“COMPARISON OF CLINICAL EFFICACY OF ROPIVACAINE AND LIGNOCAINE WITH
ADRENALINE FOR IMPLANT SURGERY ANAESTHESIA- A SPLIT MOUTH RCT ” Data
openly available
Abstract
INTRODUCTION: The primary indications for utilization of long acting
local anesthetics in dentistry: lengthy dental procedures for which
pulpal anesthesia in excess of 90 minutes is necessary and management of
postoperative pain. Ropivacaine is a local anesthetic of the amide type
that chemically is homologous to bupivacaine and mepivacaine. It is
available in various concentrations and is said to have inherent
vasoconstrictive properties at low concentrations. The aim of the study
was to evaluate and compare the clinical efficacy of ropivacaine to
lignocaine for implant surgery anaesthesia. To assess the onset and
duration of anaesthesia the intraoperative and post-operative pain with
both local anaesthetics and the post-operative analgesics requirement.
MATERIALS AND METHODS:- 15 healthy subject with bilateral missing teeth
indicated for implant placement with age range of 20 -60 years,
reporting to the Department of Implantology, Rajarajeswari Dental
College and Hospital, Bangalore were selected for the study. The test
group involves implant surgeries in which ropivacaine was used. The
control group involves implant surgeries in which lignocaine with
adrenaline were used. RESULTS -The results were statistically analysed.
There was a statistically significant higher duration of anesthesia for
the test group as compared to the control group. Ropivacaine was found
to be superior to lignocaine as far as quality of anesthesia was
concerned. The comparison of mean VAS scores showed that ropivacaine has
better anesthetic and analgesic effect when compared to the control
group. CONCLUSION: Ropivacaine 0.75% provides significantly longer
duration of anesthesia than lignocaine 2% with adrenaline.