COMPARATIVE EVALUATION OF LIDOCAINE AND BUPIVACAINE FOR PAIN MANAGEMENT IN ENDODONTIC THERAPY OF IRREVERSIBLE PULPITIS
DOI:
https://doi.org/10.33279/jkcd.v15i03.944Keywords:
Endodontics anesthesia, Lidocaine, Bupivacaine and Irreversible pulpitisAbstract
Objectives: The aim of this study is to compare the ability of lidocaine and bupivacaine to relieve pain during the treatment of irreversible pulpitis in endodontics.
Materials and Methods: The research involved 66 patients with symptomatic irreversible pulpitis, who received treatment at a dental hospital. Local anesthetic agents, lidocaine and bupivacaine, were randomized and given to individual patients in Groups A and B, respectively. Patient data included demographics and quadrant of teeth, as well as information on how much relief was noticed by report of dental pain. Data was analyzed in SPSS 22 to find out if there were any differences in anesthetic success rates between the two groups and among subgroups divided by age, gender, tooth location and periapical status.
Results: For anesthetic effectiveness, bupivacaine worked significantly better (63.6%) than lidocaine (36.4%) (P = 0.02). The findings showed the advantages of bupivacaine in younger (18–35 years), male patients and teeth that are in the front of the mouth. Overall, using bupivacaine offered better anesthesia in cases with and without periapical symptoms, along with better intraoperative comfort and reduced pain.
Conclusion: Clinicians could use bupivacaine in treating patients with root canal therapy to help patients have less pain, a better experience and not needing multiple injections which benefits their treatment.
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