American Journal of Oral Medicine and Radiology

THE EFFICACY OF ARTICAINE LOCAL ANESTHETIC IN IMPACTED LOWER THIRD MOLAR SURGERY (A CLINICAL STUDY)

1Ashour Sheeba Toma, 2Omer W. Majid, 2Wael Sh. Shallawe

Ashour.alkasrany@yahoo.com

Articaine, third molar surgery, visual analogue scale (VAS).

Articaine is an intermediate-potency, short-acting amide local anesthetic with a fast metabolism due to an ester group in its structure. It is effective with local infiltration or peripheral nerve block in dentistry. Articaine was synthesized by Rusching et al. in 1969 with the name of carticaine, and was first marketed in Germany in 1976. To evaluate the efficacy of articaine local anesthetic in impacted lower third molar surgery. (Regarding onset, duration and pain during and after surgery). To analyze hemodynamic changes following the administration of 4% articaine with epinephrine 1:80,000) in the surgical removal of impacted lower third molars. These included surgical set for minor oral surgical procedure, Electrocardiogram (Monitor) (figure 2), pulp tester. (Figure 2) and timer. In addition to some medications that used in the study (Ibuprofen tab 400 mg, Amoxicillin cap 500 mg and Metronidazole tab 500 mg). A standardized surgical procedure was performed on all patients. A standard inferior alveolar and long buccal nerve block was given using 2 cartridges of 4% articaine with epinephrine 1:80 000.Surgical access routinely achieved through a triangular full thickness flap (Fig.3).After tooth delivery we do suturing (fig.6).pain was evaluated using visual analogue scale (VAS).By using the Electrocardiograph (monitor) we measure the blood pressure (systolic and diastolic), heart rate and mean arterial pressure (MAP). Articaine local anesthetic shows significant reduction of pain during surgical extraction of impacted lower wisdom tooth the patient feels no pain according to the (VAS) the mean is (0.37) in addition articaine local anesthetic shows no effects on systolic pressure during injection. Articaine in 4% solution with 1:80,000 epinephrine showed a significant reduction of pain and rapid onset of action with little or no effects on the cardiovascular system during surgery. Articaine can be recommended as safe alternative anesthetic to lidocaine local anesthetic in third molar surgery.