Eficacia de articaína y lidocaína en extracciones de terceros molares inferiores. Clínica UCSG. Semestre B-2017.

Abstract

Introduction: Pain management in dentistry in third-party surgeries can be controlled by local anesthetics, of which the 4% technique in 1: 100,000 presents better anesthetic effect, lower latency compared to 2% lidocaine in 1: 80,000 . Purpose: The objective of this study is to determine the effectiveness of artillery and lidocaine in extractions of lower third molars. Materials and methods: A cross-sectional descriptive study was carried out, with a nonprobabilistic sample of 78 patients, to evaluate the efficacy of arthropathy and lidocaine in the stricter extractions of third parties using the Analogous Pain Scale (EVA) and by a record sheet in which the corresponding data were recorded, such as; age, number of used cartridges, start of action of the anesthetic, when the anesthetic effect ended. For the statistical analysis, the descriptive tools and t-student statistics, Mann Whitney U and Wilcoxon, are used within the SPSS software. Results: The latency time of the lidocaine was faster, having an average of 0.67 minutes and the artication of 0.86 minutes. In the duration of the anesthetic there was a great difference, the articaine had a longer duration in the tissues with an average of 148 minutes and lidocaine 120 minutes. The average amount of anesthetic gases used in artillery averaged 3.21, and in lidocaine 3.53 63% of patients anesthetized with artillery and 37% with lidocaine had no more anesthetics during surgical procedures. The percentage of patients who did not feel pain was 71% in articaine and 27% in lidocaine. Discussion: The statistical data obtained showed that only in the latency time was the one that had the best action initiative than the articaine. In the other results there is a big difference with respect to the percentages, which indicates that the technique has a better anesthetic effect. Conclusion: The technique is more effective than lidocaine, because it is stored much longer in tissues and requires less to produce loss of sensitivity.