupivacaine group than in the lidocaine group (p = 0.00002). VAS values for the pain obtained during injection were lower in the lidocaine group (p = 0.009).However, according to the results of our study, the postoperative analgesic efficacy of bupivacaine is similar to that of lidocaine (p = 0.087). Conclusion After evaluation of these results, we can recommend the use of lidocaine and bupivacaine safely in dentistry practice. But long-duration effect of bupivacaine and the rapid effect of lidocaine may make lidocaine more preferable. Clinical relevance It is important to determine the clinically effective and safe anesthetic solution. Keywords Bupivacaine . Lidocaine . Impacted lower third molar removal . Local anesthetic
Introduction The lower third molars are the most frequently impacted teeth due to being the last in the dental arch. They have been the subject of many studies over the years due to the complications which can occur before and after operations [1].
* Aylin Sipahi Calis [email protected] 1
Faculty of Dentistry, Oral Surgery Department, Ege University, Bornova, Izmir, Turkey
2
Faculty of Dentistry, Oral Surgery Department, Ege University, Izmir, Turkey
3
Faculty of Dentistry, Prosthetic Dentistry Department, İzmir Katip Celebi University, Izmır, Turkey
Postoperative pain, swelling, and trismus can sometimes occur after impacted third molar surgery [2, 3]. Pain is an important contributor to the development of the stress response after surgery and is the most common complication [4]. The elimination of pain is clearly necessary for the wellbeing of the patient but also more generally for the homeostasis of the organism as
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