Journal of The Korean Dental Society of Anesthesiology (대한치과마취과학회지)

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Comparative Study for the Anesthetic Efficacy between Articaine HCl and Lidocaine HCl during the Surgical Extraction of Bilateral Mandibular Impacted Third Molars

하악 매복 제3대구치 발치 시 Articaine HCl과 Lidocaine HCl의 국소마취 효능에 대한 비교연구

  • Lee, Won-Young (Department of Dental Anesthesiology, Seoul National University College of Dentistry) ;
  • Seo, Kwang-Suk (Department of Dental Anesthesiology, Seoul National University College of Dentistry) ;
  • Kim, Hyun-Jeong (Department of Dental Anesthesiology, Seoul National University College of Dentistry) ;
  • Yum, Kwang-Won (Department of Dental Anesthesiology, Seoul National University College of Dentistry) ;
  • Park, Chang-Joo (Department of Dental Anesthesiology, Seoul National University College of Dentistry)
  • 이원영 (서울대학교 치과대학 치과마취과학교실) ;
  • 서광석 (서울대학교 치과대학 치과마취과학교실) ;
  • 김현정 (서울대학교 치과대학 치과마취과학교실) ;
  • 염광원 (서울대학교 치과대학 치과마취과학교실) ;
  • 박창주 (서울대학교 치과대학 치과마취과학교실)
  • Published : 2004.06.23
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Abstract

Background: Articaine, a new amide-type local anesthetic, was recently commercially available in Korea. The purpose of this study was to compare the anesthetic efficacy between articaine HCl and lidocaine HCl for the surgical extraction of bilateral mandibular impacted third molars. Patients and Methods: Forty young and healthy patients with bilateral impacted third molars were selected with permission. Randomly, one side of impacted third molar was operated under local anesthesia using 4% articaine and the other side under 2% lidocaine after 1 or 2 week recovery time. Intraoperative pain was evaluated via 0-10 cm visual analog scale (VAS) by both the patient and operator immediately after the operation. After 1 day and 7 days, the complications of local anesthesia were checked. Results: The pain VAS scores in articaine group, evaluated by both the patient and operator, were lower than those in lidocaine group, but they were not statistically significant (P = 0.44 and 0.54, respectively). The incidence of complications of local anesthesia between articaine and lidocaine was similar. Conclusion: In this study, articaine showed at least equal efficacy compared to lidocaine. The further dose-controlled study with more pharmacokinetic parameters will be needed.

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