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A comparison of the efficacy of topical application of Lignocaine Hydrochloride 5% gel and Bupivacaine Hydrochloride 5% gel for extraction of teeth

  • Comparative Study
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Background

With the advancements in dentistry the treatments are done with high perfections and patient comfort. Noninvasive, methods reduce fear and anxiety of the patient on phobia of syringes and injections. Topical anesthesia satisfies all the above criteria.

Aim and objective

Comparison of the efficacy of topical application of lignocaine hydrochloride 5% gel and bupivacaine hydrochloride 5% gel for extraction of teeth.

Materials and methods

Lignocaine hydrochloride 5% gel and bupivacaine hydrochloride 5% gel are prepared with carbopol (thickening agent). 510 extractions with lignocaine hydrochloride gel 5% and bupivacaine hydrochloride gel 5% in equal numbers was undertaken. Parameters of onset of anesthesia, peak effects, pain, and disappearance of numbness, local irritation, bleeding and periodontal status of teeth to be extracted were taken into consideration.

Results

Onset and peak effect were faster with 5% lignocaine hydrochloride gel. 5% bupivacaine hydrochloride gel had longer duration of analgesia. Patients experienced more pain with bupivacaine. Grade 1 mobile posterior teeth were painful during extraction.

Conclusion

5% lignocaine hydrochloride gel is better than 5% bupivacaine hydrochloride gel as a topical anesthetic for extraction of grade II and grade III mobile teeth.

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Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Gitam Dental College and Hospital, Vishakapatnam, 530045, Andhra Pradesh, India

    N. V. V. Satya Bhushan

  2. Department of Oral and Maxillofacial Surgery, PMNM Dental College and Hospital, Bagalkot, India

    Ranganath N. Nayak

Authors
  1. N. V. V. Satya Bhushan
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  2. Ranganath N. Nayak
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Correspondence to N. V. V. Satya Bhushan.

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Satya Bhushan, N.V.V., Nayak, R.N. A comparison of the efficacy of topical application of Lignocaine Hydrochloride 5% gel and Bupivacaine Hydrochloride 5% gel for extraction of teeth. J. Maxillofac. Oral Surg. 9, 119–126 (2010). https://doi.org/10.1007/s12663-010-0038-3

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  • DOI: https://doi.org/10.1007/s12663-010-0038-3

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