Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial
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Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial

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Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial

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dc.contributor.author Sancho Puchades, Manuel es
dc.contributor.author Vílchez Pérez, Miguel Angel es
dc.contributor.author Valmaseda Castellón, E. es
dc.contributor.author Paredes García, Jordi es
dc.contributor.author Berini Aytés, Leonardo es
dc.contributor.author Gay Escoda, Cosme es
dc.date.accessioned 2017-07-25T10:17:38Z
dc.date.available 2017-07-25T10:17:38Z
dc.date.issued 2012 es
dc.identifier.uri http://hdl.handle.net/10550/59956
dc.description.abstract Objective: To compare the anesthetic action of 0.5% bupivacaine in relation to 4% articaine, both with 1:200,000 epinephrine, in the surgical removal of lower third molars. As a secondary objective hemodynamic changes using both anesthetics were analyzed. Study Design: Triple-blind crossover randomized clinical trial. Eighteen patients underwent bilateral removal of impacted lower third molars using 0.5% bupivacaine or 4% articaine in two different appointments. Preoperative, intraoperative and postoperative variables were recorded. Differences were assessed with McNemar tests and repeated measures ANOVA tests. Results: Both solutions exhibited similar latency times and intraoperative efficacy. Statistical significant lower pain levels were observed with bupivacaine between the fifth (p=0.011) and the ninth (p=0.007) postoperative hours. Bupivacaine provided significantly longer lasting soft tissue anesthesia (p<0.05). Systolic blood pressure and heart rate values were significantly higher with articaine. Conclusions: Bupivacaine could be a valid alternative to articaine especially due to its early postoperative pain prevention ability. es
dc.source Sancho Puchades, Manuel ; Vílchez Pérez, Miguel Angel ; Valmaseda Castellón, E. ; Paredes García, Jordi ; Berini Aytés, Leonardo ; Gay Escoda, Cosme. Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial. En: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, 17 3 2012: 28- es
dc.title Bupivacaine 0.5 % versus articaine 4 % for the removal of lower third molars. A crossover randomized controlled trial es
dc.type info:eu-repo/semantics/article en
dc.type info:eu-repo/semantics/publishedVersion en
dc.subject.unesco UNESCO::CIENCIAS MÉDICAS es
dc.identifier.doi 10.4317/medoral.17628 es

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