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Anesthetic Efficacy Of Buffered Lidocaine For Incision And Drainage In Symptomatic Patients With Clinical Swelling

Balasco, Matthew B.
http://rave.ohiolink.edu/etdc/view?acc_num=osu1345031917

Abstract Details

2012, Master of Science, Ohio State University, Dentistry.
The purpose of this randomized, double-blind investigation was to compare the efficacy of a buffered versus non-buffered 2% lidocaine with 1:100,000 epinephrine solution for pain of injection and incision and drainage of an acute apical abscess or cellulitis in symptomatic patients with a diagnosis of pulpal necrosis. Eighty-one adult patients were randomly divided into two treatment groups that received two infiltration injections (mesial and distal to the swelling) of either 2% lidocaine with 1:100,000 epinephrine buffered with 0.18 mL 8.4% sodium bicarbonate using the Onset® by Onpharma® buffering system or 2% lidocaine with 1:100,000 epinephrine. Patients rated pain of needle insertion, placement, and solution deposition for each injection on 170-mm visual analog scales. An incision and drainage procedure was performed and pain of incision, drainage, and dissection were recorded on 170-mm visual analog scales. No significant differences were detected between the two solutions for pain of needle insertion, placement, or solution deposition for either the mesial or distal site injections. No significant differences were found between the solutions for pain of incision, drainage, or dissection. In conclusion, the addition of a sodium bicarbonate buffer to 2% lidocaine with 1:100,000 epinephrine did not result in decreased pain of infiltration injection or decreased pain of incision and drainage when compared to standard 2% lidocaine with 1:100,000 epinephrine in symptomatic patients experiencing an acute apical abscess or cellulitis.
Melissa Drum, D.D.S., M.S. (Committee Chair)
Al Reader, D.D.S., M.S. (Committee Member)
John Nusstein, D.D.S., M.S. (Committee Member)
Michael Beck, D.D.S., M.A. (Committee Member)
187 p.
Dentistry
Buffered lidocaine; abscess; incision and drainage

Recommended Citations

Citations

  • Balasco, M. B. (2012). Anesthetic Efficacy Of Buffered Lidocaine For Incision And Drainage In Symptomatic Patients With Clinical Swelling [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1345031917

    APA Style (7th edition)

  • Balasco, Matthew. Anesthetic Efficacy Of Buffered Lidocaine For Incision And Drainage In Symptomatic Patients With Clinical Swelling. 2012. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1345031917.

    MLA Style (8th edition)

  • Balasco, Matthew. "Anesthetic Efficacy Of Buffered Lidocaine For Incision And Drainage In Symptomatic Patients With Clinical Swelling." Master's thesis, Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1345031917

    Chicago Manual of Style (17th edition)

osu1345031917
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© 2012, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.