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Comparative split-mouth study of the anesthetic efficacy of 4% articaine versus 0.5% bupivacaine in impacted mandibular third molar extraction

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Comparative split-mouth study of the anesthetic efficacy of 4% articaine versus 0.5% bupivacaine in impacted mandibular third molar extraction

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dc.contributor.author Pellicer Chover, Hilario es
dc.contributor.author Cervera Ballester, Juan es
dc.contributor.author Sanchís Bielsa, José María es
dc.contributor.author Peñarrocha Diago, María es
dc.contributor.author Peñarrocha Diago, Miguel es
dc.contributor.author García Mira, Berta es
dc.date.accessioned 2014-05-22T09:37:36Z
dc.date.available 2014-05-22T09:37:36Z
dc.date.issued 2013 es
dc.identifier.citation Pellicer Chover, Hilario ; Cervera Ballester, Juan ; Sanchís Bielsa, José María ; Peñarrocha Diago, María ; Peñarrocha Diago, Miguel ; García Mira, Berta. Comparative split-mouth study of the anesthetic efficacy of 4% articaine versus 0.5% bupivacaine in impacted mandibular third molar extraction. En: Journal of Clinical and Experimental Dentistry, 2013, Vol. 5, No. 2: 66-71 es
dc.identifier.uri http://hdl.handle.net/10550/35326
dc.description.abstract The purpose of this study was to compare the clinical efficacy of articaine at 4% (epinephrine 1:100,000) with bupivacaine at 0.5% (epinephrine 1:200,000) for surgical extraction of impacted mandibular third molars. Study Design: This was a randomized, double blind, split-mouth, clinical trial. Thirty-six patients took part and underwent extraction of 72 lower third molars. The variables studied were: anesthetic latency time, intra-operative bleeding, anesthetic quality, hemodynamic changes during the surgical intervention, anesthetic duration in the soft tissues, post-operative analgesia and post-operative pain at 2, 6, 12 and 24 hours using a visual analogue scale, as well as any need for additional rescue medication. Results: Latency time was 2.0 minutes for articaine and 3.1 minutes for bupivacaine, with statistically significant difference (p<0.05). Bleeding was greater when bupivacaine was used (p<0.05) and anesthetic quality was greater with articaine (p<0.05). The duration of soft tissue anesthesia was longer with bupivacaine (p<0.05). Differences in post-operative analgesia, haemodynamic changes, post-operative pain and the quantity of rescue medication consumed were not statistically significant (p>0.05). Conclusions: Articaine showed greater clinical efficacy than bupivacaine, reducing latency time, bleeding, anesthe - tic duration in the soft tissues and achieving higher anesthetic quality, requiring less reinforcement during surgery than bupivacaine. en_US
dc.subject Odontología es
dc.subject Ciencias de la salud es
dc.title Comparative split-mouth study of the anesthetic efficacy of 4% articaine versus 0.5% bupivacaine in impacted mandibular third molar extraction es
dc.type journal article es_ES
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.type.hasVersion VoR es_ES

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