Effectiveness of Lidocaine with Epinephrine Irrigation in Reducing Acute Pain from Surgical Removal of Mesioangular-Impacted Third Molars
2024

Lidocaine with Epinephrine for Pain Relief After Tooth Surgery

Sample size: 28 publication 10 minutes Evidence: moderate

Author Information

Author(s): Chatupos Vuttinun, Apiphathanamontri Molee, Yuthavong Sumatee, Chatiketu Piyanart, Hutachok Nuntouchaporn, Srichairatanakool Somdet

Primary Institution: Chiang Mai University

Hypothesis

Does lidocaine with epinephrine irrigation reduce acute postoperative pain in patients undergoing the surgical removal of mesioangular-impacted third molars?

Conclusion

Lidocaine with epinephrine irrigation effectively reduces acute postoperative pain in patients undergoing third molar surgery.

Supporting Evidence

  • The VAS levels at 3 and 4 hours after surgery were significantly lower in the lidocaine group compared to the normal saline group.
  • No complications were recorded during the study.
  • Patients receiving lidocaine with epinephrine used less paracetamol for pain relief compared to those receiving normal saline.

Takeaway

This study found that using a special numbing solution during tooth surgery helps make the pain go away faster after the operation.

Methodology

A split-mouth, double-blind, randomized clinical trial with 28 patients receiving either lidocaine with epinephrine or normal saline irrigation after surgery.

Potential Biases

Potential bias due to the subjective nature of pain assessment using VAS.

Limitations

The study had a small sample size and was limited to a specific age group.

Participant Demographics

28 patients, 13 males (46.43%) and 15 females (53.57%), mean age 21.75 years.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/dj12120412

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