Evaluate and Compare Anaesthetic Efficacy of 75% Ropivacaine and 5% Bupivacaine on the Perioperative Regional Anaelgesia in Impacted Mandibular Third Molar Surgery


Authors : Ankita Raj; Dr. Vivek Singh Chauhan; Dr. V. Santhosh Kumar; Dr. Himanshu Gupta; Dr. Aathira Madhu; Dr.Tuba Jamal; Dr. Akash Tiwari; Dr. Ayushi Agarwal; Dr. Pulkit Advani

Volume/Issue : Volume 8 - 2023, Issue 6 - June

Google Scholar : https://bit.ly/3TmGbDi

Scribd : https://tinyurl.com/ywhkfh6z

DOI : https://doi.org/10.5281/zenodo.8108282

Abstract : Background Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. Mild to severe pain may be experienced during oral surgical procedures which may be abolished using various analgesics and local anesthetic agents of varying concentration. The management of patient’s pain, both intra and post operatively, is one of the pivotal goal in treatment of patients with impaction due to its persistent moderate or severe pain concerning its intensity. Materials and methods This study was carried out on patients who visited department of Oral and Maxillofacial Surgery , Rama Dental College, Hospital And Research Centre Kanpur. 50 subjects who fulfilled inclusion and exclusion criteria were arbitrarily selected, using lottery system to receive either.Results Post operatively mean systolic pressure was lesser in group B while mean diastolic pressure was lesser in group B. Post operative pulse rate decreased in group A while increased in group B and the onset of action was lesser in group B. The success rate of anesthesia was significantly more in ropivacaine. On comparison of quality of anesthesia score 23 of group A and 18 in group B showed quality 1, 2 of group A and 6 in group B showed quality 2 while none in group A and 1 in group B showed quality 4. In group A, 19 had mild, 6 has moderate and none had severe bleeding while in group B, 7 had mild, 15 has moderate and 3 had severe bleeding. While comparing intra-operative bleeding mean percentage was 0.36 in group A and 1.16 in group B.Conclusion This study states that ropivacaine provides successful and higher rate of local anesthesia than bupivacaine by providing faster onset of anesthesia, greater depth of anaesthesia, grater duration of anesthesia, lesser intra operative pain and bleeding.

Background Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. Mild to severe pain may be experienced during oral surgical procedures which may be abolished using various analgesics and local anesthetic agents of varying concentration. The management of patient’s pain, both intra and post operatively, is one of the pivotal goal in treatment of patients with impaction due to its persistent moderate or severe pain concerning its intensity. Materials and methods This study was carried out on patients who visited department of Oral and Maxillofacial Surgery , Rama Dental College, Hospital And Research Centre Kanpur. 50 subjects who fulfilled inclusion and exclusion criteria were arbitrarily selected, using lottery system to receive either.Results Post operatively mean systolic pressure was lesser in group B while mean diastolic pressure was lesser in group B. Post operative pulse rate decreased in group A while increased in group B and the onset of action was lesser in group B. The success rate of anesthesia was significantly more in ropivacaine. On comparison of quality of anesthesia score 23 of group A and 18 in group B showed quality 1, 2 of group A and 6 in group B showed quality 2 while none in group A and 1 in group B showed quality 4. In group A, 19 had mild, 6 has moderate and none had severe bleeding while in group B, 7 had mild, 15 has moderate and 3 had severe bleeding. While comparing intra-operative bleeding mean percentage was 0.36 in group A and 1.16 in group B.Conclusion This study states that ropivacaine provides successful and higher rate of local anesthesia than bupivacaine by providing faster onset of anesthesia, greater depth of anaesthesia, grater duration of anesthesia, lesser intra operative pain and bleeding.

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