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Erschienen in: Oral and Maxillofacial Surgery 1/2018

23.01.2018 | Original Article

Is amalgamated ligno-bupivacaine an answer to complicated minor oral surgical anesthesia? A randomized split-mouth double-blind clinical trial

verfasst von: Akshay Mishra, Monica Mahajan, Chandrashekhar Bande, Ajit Joshi, Mayur Gawande, M. K. Gupta

Erschienen in: Oral and Maxillofacial Surgery | Ausgabe 1/2018

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Abstract

Purpose

The purpose of this study was to find a suitable anesthetic combination for complicated and protracted minor oral surgical procedures.

Methods

Fifty patients with bilaterally impacted deep-seated mandibular third molars were included in this study and randomly divided on the basis of anesthetic used into two groups. Group A received 2% lignocaine with 1:200,000 adrenaline while in group B, amalgamated mixture of 2% lignocaine and 0.5% bupivacaine was used. The onset time, duration of anesthetic effect, supplementary injections, pain (during local anesthetic deposition, intra and postoperatively), and postoperative analgesia were the study parameters. Chi-square and unpaired t tests were used to compare means.

Results

The onset time in both the groups was comparable and showed statistically significant difference between the duration of anesthetic effect with notable requirement of supplemental anesthetic injections in group A (54%) (p < 0.05). Pain scores also revealed a statistically significant intergroup difference (p < 0.05). Requirement of postoperative analgesics was delayed in group B.

Conclusions

The amalgamated mixture of lignocaine and bupivacaine had equivocally rational onset and provided a more profound and in-depth anesthesia especially in complicated and protracted minor oral surgical procedures. Though this mixture is widely used in other surgical fields, its efficacy still remains unexploited and undocumented in oral and maxillofacial surgical procedures.
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Metadaten
Titel
Is amalgamated ligno-bupivacaine an answer to complicated minor oral surgical anesthesia? A randomized split-mouth double-blind clinical trial
verfasst von
Akshay Mishra
Monica Mahajan
Chandrashekhar Bande
Ajit Joshi
Mayur Gawande
M. K. Gupta
Publikationsdatum
23.01.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Oral and Maxillofacial Surgery / Ausgabe 1/2018
Print ISSN: 1865-1550
Elektronische ISSN: 1865-1569
DOI
https://doi.org/10.1007/s10006-018-0676-z

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