Comparative Analysis of the Anesthetic Efficacy of 0.5 and 0.75 % Ropivacaine for Inferior Alveolar Nerve Block in Surgical Removal of Impacted Mandibular Third Molars

Bhargava, Darpan; Chakravorty, Nupur; Rethish, Elangovan; Deshpande, Ashwini

doi:10.1007/s12663-013-0534-3

Cited by 8 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…After its commercial release, ropivacaine has been extensively used for perioperative pain relief in the medical field, with consistently better outcomes than other local anesthetic agents [ 4 ]. Its use in the dental discipline has expanded to studies on periodontic procedures to evaluate its anesthetic efficacy [ 11 ], topical anesthesia of the oral mucosa [ 12 ], simple extraction procedures [ 3 13 14 ], lower third molar surgeries[ 1 4 5 15 16 17 18 19 ], surgical removal of the upper third molars[ 20 ], surgical removal of chronic periapical lesions [ 21 ], oral aphthosis [ 22 ], mandibular osteotomy [ 23 ], and postoperative pain control after elective cleft palate repair in children [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

“…In comparison to ropivacaine alone, the addition of adrenaline to the ropivacaine solution did not increase its efficacy [ 1 ]. Ropivacaine can be administered at various concentrations, including 0.5%, 0.75%, and 1% [ 4 5 ]. Compared to 0.5% ropivacaine, the 0.75% solution provides clinically sufficient pulpal anesthesia [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Compared to 0.5% ropivacaine, the 0.75% solution provides clinically sufficient pulpal anesthesia [ 2 ]. A recent study comparing 0.5% and 0.75% ropivacaine for inferior alveolar nerve block in lower third molar surgery showed that 0.75% ropivacaine was more efficacious and desirable [ 5 ]. A 2% lignocaine hydrochloride with adrenaline (1:80,000) is safe for hemodynamically healthy patients [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical efficacy of 0.75% ropivacaine vs. 2% lignocaine hydrochloride with adrenaline (1:80,000) in patients undergoing removal of bilateral maxillary third molars: a randomized controlled trial

Kakade

Joshi

Naik

et al. 2021

J Dent Anesth Pain Med

View full text Add to dashboard Cite

Background Lignocaine with adrenaline is routinely used as a local anesthetic for dental procedures. Adrenaline was added to increase the duration of anesthesia. However, epinephrine containing a local anesthetic solution is not recommended in conditions such as advanced cardiovascular diseases and hyperthyroidism. Recently, ropivacaine has gained popularity as a long-acting anesthetic with superior outcomes. The goal of this study was to assess and compare the effectiveness of 0.75% ropivacaine alone and 2% lignocaine with adrenaline (1:80,000) in the removal of bilateral maxillary wisdom teeth using the posterior superior alveolar nerve block technique. Methods This was a single-blind, randomized, split-mouth, prospective study assessing 15 systemically sound outpatients who needed bilateral removal of maxillary third molars. We randomly allocated the sides and sequences of ropivacaine and lignocaine with adrenaline administration. We evaluated the efficacy of both anesthetics with regard to the onset of anesthesia, intensity of pain, variation in heart rate, and blood pressure. Results The onset of anesthesia was faster with lignocaine (138 s) than with ropivacaine (168 s), with insignificant differences (p = 0.001). There was no need for additional local anesthetics in the ropivacaine group, while in the lignocaine with adrenaline group, 2 (13.3%) patients required additional anesthesia. Adequate intraoperative anesthesia was provided by ropivacaine and lignocaine solutions. No significant difference was observed in the perioperative variation in blood pressure and heart rate. Conclusion Ropivacaine (0.75%) is a safe and an adrenaline-free local anesthetic option for posterior superior alveolar nerve block, which provides adequate intraoperative anesthesia and a stable hemodynamic profile for the removal of the maxillary third molar.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical efficacy of 0.75% ropivacaine vs. 2% lignocaine hydrochloride with adrenaline (1:80,000) in patients undergoing removal of bilateral maxillary third molars: a randomized controlled trial

Kakade

Joshi

Naik

et al. 2021

J Dent Anesth Pain Med

View full text Add to dashboard Cite

show abstract

“…The first was an envelope flap with the incision beginning just medial to the external oblique ridge and extending to the middle of the distal line angle of the second molar. From this point, a sulcular incision was extended from the distofacial line angle of the second molar to the mesiofacial line angle of the first molar [56][57][58][59][60][61]. This flap may be modified to include a gingivectomy of the tissues overlying the third molar impaction by extension of a second incision from the external oblique line to the distolingual line of the second molar and removal of the resultant wedge of tissue.…”

Section: Review Of Literaturementioning

confidence: 99%

A Comparison of Postoperative Healing between Two Different Flaps for 3rd Molar Surgery in Controlled Diabetic Patients

