Please use this identifier to cite or link to this item: https://scidar.kg.ac.rs/handle/123456789/12381
Title: Levobupivacaine vs. bupivacaine for third molar surgery: Quality of anaesthesia, postoperative analgesia and local vascular effects
Authors: Brajkovic D.
Brkovic B.
Milic, Marija
Biočanin V.
Kršljak E.
Stojić D.
Journal: Clinical Oral Investigations
Issue Date: 1-Jan-2014
Abstract: Objectives: The main purpose of this prospective, double-blind, randomized study was to evaluate anaesthetic parameters, postoperative analgesia and vasoactive properties of levobupivacaine and bupivacaine for lower third molar surgery. Material and methods: Sixty patients (ASA I) were scheduled for lower third molar surgery under inferior alveolar nerve block, lingual nerve block and buccal nerve block (mandibular nerve blocks) obtained with 3 ml of 0.5 % levobupivacaine and 3 ml of 0.5 % bupivacaine. Success rate, onset and duration of three nerve bocks were evaluated by electrical pulp testing, pinprick testing and signs of soft tissue anaesthesia (patient-reported numbness). Intensity of intraoperative anaesthesia and postoperative analgesia were measured with visual analogue scale (VAS) and numeric rating scale (NRS). The time of first postoperative pain reported and analgesic consumption were also recorded. The laser Doppler flowmetry was used for the measurement of the first premolar pulpal blood flow. Results: There were no differences between levobupivacaine and bupivacaine regarding the success rate, onset and duration of mandibular nerve blocks as well as intensity of postoperative analgesia and analgesic consumption. Intensity of intraoperative anaesthesia and duration of postoperative analgesia were significantly higher in the levobupivacaine than in the bupivacaine group. Both anaesthetics showed similar biphasic vasoactive effect. Conclusions: Levobupivacaine 0.5 % achieved superiority over bupivacaine 0.5 % in the intensity of intraoperative anaesthesia and duration of postoperative analgesia for lower third molar surgery under the mandibular nerve blocks. Clinical relevance: It seems that the plain levobupivacaine (0.5 %) could be an effective alternative to plain bupivacaine (0.5 %) in those dental procedures which require profound bone and soft tissue anaesthesia. © 2013 Springer-Verlag Berlin Heidelberg.
URI: https://scidar.kg.ac.rs/handle/123456789/12381
Type: Article
DOI: 10.1007/s00784-013-1114-0
ISSN: 14326981
SCOPUS: 84901424242
Appears in Collections:University Library, Kragujevac
[ Google Scholar ]

Page views(s)

16

Files in This Item:
File Description SizeFormat 
PaperMissing.pdf
  Restricted Access
29.86 kBAdobe PDFThumbnail
View/Open Request a copy


Items in SCIDAR are protected by copyright, with all rights reserved, unless otherwise indicated.