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Ropivacaine vs. lignocaine hydrochloride with adrenaline for surgical removal of mandibular third molars

Ropivacaine vs. lignocaine hydrochloride with adrenaline for surgical removal of mandibular third molars Ropivacaine vs. lignocaine hydrochloride with adrenaline for surgical removal of mandibular third molars
Ropivacaine vs. lignocaine hydrochloride with adrenaline for surgical removal of mandibular third molars Ropivacaine vs. lignocaine hydrochloride with adrenaline for surgical removal of mandibular third molars

To distinguish between anesthetic efficacy of ropivacaine 0.5%  and Lignocaine hydrochloride 2% with adrenaline (1:80,000) in patients having surgery for impacted mandibular third molars.

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Key take away

In patients requiring surgery for impacted mandibular third molars (wisdom teeth), ropivacaine 0.5% but not lignocaine hydrochloride 2% with adrenaline for inferior alveolar nerve block can offer superior pain relief and effective anesthesia as established from this randomized study.

Background

To distinguish between anesthetic efficacy of ropivacaine 0.5%  and Lignocaine hydrochloride 2% with adrenaline (1:80,000) in patients having surgery for impacted mandibular third molars.

Method

Forty patients in need of surgery of bilaterally impacted mandibular third molars were considered. The inception, period, and depth of anesthesia; post-surgery pain, analgesia duration, and adverse effects of ropivacaine 0.5% and lignocaine 2% with 1:80,000 adrenaline were assessed. The intradermal administration of .5 ml of 0.5% ropivacaine was done to look for any allergic reaction.

Result

Ropivacaine 0.5% had a superior depth of anesthesia, longer duration of action, and post-surgery pain-relieving effect compared to lignocaine 2% with 1:80,000 adrenaline. No adverse effects were reported.

Conclusion

As compared to lignocaine 2% with 1:80,000 adrenaline, the use of ropivacaine 0.5% as an anesthetic agent is safe, effective, clinically acceptable, and equally potent for a longer duration of surgical procedures.

Source:

Journal of Maxillofacial and Oral Surgery

Article:

Comparative Analysis of the Anesthetic Efficacy of 0.5% Ropivacaine Versus 2% Lignocaine Hydrochloride with Adrenaline (1:80,000) for Inferior Alveolar Nerve Block in Surgical Removal of Impacted Mandibular Third Molars

Authors:

Ram Goyal et al.

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