Jana

Balakrishnan²,

Ebenezer³

2022

JAMMR

View full text Add to dashboard Cite

Background: A flap is a unit of tissue that is transferred from donor site to recipient site while maintaining its own blood supply. Flaps are of various shapes and forms. They can be simple advancements of skin and range up to composites of many different types of tissue. Diabetes Mellitus is a metabolic disease where there is significant elevation of blood glucose level from the normal range for prolonged periods of time. The common signs and symptoms are, frequent urination, increased thirst, increased appetite, lethargy, infections, delayed healing of wounds. The complications of surgical procedures on diabetic patients are: delayed healing, wound dehiscence and decreased immunity, thus increased incidence of infection in the surgical site. Complications of intra-oral surgical procedures include delayed healing, wound dehiscence, bone loss, periodontal derangement of teeth, infection, xerostomia causing more caries, failure of flap due to decreased vascularity. Aims and Objectives: The study aimed to answer whether Envelope Flap is better than Triangular Flap or vice versa for a mandibular 3rd molar surgery. To examine the complications of choosing a specific flap design in a minor oral surgery in patients with higher susceptibility to infection due to systemic condition, which is controlled Diabetes Mellitus. Materials and Methods: This study was conducted on 20 patients, who were taken from the out-patient of Department of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, Chennai. On one side which was picked randomly for all patients, the Triangular flap was used. On the other side, the Envelope flap was used. Conclusion: The statistical analysis P value > 0.05, which shows that the difference in post operative healing between the two flaps discussed is statistically insignificant. Thus, statistically both flaps are a viable option and both show similar results, although clinically envelope flap shows better overall results.

show abstract

“…In low concentration (0.063- 0.5%), it shows vasoconstriction per se and vasodilation at high concentration (1%) [ 29 - 31 ]. The maximum dose of 0.5% Ropivacaine for minor nerve blocks and infiltration is 200 mg. Only limited data are available concerning the dental use of Ropivacaine [ 32 - 34 ]. Therefore, it is of interest to document the comparative evaluation of 0.5% ropivacaine and lidocaine as dental pulp anaesthesia.…”

Section: Introductionmentioning

confidence: 99%

Comparative evaluation of ropivacaine and lidocaine as dental pulp anaesthesia

Senthilkumar

Ramesh

2021

Bioinformation

View full text Add to dashboard Cite

Root canal therapy linked to pulpal diseases or trauma is common in modern dental care. The 2% Lidocaine which is considered as the gold standard has some drawbacks in pulpal anaesthesia. Ropivacaine has beneficial anaesthetic effects on pulpal anaesthesia. Therefore, it is of interest to compare and evaluate the pulpal aesthetic effect using 0.5% Ropivacaine and 2% Lidocaine in symptomatic irreversible pulpitis. A double blinded randomized controlled clinical trial consisting of 110 lower molar and premolar tooth with irreversible pulpitis cases for root canal therapy were selected and randomly divided into 2 groups. Group A: 2% lidocaine with epinephrine and Group B: 0.5% ropivacaine. The pulp sensibility tests with heat test, cold test and electric pulp test were completed. The preoperative pain score was measured with Visual Analogue Scale (VAS) pain scale. Classical inferior alveolar nerve block (IANB) technique was given to all patients by a single operator. Subjects were asked for lip numbness and presence or absence of lip numbness. Postoperative pain scores were recorded during access opening and on placing files in the canal. There is no statistical difference between the groups during pre operative conditions. The mean pain scores within group A and group B is recorded. The difference was found to be statistically significant with p value ≤ 0.05. Significant difference between the mean values after and before the treatment is observed. However, there is no statistical significance between the mean pain scores between the access and pulp. The 0.5% Ropivacaine and 2% Lidocaine with epinephrine does not have any significant difference during access opening. However, 0.5% Ropivacaine groups were effective while placing the file in the canal. Thus, 0.5% Ropivacaine showed better results even though it was not statistically significant for further consideration in this context.

show abstract

Comparative Analysis of the Anesthetic Efficacy of 0.5 and 0.75 % Ropivacaine for Inferior Alveolar Nerve Block in Surgical Removal of Impacted Mandibular Third Molars

Abstract: 0.75 % ropivacaine was found suitable for inferior alveolar nerve blocks in surgical extraction of impacted mandibular third molars.

Cited by 8 publications

References 5 publications

Clinical efficacy of 0.75% ropivacaine vs. 2% lignocaine hydrochloride with adrenaline (1:80,000) in patients undergoing removal of bilateral maxillary third molars: a randomized controlled trial

Clinical efficacy of 0.75% ropivacaine vs. 2% lignocaine hydrochloride with adrenaline (1:80,000) in patients undergoing removal of bilateral maxillary third molars: a randomized controlled trial

A Comparison of Postoperative Healing between Two Different Flaps for 3rd Molar Surgery in Controlled Diabetic Patients

Comparative evaluation of ropivacaine and lidocaine as dental pulp anaesthesia

Contact Info

Product

Resources

About