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4% Buffered Lidocaine in Emergency Patients with Facial Swelling

Kratz Harreld, Taryn K
http://rave.ohiolink.edu/etdc/view?acc_num=osu1407851637

Abstract Details

2014, Master of Science, Ohio State University, Dentistry.
The purpose of this randomized, double-blind study was to compare a buffered and nonbuffered formulation of 4% lidocaine with 1:100,000 epinephrine for the incision and drainage procedure in patients diagnosed with pulpal necrosis with associated facial swelling of an acute apical abscess or cellulitis. Pain of injection was also analyzed. Eighty-eight adult patients were randomly divided into two groups to receive two intraoral infiltration injections (mesial and distal to the swelling) of either 4% lidocaine with 1:100,000 epinephrine buffered with 0.18 ml 8.4% sodium bicarbonate using the Onset® by Onpharma® buffering system or 4% lidocaine with 1:100,000 epinephrine. Subjects rated pain of needle insertion, needle placement, and solution deposition for each injection using a 170-mm visual analog scale. An incision and drainage procedure was performed and subjects rated pain of incision, drainage, and dissection on a 170-mm visual analog scale. No significant differences between treatment groups were detected for needle insertion, placement, and solution deposition of the infiltration injection or for incision, drainage, and dissection. In conclusion, buffering a solution of 4% lidocaine with 1:100,000 epinephrine did not decrease the pain associated with infiltration or incision and drainage in patients experiencing an acute apical abscess or cellulitis.
Melissa Drum, DDS, MS (Advisor)
Sara Fowler, DMD, MS (Committee Member)
Al Reader, DDS, MS (Committee Member)
John Nusstein, DDS, MS (Committee Member)
F. Michael Beck, DDS, MA (Committee Member)
149 p.
Dentistry
4 percent lidocaine; buffered; sodium bicarbonate; incision and drainage

Recommended Citations

Citations

  • Kratz Harreld, T. K. (2014). 4% Buffered Lidocaine in Emergency Patients with Facial Swelling [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1407851637

    APA Style (7th edition)

  • Kratz Harreld, Taryn. 4% Buffered Lidocaine in Emergency Patients with Facial Swelling. 2014. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1407851637.

    MLA Style (8th edition)

  • Kratz Harreld, Taryn. "4% Buffered Lidocaine in Emergency Patients with Facial Swelling." Master's thesis, Ohio State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=osu1407851637

    Chicago Manual of Style (17th edition)

osu1407851637
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© 2014, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.