Double versus single cartridge of 4% articaine infiltration into the retro-molar area for lower third molar surgery.
10.17245/jdapm.2017.17.2.121
- Author:
Kamonpun SAWANG
1
;
Teeranut CHAIYASAMUT
;
Sirichai KIATTAVORNCHAREON
;
Verasak PAIRUCHVEJ
;
Bishwa Prakash BHATTARAI
;
Natthamet WONGSIRICHAT
Author Information
1. Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Mahidol University, Bangkok, Thailand. natthamet.won@mahidol.ac.th
- Publication Type:Original Article
- Keywords:
Anesthetics, Local;
Impacted Tooth;
Infiltration;
Surgery;
Third Molar
- MeSH:
Anesthesia;
Anesthetics, Local;
Carticaine*;
Epinephrine;
Humans;
Methods;
Molar, Third*;
Tooth;
Tooth, Impacted
- From:Journal of Dental Anesthesia and Pain Medicine
2017;17(2):121-127
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: There are no studies regarding 4% articaine infiltration injection into the retro-molar area for an impacted lower third molar (LITM) surgery. This study aimed to evaluate the efficacy of infiltration using 1.7 ml (single cartridge: SC) of 4% articaine versus 3.4 ml (double cartridges: DC) of 4% articaine with 1:100,000 epinephrine in LITM surgery. METHOD: This study involved 30 healthy patients with symmetrical LITM. The patients were assigned to receive either a DC or SC of 4% articaine with 1:100,000 epinephrine as a local anesthetic for each operation. Onset, duration, profoundness, need for additional anesthetic administration, total volume of anesthetic used, vitality of the tooth, and pain score during operation were recorded. RESULTS: The DC of 4 % articaine had a significantly higher success rate (83.3%) than did the SC (53.3%; P < 0.05). The duration of soft tissue anesthesia was longer in the DC group. The intra-operative pain was higher in the SC group with a significant (P < 0.05) requirement for a supplementary local anesthetic. CONCLUSION: We concluded that using DC for the infiltration injection had a higher success rate, longer duration of anesthesia, less intra-operative pain, and a lower amount of additional anesthesia than SC in the surgical removal of LITM. We recommend that a DC of 4% articaine and a 1:100,000 epinephrine infiltration in the retro-molar region can be an alternative anesthetic for LITM surgery.
