Is prilocaine safe and potent enough for use in the oral surgery of medically compromised patients

Gazal, Giath

doi:10.15537/smj.2019.1.23475

Cited by 14 publications

(29 citation statements)

References 8 publications

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“…Ozkiriş et al investigated the efficacy of 3 local anesthetic in their study, and showed that lidocaine whose effect started rapidly, was less effective than bupivacaine and ropivacaine which were long-acting after the 8th hour 14 . It has been reported that the duration of action of prilocaine in dental procedures starts faster than lidocaine 15,16 . In our study, a significant decrease was found in the prilocaine group, especially in pain during the early postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Effect of peritonsillar prilocaine infiltration on post-tonsillectomy pain in pediatric population

Taş¹,

Erden²,

Şimşek³

2021

Cukurova Medical Journal

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This study aims to evaluate the efficacy of peritonsillar prilocaine in post-tonsillectomy pain by using the Visual Analog Scale (VAS). Materials and Methods: A total of 40 pediatric patients were included in this study. There were 20 patients in the prilocaine group (Group 1) and 20 patients in the control group (Group 2). In Group 1, peritonsillar prilocaine infiltration was performed. In Group 2, peritonsillar saline infiltration was performed. VAS scores of at the postoperative 1st, 4th, 12th and 24th hours and on the 2nd, 3rd, 4th, 5th, 6th and 7th days were evaluated. In addition, the presence of nausea and vomiting and the number of additional doses of intravenous paracetamol administered in the first 24 hours were evaluated. Results: When the groups were compared, a significant reduction in post-tonsillectomy pain was observed in the prilocaine group at the 1st, 4th and 12th hours compared to the control group. There was no significant difference between the two groups in other scores. There was no significant difference between the groups for nausea and vomiting and consumption of paracetamol values. Conclusion: Peritonsillar prilocaine infiltration was effective in post-tonsillectomy pain at the 1st, 4th and 12th hours postoperatively. Thus, peritonsillar prilocaine infiltration can be used in post-tonsillectomy pain because it is fast and effective.

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Section: Discussionmentioning

confidence: 99%

Effect of peritonsillar prilocaine infiltration on post-tonsillectomy pain in pediatric population

Taş¹,

Erden²,

Şimşek³

2021

Cukurova Medical Journal

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“…Lack of knowledge and training on the management of dental chair medical emergency problems is considered a main source of anxiety affecting not only patient's perception but also all junior and senior dental practitioners [7][8][9][10][11]. Therefore, a successful dental school is the one that has competent clinical trainers who contribute to students' relevant professional development [8][9][10][11][12]. By establishing such an action, a competent dental student and trainer will be able to treat and safely handle any dental chair medical emergency condition with a minimal level of anxiety [7].…”

Section: Discussionmentioning

confidence: 99%

Measuring the Level of Medical-Emergency-Related Knowledge among Senior Dental Students and Clinical Trainers

Gazal

Aljohani

Al-Samadani

et al. 2021

IJERPH

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Objectives: This study aimed to measure the level of medical-emergency-related knowledge among senior dental students and clinical trainers in Saudi Arabia. Methods: This cross-sectional pilot survey was conducted at Taibah Dental College, Madina, Saudi Arabia between March 2017 and November 2018. Two hundred and seventy-five self-administered anonymous questionnaires on the management of common medical emergencies were distributed to all senior dental students and clinical trainers at Taibah Dental College. Results: There was a serious lack of knowledge regarding the management of medical emergency scenarios among the participants. Only 54% of participants knew the correct management for some frequent and life-threating conditions such as “crushed chest pain”, and only 30–35% of participants knew the correct management of deeply sedated patients with benzodiazepine overdose and crisis of hypoadrenalism. Moderate-quality knowledge (50–74% of participants responded correctly) was noted for the following conditions: sudden onset of brain stroke, psychiatric patient, unconscious patient with hypoglycemia, patient with postural hypotension, and patient with hyperventilation. Based on the scale of knowledge, there were significant differences in the level of knowledge between clinical trainers, senior dental students, and junior dental students (p ≤ 0.01). Almost all students and 90% of trainers declared the need for further training. Conclusions: The overall knowledge regarding the management of medical emergency crises in the dental chair was moderate. However, the scale of knowledge regarding the management of medical emergency crises has gradually increased with the number of years of experience. Most participants recognize the need for further training.

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“…Emergency extraction can be carried out for a patient with blood glucose ≤234 mg/dl, has a painful mobile tooth on condition that LA without adrenaline must be administrated and a course of amoxicillin 500 mg for 5 days must be given after extraction (Gazal, 2019, Gazal et al, 2018, Byakodi et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

Management of an emergency tooth extraction in diabetic patients on the dental chair

Gazal

2020

The Saudi Dental Journal

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Background and objectiveApproximately 75% of diabetic patients in Saudi Arabia had poor glycaemic control. A high proportion of these patients will attend dental surgery clinics for treatment. Therefore, dentists should be well-prepared to control any complications they might arise on the dental chair during the dental procedures. Management of the associated risk factors is important to limit disease complications and improve the health of patients with diabetes.The objectives of this review were to determine the maximum acceptable level of blood glucose for tooth removal in diabetics, show a systematic technique for the management of patients with diabetes on the dental chair. By using PRISMA guidelines, analysis of the published articles and reports across the world is considered one of the most appropriate available methods to obtain strong evidence about the acceptable levels of blood glucose where teeth extraction can be done safely.ResultsA total of 1080 studies were retrieved using the search strategy. After screening 185 titles, abstracts and 85 full-text articles, 36 studies were included. The outcome of this systematic review revealed that fasting blood glucose level of 240 mg/dl is a critical point for any dental treatment because the warning signs of diabetes start coming out. Maximum acceptable levels of blood glucose for removal of teeth in diabetics are 180 mg/dl (before meal) and 234 mg/dl (2 h after a meal). High blood glucose levels reduce the secretion of nitric oxide (powerful vasodilator) in the body which leads to poor circulation and slow-healing socket. Uncontrolled diabetics are at high risk of infection because of the high ketone levels in the blood.ConclusionFasting blood glucose level of 180 mg/dl is a cut-off point for any selective dental extraction. However, Random blood glucose level of 234 mg/dl (13 mmol/l) is a cut-off point for an emergency tooth extraction. Tightly controlled diabetic patients (blood glucose level below 70 mg/dl) are susceptible to hypoglycemia.

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Is prilocaine safe and potent enough for use in the oral surgery of medically compromised patients

Cited by 14 publications

References 8 publications

Effect of peritonsillar prilocaine infiltration on post-tonsillectomy pain in pediatric population

Effect of peritonsillar prilocaine infiltration on post-tonsillectomy pain in pediatric population

Measuring the Level of Medical-Emergency-Related Knowledge among Senior Dental Students and Clinical Trainers

Management of an emergency tooth extraction in diabetic patients on the dental chair

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