Comparison between local anaesthetic agents, lidocaine and bupivacaine, in patients undergoing third molar extraction in terms of patient satisfaction.

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dc.check.embargoformatNot applicableen
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dc.check.opt-outNot applicableen
dc.check.reasonNo embargo requireden
dc.check.typeNo Embargo Required
dc.contributor.advisorSleeman, Duncanen
dc.contributor.authorMcCarthy, Caroline
dc.date.accessioned2016-02-01T16:15:49Z
dc.date.available2016-02-01T16:15:49Z
dc.date.issued2016
dc.date.submitted2016
dc.description.abstractAIMS: (1) To determine if anaesthetic agent bupivacaine, has a prolonged effect on the period of acute postoperative pain when compared to lidocaine, a shorter acting agent. (2) To determine patient’s post-operative satisfaction and preference with regard to anaesthetic choice. METHODS: This double blind, randomised, interventional clinical trial included 85 patients. All patients had bilateral impacted lower third molars of removed under general anaesthetic. All patients received 0.5% plain bupivacaine on one randomly allocated side, with 2% lidocaine (with adrenaline) administered on the opposite side. Pain was measured using visual analogue scales at 0, 30, 60 minutes and 3, 4, 6 and 8 hours post-surgery. Pain was analysed for 1 week following surgery. Psychological evaluations and patient reported outcomes, including patient satisfaction were evaluated. RESULTS: A significant difference in pain (P=0.001) was seen during the 3-8 hour post-operative period. The upper limit of the 95% confidence interval was 10.0 or above at 3hours and 4 hours post-surgery. Two-thirds of patients preferred bupivacaine. CONCLUSION: Longer lasting anaesthetics such as bupivacaine offer a longer period of analgesia, and improve overall patient satisfaction.en
dc.description.statusNot peer revieweden
dc.description.versionAccepted Version
dc.format.mimetypeapplication/pdfen
dc.identifier.citationMcCarthy, C. 2016. Comparison between local anaesthetic agents, lidocaine and bupivacaine, in patients undergoing third molar extraction in terms of patient satisfaction. DClinDent Thesis, University College Cork.en
dc.identifier.endpage93
dc.identifier.urihttps://hdl.handle.net/10468/2235
dc.language.isoenen
dc.publisherUniversity College Corken
dc.rights© 2016, Caroline McCarthy.en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/en
dc.subjectThird molaren
dc.subjectPatient satisfactionen
dc.subjectLidocaineen
dc.subjectBupivacaineen
dc.subjectSplit- mouthen
dc.thesis.opt-outfalse
dc.titleComparison between local anaesthetic agents, lidocaine and bupivacaine, in patients undergoing third molar extraction in terms of patient satisfaction.en
dc.typeDoctoral thesisen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnameDoctor of Clinical Dentistryen
ucc.workflow.supervisord.sleeman@ucc.ie
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