Título:
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Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial
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Autor/a:
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Sancho Puchades, Manuel; Vílchez Pérez, Miguel-Ángel; Valmaseda Castellón, Eduardo; Paredes García, Jordi; Berini Aytés, Leonardo; Gay Escoda, Cosme
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Otros autores:
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Universitat de Barcelona |
Abstract:
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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. |
Materia(s):
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-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 |
Derechos:
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(c) Medicina Oral SL, 2012
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Tipo de documento:
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Artículo Artículo - Versión publicada |
Editor:
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Medicina Oral SL
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