Effect of the local application of bupivacaine in early pain control following impacted mandibular third molar surgery: A randomized controlled study.
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| Abstract | BACKGROUND:
Postoperative pain is one of the main complications following impacted mandibular third molar (IMTM) surgery. OBJECTIVES: The aim of this study was to assess the effect of the local application of bupivacaine on reducing early postoperative pain following IMTM surgery. MATERIAL AND METHODS: A prospective, single-blinded, randomized controlled study was conducted on 40 patients who had undergone the surgical removal of an IMTM under local anesthesia. In the study group (n = 20), absorbable gelatin sponge (AGS) soaked in 3 mL of 0.5% plain bupivacaine hydrochloride was locally applied in the post-extraction socket. In the control group (n = 20), AGS soaked in 3 mL of normal saline was used. Pain intensity was assessed using a pain numerical rating scale (NRS) 4 and 12 h postoperatively. The variables were compared between the 2 groups and probability values <0.05 were considered statistically significant. RESULTS: The pain scores in the study group were significantly lower than those recorded in the control group at 4 h postoperatively (p = 0.003), whereas the difference in the pain scores between the 2 groups 12 h after surgery was not statistically significant (p = 0.443). CONCLUSIONS: The local application of bupivacaine is effective in reducing postoperative pain 4 h after the surgical extraction of IMTMs without any significant complications.
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| Authors | Mohanad Ali Shabat, Salwan Yousif Bede |
| Journal | Dental and medical problems (Dent Med Probl) 2021 Oct-Dec Vol. 58 Issue 4 Pg. 483-488 ISSN: 2300-9020 [Electronic] Poland |
| PMID | 34971304 (Publication Type: Journal Article, Randomized Controlled Trial) |
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