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To distinguish between anesthetic efficacy of ropivacaine 0.5% and Lignocaine hydrochloride 2% with adrenaline (1:80,000) in patients having surgery for impacted mandibular third molars.
In patients requiring surgery for impacted
mandibular third molars (wisdom teeth), ropivacaine 0.5% but not lignocaine
hydrochloride 2% with adrenaline for inferior alveolar nerve block can offer
superior pain relief and effective anesthesia as established from this
randomized study.
To distinguish between anesthetic efficacy of
ropivacaine 0.5% and Lignocaine
hydrochloride 2% with adrenaline (1:80,000) in patients having surgery for
impacted mandibular third molars.
Forty patients in need of surgery of bilaterally
impacted mandibular third molars were considered. The inception, period, and
depth of anesthesia; post-surgery pain, analgesia duration, and adverse effects
of ropivacaine 0.5% and lignocaine 2% with 1:80,000 adrenaline were assessed.
The intradermal administration of .5 ml of 0.5% ropivacaine was done to look
for any allergic reaction.
Ropivacaine 0.5% had a superior depth of
anesthesia, longer duration of action, and post-surgery pain-relieving effect
compared to lignocaine 2% with 1:80,000 adrenaline. No adverse effects were
reported.
As compared to lignocaine 2% with 1:80,000 adrenaline,
the use of ropivacaine 0.5% as an anesthetic agent is safe, effective,
clinically acceptable, and equally potent for a longer duration of surgical
procedures.
Journal of Maxillofacial and Oral Surgery
Comparative Analysis of the Anesthetic Efficacy of 0.5% Ropivacaine Versus 2% Lignocaine Hydrochloride with Adrenaline (1:80,000) for Inferior Alveolar Nerve Block in Surgical Removal of Impacted Mandibular Third Molars
Ram Goyal et al.
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