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Does Tramadol Match Lignocaine for Maxillary Tooth Extraction Under Supra-Periosteal Injection?-A Prospective
Shital Patel1, Rajan Savani1, Zenish Bhatti2
1Department of Oral and Maxillofacial Surgery, Ahmedabad Municipal Dental College and Hospital, Khokhra, Ahmedabad, India.
Background:
Present study has compared local anaesthetic efficacy of two agents, 5% tramadol with adrenaline 1:80,000 and 2% lignocaine with adrenaline 1:80,000 for bilateral maxillary premolar extraction under supra-periosteal injection.
Materials And Methods:
This prospective, split-mouth, double-blinded, randomised, clinical study was conducted on 69 patients requiring extraction of maxillary premolars bilaterally for orthodontic reasons. The study group received 5% tramadol hydrochloride, and the control group received 2% lignocaine hydrochloride. Parameters evaluated were pain on injection, onset and duration of anaesthesia, and post-extraction analgesia.
Results:
Current study observed longer duration of anaesthesia for lignocaine than that of tramadol, p < 0.001. Lesser perception of post-extraction pain and longer duration of analgesia was observed on tramadol side compared to lignocaine, p = 0.001. Consumption of analgesic tablets was more in lignocaine group, p = 0.022.
Conclusion:
Tramadol can be safely employed as an alternative to conventional local anaesthetic agents through supra-periosteal injection due to its dual local anaesthetic and analgesic action.
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