A clinical comparison of bupivacaine versus lidocaine for maxillary and mandibular anesthesia in oral surgery

Background: The purpose of this study was to compare the efficacy of bupivacaine and lignocaine for the surgical removal of mandibular impacted third molars. The study focused on pain experience and analgesic consumption. Materials and Methods: Forty patients, aged between 18-45yrs, were selected ea...

Full description

Bibliographic Details
Main Authors: Akram Khan, Amit Sangle, Aruna Tambuwala, Shehzad Sheikh, Aatif Sayed, Gaurav Khutwad
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Journal of Head & Neck Physicians and Surgeons
Subjects:
Online Access:http://www.jhnps.org/article.asp?issn=2347-8128;year=2015;volume=3;issue=2;spage=59;epage=72;aulast=Khan;type=0
_version_ 1819069557417967616
author Akram Khan
Amit Sangle
Aruna Tambuwala
Shehzad Sheikh
Aatif Sayed
Gaurav Khutwad
author_facet Akram Khan
Amit Sangle
Aruna Tambuwala
Shehzad Sheikh
Aatif Sayed
Gaurav Khutwad
author_sort Akram Khan
collection DOAJ
description Background: The purpose of this study was to compare the efficacy of bupivacaine and lignocaine for the surgical removal of mandibular impacted third molars. The study focused on pain experience and analgesic consumption. Materials and Methods: Forty patients, aged between 18-45yrs, were selected each with bilateral mandibular third molar indicated for extraction under local anesthesia. The mean age of the patients was 24 years and the ratio of males to females was 23 to 17. All patients randomly received lignocaine 2% with adrenaline 1:200,000 for one extraction and bupivacaine 0.5% with adrenaline 1:200,000 for the other sided extraction. Results: The visual analog and global pain scores for both groups were outlined. There was no significant difference between bupivacaine and lidocaine for intra-operative pain experience. Conclusion: There were no signs or symptoms of central nervous system or cardiovascular system toxicity in this study and the routine use of bupivacaine in oral surgery would appear to be a safe and effective method of producing adequate surgical analgesia and an increased post-operative pain free period.
first_indexed 2024-12-21T16:51:56Z
format Article
id doaj.art-9b9eebc1180e438a938f8afda203f537
institution Directory Open Access Journal
issn 2347-8128
2347-8128
language English
last_indexed 2024-12-21T16:51:56Z
publishDate 2015-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Head & Neck Physicians and Surgeons
spelling doaj.art-9b9eebc1180e438a938f8afda203f5372022-12-21T18:56:51ZengWolters Kluwer Medknow PublicationsJournal of Head & Neck Physicians and Surgeons2347-81282347-81282015-01-01325972A clinical comparison of bupivacaine versus lidocaine for maxillary and mandibular anesthesia in oral surgeryAkram KhanAmit SangleAruna TambuwalaShehzad SheikhAatif SayedGaurav KhutwadBackground: The purpose of this study was to compare the efficacy of bupivacaine and lignocaine for the surgical removal of mandibular impacted third molars. The study focused on pain experience and analgesic consumption. Materials and Methods: Forty patients, aged between 18-45yrs, were selected each with bilateral mandibular third molar indicated for extraction under local anesthesia. The mean age of the patients was 24 years and the ratio of males to females was 23 to 17. All patients randomly received lignocaine 2% with adrenaline 1:200,000 for one extraction and bupivacaine 0.5% with adrenaline 1:200,000 for the other sided extraction. Results: The visual analog and global pain scores for both groups were outlined. There was no significant difference between bupivacaine and lidocaine for intra-operative pain experience. Conclusion: There were no signs or symptoms of central nervous system or cardiovascular system toxicity in this study and the routine use of bupivacaine in oral surgery would appear to be a safe and effective method of producing adequate surgical analgesia and an increased post-operative pain free period.http://www.jhnps.org/article.asp?issn=2347-8128;year=2015;volume=3;issue=2;spage=59;epage=72;aulast=Khan;type=0BupivacaineImpacted third molarsLignocaineVisual analog scaleGlobal pain scale.
spellingShingle Akram Khan
Amit Sangle
Aruna Tambuwala
Shehzad Sheikh
Aatif Sayed
Gaurav Khutwad
A clinical comparison of bupivacaine versus lidocaine for maxillary and mandibular anesthesia in oral surgery
Journal of Head & Neck Physicians and Surgeons
Bupivacaine
Impacted third molars
Lignocaine
Visual analog scale
Global pain scale.
title A clinical comparison of bupivacaine versus lidocaine for maxillary and mandibular anesthesia in oral surgery
title_full A clinical comparison of bupivacaine versus lidocaine for maxillary and mandibular anesthesia in oral surgery
title_fullStr A clinical comparison of bupivacaine versus lidocaine for maxillary and mandibular anesthesia in oral surgery
title_full_unstemmed A clinical comparison of bupivacaine versus lidocaine for maxillary and mandibular anesthesia in oral surgery
title_short A clinical comparison of bupivacaine versus lidocaine for maxillary and mandibular anesthesia in oral surgery
title_sort clinical comparison of bupivacaine versus lidocaine for maxillary and mandibular anesthesia in oral surgery
topic Bupivacaine
Impacted third molars
Lignocaine
Visual analog scale
Global pain scale.
url http://www.jhnps.org/article.asp?issn=2347-8128;year=2015;volume=3;issue=2;spage=59;epage=72;aulast=Khan;type=0
work_keys_str_mv AT akramkhan aclinicalcomparisonofbupivacaineversuslidocaineformaxillaryandmandibularanesthesiainoralsurgery
AT amitsangle aclinicalcomparisonofbupivacaineversuslidocaineformaxillaryandmandibularanesthesiainoralsurgery
AT arunatambuwala aclinicalcomparisonofbupivacaineversuslidocaineformaxillaryandmandibularanesthesiainoralsurgery
AT shehzadsheikh aclinicalcomparisonofbupivacaineversuslidocaineformaxillaryandmandibularanesthesiainoralsurgery
AT aatifsayed aclinicalcomparisonofbupivacaineversuslidocaineformaxillaryandmandibularanesthesiainoralsurgery
AT gauravkhutwad aclinicalcomparisonofbupivacaineversuslidocaineformaxillaryandmandibularanesthesiainoralsurgery
AT akramkhan clinicalcomparisonofbupivacaineversuslidocaineformaxillaryandmandibularanesthesiainoralsurgery
AT amitsangle clinicalcomparisonofbupivacaineversuslidocaineformaxillaryandmandibularanesthesiainoralsurgery
AT arunatambuwala clinicalcomparisonofbupivacaineversuslidocaineformaxillaryandmandibularanesthesiainoralsurgery
AT shehzadsheikh clinicalcomparisonofbupivacaineversuslidocaineformaxillaryandmandibularanesthesiainoralsurgery
AT aatifsayed clinicalcomparisonofbupivacaineversuslidocaineformaxillaryandmandibularanesthesiainoralsurgery
AT gauravkhutwad clinicalcomparisonofbupivacaineversuslidocaineformaxillaryandmandibularanesthesiainoralsurgery