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Comparison between local anaesthetic agents, lidocaine and bupivacaine, in patients undergoing third molar extraction in terms of patient satisfaction. |
McCarthy, Caroline
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AIMS: (1) To determine if anaesthetic agent bupivacaine, has a prolonged effect on the period of acute postoperative pain when compared to lidocaine, a shorter acting agent. (2) To determine patient’s post-operative satisfaction and preference with regard to anaesthetic choice. METHODS: This double blind, randomised, interventional clinical trial included 85 patients. All patients had bilateral impacted lower third molars of removed under general anaesthetic. All patients received 0.5% plain bupivacaine on one randomly allocated side, with 2% lidocaine (with adrenaline) administered on the opposite side. Pain was measured using visual analogue scales at 0, 30, 60 minutes and 3, 4, 6 and 8 hours post-surgery. Pain was analysed for 1 week following surgery. Psychological evaluations and patient reported outcomes, including patient satisfaction were evaluated. RESULTS: A significant difference in pain (P=0.001) was seen during the 3-8 hour post-operative period. The upper limit of the 95% confidence interval was 10.0 or above at 3hours and 4 hours post-surgery. Two-thirds of patients preferred bupivacaine. CONCLUSION: Longer lasting anaesthetics such as bupivacaine offer a longer period of analgesia, and improve overall patient satisfaction.
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Keyword(s):
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Third molar; Patient satisfaction; Lidocaine; Bupivacaine; Split- mouth |
Publication Date:
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2016 |
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Type:
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Doctoral thesis |
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Peer-Reviewed:
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No |
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Language(s):
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English |
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Institution:
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University College Cork |
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Citation(s):
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McCarthy, C. 2016. Comparison between local anaesthetic agents, lidocaine and bupivacaine, in patients undergoing third molar extraction in terms of patient satisfaction. DClinDent Thesis, University College Cork. |
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Publisher(s):
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University College Cork |
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File Format(s):
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application/pdf |
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Supervisor(s):
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Sleeman, Duncan |
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First Indexed:
2016-07-13 05:52:52 Last Updated:
2016-10-14 05:38:03 |
