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.