Comparison of efficacy and pain perception using 0.5% Bupivacaine and 2% Lidocaine in periodontal Surgery – A split mouth randomized clinical trial
Purpose: To evaluate the effectiveness of bupivacaine and lidocaine local anesthesia on the intra surgical and post-surgical pain control in patients undergoing periodontal flap surgery Subjects and methods: A randomized, single-blind, split-mouth design was employed in patients who are scheduled fo...
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| Format: | Article |
| Language: | English |
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Istanbul University
2021-09-01
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| Series: | European Oral Research |
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| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/CAD75F167DB3417E8045249B8398C3C6 |
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| author | Shanmukha Srinivas Manikanta Tirumalasetty Dwarakanath Chinniswami Doraisami Santosh Venkata Ramesh Konathala Subhadra Gautami Penmetsa Naga Venkata Satya Sai Sruthima Gottumukkala |
| author_facet | Shanmukha Srinivas Manikanta Tirumalasetty Dwarakanath Chinniswami Doraisami Santosh Venkata Ramesh Konathala Subhadra Gautami Penmetsa Naga Venkata Satya Sai Sruthima Gottumukkala |
| author_sort | Shanmukha Srinivas Manikanta Tirumalasetty |
| collection | DOAJ |
| description | Purpose: To evaluate the effectiveness of bupivacaine and lidocaine local anesthesia on the intra surgical and post-surgical pain control in patients undergoing periodontal flap surgery Subjects and methods: A randomized, single-blind, split-mouth design was employed in patients who are scheduled for periodontal flap surgery for at least two similar sextants with similar anesthetic techniques. Fifty patients (age range 16-65 years, 32 males and 28 females) enrolled in the present study. On one-site, the flap surgery was performed using 2% lidocaine with 1:200000 epinephrine and on the other with 0.5% bupivacaine with 1:200000 epinephrine. Base line clinical parameters, probing pocket depth, clinical attachment level were recorded. Pain during intra operative period, at the time of loss of numbness and for three consecutive days was measured using visual analog scale (VAS). Results: Significant differences were observed between the two groups in the intra operative pain scores (p=0.0045) and pain scores at the time of loss of numbness (p=0.0005) but not at the 1st, 2nd and 3rd day after the surgery. Conclusion: Bupivacaine was markedy more effective than the lidocaine. Thus the usage of bupivacaine can be substantiated for periodontal surgeries for the control of pain in the intra operative and immediate post-operative period to increase patients’ comfort. |
| format | Article |
| id | doaj-art-bf6d090873d04032b01e19a9c3f2474a |
| institution | OA Journals |
| issn | 2651-2823 |
| language | English |
| publishDate | 2021-09-01 |
| publisher | Istanbul University |
| record_format | Article |
| series | European Oral Research |
| spelling | doaj-art-bf6d090873d04032b01e19a9c3f2474a2025-08-20T02:11:01ZengIstanbul UniversityEuropean Oral Research2651-28232021-09-0155313914510.26650/eor.2021853507123456Comparison of efficacy and pain perception using 0.5% Bupivacaine and 2% Lidocaine in periodontal Surgery – A split mouth randomized clinical trialShanmukha Srinivas Manikanta Tirumalasetty0https://orcid.org/0000-0002-2194-0435Dwarakanath Chinniswami Doraisami1https://orcid.org/0000-0002-0506-5191Santosh Venkata Ramesh Konathala2https://orcid.org/0000-0001-7022-0023Subhadra Gautami Penmetsa3https://orcid.org/0000-0002-8744-1452Naga Venkata Satya Sai Sruthima Gottumukkala4https://orcid.org/0000-0002-7126-5829GSL Dental College, Rajahmundry, IndiaVishnu Dental College, Bhimavaram, IndiaVishnu Dental College, Bhimavaram, IndiaVishnu Dental College, Bhimavaram, IndiaVishnu Dental College, Bhimavaram, IndiaPurpose: To evaluate the effectiveness of bupivacaine and lidocaine local anesthesia on the intra surgical and post-surgical pain control in patients undergoing periodontal flap surgery Subjects and methods: A randomized, single-blind, split-mouth design was employed in patients who are scheduled for periodontal flap surgery for at least two similar sextants with similar anesthetic techniques. Fifty patients (age range 16-65 years, 32 males and 28 females) enrolled in the present study. On one-site, the flap surgery was performed using 2% lidocaine with 1:200000 epinephrine and on the other with 0.5% bupivacaine with 1:200000 epinephrine. Base line clinical parameters, probing pocket depth, clinical attachment level were recorded. Pain during intra operative period, at the time of loss of numbness and for three consecutive days was measured using visual analog scale (VAS). Results: Significant differences were observed between the two groups in the intra operative pain scores (p=0.0045) and pain scores at the time of loss of numbness (p=0.0005) but not at the 1st, 2nd and 3rd day after the surgery. Conclusion: Bupivacaine was markedy more effective than the lidocaine. Thus the usage of bupivacaine can be substantiated for periodontal surgeries for the control of pain in the intra operative and immediate post-operative period to increase patients’ comfort.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/CAD75F167DB3417E8045249B8398C3C6bupivacainelidocainelong acting local anestheticspain controlperiodontal flap surgery |
| spellingShingle | Shanmukha Srinivas Manikanta Tirumalasetty Dwarakanath Chinniswami Doraisami Santosh Venkata Ramesh Konathala Subhadra Gautami Penmetsa Naga Venkata Satya Sai Sruthima Gottumukkala Comparison of efficacy and pain perception using 0.5% Bupivacaine and 2% Lidocaine in periodontal Surgery – A split mouth randomized clinical trial European Oral Research bupivacaine lidocaine long acting local anesthetics pain control periodontal flap surgery |
| title | Comparison of efficacy and pain perception using 0.5% Bupivacaine and 2% Lidocaine in periodontal Surgery – A split mouth randomized clinical trial |
| title_full | Comparison of efficacy and pain perception using 0.5% Bupivacaine and 2% Lidocaine in periodontal Surgery – A split mouth randomized clinical trial |
| title_fullStr | Comparison of efficacy and pain perception using 0.5% Bupivacaine and 2% Lidocaine in periodontal Surgery – A split mouth randomized clinical trial |
| title_full_unstemmed | Comparison of efficacy and pain perception using 0.5% Bupivacaine and 2% Lidocaine in periodontal Surgery – A split mouth randomized clinical trial |
| title_short | Comparison of efficacy and pain perception using 0.5% Bupivacaine and 2% Lidocaine in periodontal Surgery – A split mouth randomized clinical trial |
| title_sort | comparison of efficacy and pain perception using 0 5 bupivacaine and 2 lidocaine in periodontal surgery a split mouth randomized clinical trial |
| topic | bupivacaine lidocaine long acting local anesthetics pain control periodontal flap surgery |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/CAD75F167DB3417E8045249B8398C3C6 |
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