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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Dent+Anesth+Pain+Med
2015 ; 15
(4
): 201-205
Nephropedia Template TP
gab.com Text
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English Wikipedia
Articaine (4%) with epinephrine (1:100,000 or 1:200,000) in inferior alveolar
nerve block: Effects on the vital signs and onset, and duration of anesthesia
#MMPMID28879280
Lasemi E
; Sezavar M
; Habibi L
; Hemmat S
; Sarkarat F
; Nematollahi Z
J Dent Anesth Pain Med
2015[Dec]; 15
(4
): 201-205
PMID28879280
show ga
BACKGROUND: This prospective, randomized, double-blind, clinical study was
conducted to compare the effects of 4% articaine with 1:100,000 epinephrine
(A100) and 4% articaine with 1:200,000 epinephrine (A200) on the vital signs and
onset and duration of anesthesia in an inferior alveolar nerve block (IANB).
METHODS: In the first appointment, an IANB was performed by injecting A100 or
A200 in 1 side of the mouth (right or left) randomly in patients referred for
extraction of both their first mandibular molars. In the second appointment, the
protocol was repeated and the other anesthetic solution was injected in the side
that had not received the block in the previous session. Systolic and diastolic
blood pressures (SBP and DBP) and pulse rate were measured during and 5 min after
the injection. The onset and duration of anesthesia were also evaluated. Data
were analyzed using t-test and Mann-Whitney U-test, and p-value was set at 0.05.
RESULTS: SBP and pulse rate changes were slightly more with A100; however, DBP
changes were more with A200, although the differences were not significant (P >
0.05). There were no statistically significant differences in the parameters
evaluated in this study. The onset and duration of anesthesia, and the changes in
SBP, DBP, and pulse rate during and 5 min after the injection were the same in
both the groups. CONCLUSIONS: For an IANB, A200 and A100 were equally efficient
and successful in producing the block. Epinephrine concentration did not
influence the effects of 4% articaine.