التفاصيل البيبلوغرافية
| العنوان: |
Effect of Intraligamentary Tramadol Hydrochloride on Anesthetic Success During Endodontic Management of Mandibular Molars: A Randomized Clinical Controlled Trial. |
| المؤلفون: |
AGGARWAL, Vivek, SINGLA, Mamta, GUPTA, Alpa, KUMAR, Umesh, SAATCHI, Masoud |
| المصدر: |
European Endodontic Journal; Mar2024, Vol. 9 Issue 2, p99-105, 7p |
| مصطلحات موضوعية: |
TRAMADOL, ENDODONTICS, MOLARS, CHI-squared test, PULSE oximeters |
| مستخلص: |
Objective: Tramadol hydrochloride has shown local anesthetic properties similar to lidocaine, apart from a central analgesic effect. The present study evaluated the effect of the administration of tramadol alone or in addition to 2% lidocaine, as supplementary intraligamentary injections. Methods: One hundred and five patients, with a failed primary inferior alveolar nerve block (IANB), were randomly allocated to one of the three supplementary intraligamentary groups: 2% lidocaine with 1:80,000 epinephrine; tramadol hydrochloride (50 mg/mL); and 2% lidocaine with 1:80,000 epinephrine plus tramadol hydrochloride. Patients received 1.2 mL doses (0.6 mL of each root). Patients reporting pain ≤54 on Heft Parker visual analogue scale (Heft-Parker VAS), were categorized as successful anesthesia. A finger pulse oximeter was used to measure the heart rates. The anesthetic success rates, gender, and type of tooth were compared using the Pearson chi-square test. The heart rates and age were statistically evaluated using the one-way analysis of variance test. The level of significance was set at 0.05 (p=0.05). Results: The initial IANB was successful in 31% of cases. There were significant differences in the anesthetic success rates of different supplementary intraligamentary injections (χ²= 33.6, p<0.001, df=2). The 2% lidocaine- plus-tramadol resulted in significantly higher success rates than the two groups. There were no significant changes in the baseline heart rates of all groups (p>0.05). Conclusion: The addition of tramadol to 2% lidocaine with 1:80,000 epinephrine, given as supplementary intraligamentary injection, can help in achieving successful anesthesia during the endodontic management of mandibular molars with irreversible pulpitis resistant to IANB injections. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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