Keywords
articaine
extraction
How to Cite
Abstract
The efficacy of a local anesthetic in a surgical procedure such as lower third molar extraction is very important given the complexity of this procedure such as incision, flap, odontosection and ostectomy, curettage, lavage and suture.
Local anesthetics are drugs that reversibly inhibit nerve conduction in the area where they are applied (Almeida et al., 2020), inhibiting the perception of pain, with the sequence being: increased skin temperature and vasodilation, loss of pain and thermal sensitivity, loss of perception, loss of sensation of touch and pressure and loss of motor skills(Arribas Blanco et al., 2001), the anesthetic effect varies between 2 to 4 hours approximately.
Currently, several studies suggest that Articaine 4% should be used in extractions of lower third molars because it has better clinical properties compared to Lidocaine 2%, both associated with epinephrine 1: 100,000000 (Almeida et al., 2020) (Zhang et al., 2021) (Vademecun, 2020) (Larocca de Geus et al., 2020) (Rossi et al., 2021) (Baeza et al., 2020), , these are amide group anesthetics and both have been shown to be safe for any dental procedure that requires avoiding intense pain (endodontics, restorations, extractions, etc.).
References
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Larocca de Geus, J., Nogueira da Costa, J. K., Wambier, L. M., Maran, B. M., Loguercio, A. D., & Reis, A. (2020). Different anesthetics on the efficacy of inferior alveolar nerve block in patients with irreversible pulpitis: A network systematic review and meta-analysis. Journal of the American Dental Association (1939), 151(2), 87-97.e4.
Mittal, J., Kaur, G., Mann, H. S., Narang, S., Kamra, M., Kapoor, S., Sindhi, M., & Kataria, R. (2018). Comparative Study of the Efficacy of 4% Articaine vs 2% Lidocaine in Surgical Removal of Bilaterally Impacted Mandibular Third Molars. The Journal of Contemporary Dental Practice, 19(6), 743-748.
Rossi, M. T., de Oliveira, M. N., Vidigal, M. T. C., de Andrade Vieira, W., Figueiredo, C. E., Blumenberg, C., de Almeida, V. L., Paranhos, L. R., Oliveira, L. B., Siqueira, W. L., & de Brito Júnior, R. B. (2021). Effectiveness of anesthetic solutions for pain control in lower third molar extraction surgeries: A systematic review of randomized clinical trials with network meta-analysis. Clinical Oral Investigations, 25(1), 1-22.
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Zhang, D., Liao, H., Jia, Y., Yang, W., He, P., Wang, D., Chen, Y., Yang, W., & Zhang, Y.-P. (2021). Effect of virtual reality simulation training on the response capability of public health emergency reserve nurses in China: A quasiexperimental study. BMJ Open, 11(9), e048611.
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