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ANESTHETIC EFFICACY OF 3% MEPIVACAINE PLUS 2% LIDOCAINE WITH 1:100,000 EPINEPHRINE FOR INFERIOR ALVEOLAR NERVE BLOCKS

Lammers, Emily
http://rave.ohiolink.edu/etdc/view?acc_num=osu1374854890

Abstract Details

2013, Master of Science, Ohio State University, Dentistry.
Introduction: Combinations of anesthetics are used clinically to potentially increase the success of pulpal anesthesia and decrease the pain of injection. The purpose of this study was to evaluate the combination of mepivacaine and lidocaine when used for inferior alveolar nerve blocks. Materials and Methods: One hundred asymptomatic subjects were given 1.8 mL 3% mepivacaine plus 1.8 mL 2% lidocaine with 1:100,000 epinephrine or two injections of 1.8 mL 2% lidocaine with 1:100,000 epinephrine for the IANB at two separate appointments spaced at least one week apart. Subjects rated the pain of needle insertion, needle placement, and solution deposition on a Heft-Parker VAS. The first and second molars, first and second premolars, and incisors were tested with an EPT every 4 minutes for 56 minutes post-injection for pulpal anesthesia. Anesthetic success was considered to occur when the subject achieved two consecutive 80 readings within 15 minutes of injection and sustained the 80 reading for the remainder of the testing period. Results: Mean injection pain was in the mild pain range for both anesthetic combinations, with the exception of needle placement pain in females, which was moderate. No significant differences in injection pain were seen between the two groups. Anesthetic success was not significantly different between the anesthetic groups in any of the teeth tested. Summary and Conclusions: The combination of 3% mepivacaine and 2% lidocaine with 1:100,000 epinephrine is equivalent to 2% lidocaine with 1:100,000 epinephrine in terms of injection pain and pulpal anesthetic success for the IANB .
John Nusstein, DDS, MS (Advisor)
Al Reader, DDS, MS (Committee Member)
Melissa Drum, DDS, MS (Committee Member)
F. Michael Beck, DDS, MA (Committee Member)
253 p.
Dentistry
local anesthetic; mepivacaine; lidocaine; injection pain

Recommended Citations

Citations

  • Lammers, E. (2013). ANESTHETIC EFFICACY OF 3% MEPIVACAINE PLUS 2% LIDOCAINE WITH 1:100,000 EPINEPHRINE FOR INFERIOR ALVEOLAR NERVE BLOCKS [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1374854890

    APA Style (7th edition)

  • Lammers, Emily. ANESTHETIC EFFICACY OF 3% MEPIVACAINE PLUS 2% LIDOCAINE WITH 1:100,000 EPINEPHRINE FOR INFERIOR ALVEOLAR NERVE BLOCKS. 2013. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1374854890.

    MLA Style (8th edition)

  • Lammers, Emily. "ANESTHETIC EFFICACY OF 3% MEPIVACAINE PLUS 2% LIDOCAINE WITH 1:100,000 EPINEPHRINE FOR INFERIOR ALVEOLAR NERVE BLOCKS." Master's thesis, Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1374854890

    Chicago Manual of Style (17th edition)

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This open access ETD is published by The Ohio State University and OhioLINK.