The Anesthetic Efficacy of Articaine as Buccal Injection Compared to Lidocaine Baccual and Palatal Injection for Maxillary Premolar Teeth Extraction A Randomized, Single-Blinded, Clinical Trial.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anesthesia, Local
- Sponsor
- University of Baghdad
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Pain during Extraction
- Status
- Active, not recruiting
- Last Updated
- 2 years ago
Overview
Brief Summary
This study Is designed as a prospective randomized, single-blinded clinical trial. To evaluate The anesthetic efficacy of articaine as a buccal Injection for maxillary premolar teeth extraction, compared to lidocaine as a buccal and palatal injection.
Detailed Description
In the current study, the sample size (200) patients were distributed into two groups, group (A), 100 patients extracted upper premolar teeth by using 1.8 mL cartridges of 4% articaine hydrochloride with 1:100,000 epinephrine (Artheek, Colombia) as a buccal injection without palatal injection, and Group (B), 100 patients were removed upper premolar teeth by using Injectable local anesthetic agents included; 1.8 mL cartridges of 2% lidocaine hydrochloride with 1:80,000 epinephrine (Huons, Korea) as a buccal and palatal injection, the pain assessment after extraction was assessed by using (vas) visual analog scale, comparison between the outcomes by the two groups were evaluated, according to many variables (age, gender, extracted tooth, type of anesthesia, extraction duration).
Investigators
Almustafa Qays Abdulkareem
ALMUSTAFA QAYS ABDULKAREEM, POST GRADUATE STUDENT,UNIVERSITY F BAGHDAD
University of Baghdad
Eligibility Criteria
Inclusion Criteria
- •Patients ≥ 16 years old, including both genders.
- •Patients indicated for extraction of one of the maxillary premolar's teeth.
Exclusion Criteria
- •Patients who were allergic to the local anesthetic agents used in this study.
- •Patients who presented with acute periapical infections.
- •Patients who required surgical extraction that entails flap reflection and bone removal.
- •Pregnant patients.
- •Patients with uncontrolled systemic diseases.
- •Patients are taking medications affecting pain assessment, like opioids.
Outcomes
Primary Outcomes
Pain during Extraction
Time Frame: Assessment of pain in the period during which the extraction has been made and up to 5 minutes after extraction of the tooth.
In the current study the pain during extraction was assessed by using the Visual Analogue Scale (VAS 0-10 cm ) one of the most commonly used self-reporting measures of pain, it measures a characteristic that is believed to range across a continuum of values range from (0 no pain) to the end (10 un bearable pain) which is not easy to measure directly .