EFFECT OF THE TYPE OF THE ANESTHETIC SOLUTION ON THE INCIDENCE OF PULP NECROSIS FOLLOWING CROWN PREPARATION: A RANDOMIZED CLINICAL STUDY

Year 2019, Volume: 29 Issue: 4, 631 - 636, 15.10.2019

Ertuğrul Karataş Mustafa Gündoğdu Esra Uluköylü Rüştü Ersoy Sakarya

https://doi.org/10.17567/ataunidfd.596778

Abstract

Abstract

Objective: The objective of the present study was to evaluate the effect of the
type of the anesthetic solution (with or without epinephrine) on the
development of pulp necrosis after tooth preparation.

Methods: Seventy-two
patients were randomly allocated into 2 groups according to the type of the
anesthetic solution used. In the first group, 4% articaine with 1:100.000 epinephrine
was used as local anesthesia and in the second group, 3% plain mepivacaine was
used. Before administration of the anesthetic solution, electric pulp tester
(EPT) and cold test were used to test the vitality of the teeth. The teeth were
then prepared and provisional crowns were fabricated chairside. After 15 days,
the provisional crowns were removed and then the EPT procedures and cold test
were repeated. Postoperative pain level on days 1, 3, 5 and 15 were recorded.
The EPT scores and pain levels were statistically analyzed.

Results: A
statistically significant difference was observed between the groups in terms
of percentage change in EPT scores.

Conclusion: The type of the anesthetic solution does not affect the vitality of the
teeth after full-crown preparation.

Keywords: Anesthetic
solution, pulp necrosis, Articaine, Mepivacaine

 

 

Kuron Preparasyonunu Takiben Görülen Pulpa Nekrozuna
Anestezi Solüsyonu Tipinin Etkisi: Bir Randomize Klinik Çalişma

Öz

Amaç: Bu çalışmanın
amacı, diş preparasyonu sonrası gelişen
pulpa nekrozu üzerine kullanılan anestezi solüsyonunun etkisini değerlendirmektir.

Metod: 72 hasta kullanılacak
anestezi solüsyonu tipine göre rastgele olarak 2 gruba ayrıldı. Birinci grupta lokal
anestezi olarak 1/100000 epinefrinli %4’lük articaine kullanıldı ve ikinci
grupta %3 sade mepivacaine kullanıldı. Anestez uygulamasından önce elektrikli
pulpa testi (EPT) ve soğuk testi kullanılarak dişlerin vitalitesi test edildi.
Daha sonar diş preparasyonu yapıldı ve geçici kuronlar uygulandı. 15 gün sonar
geçici kuronlar söküldü ve EPT ve soğuk testi prosedürleri tekrarlandı. Tedaviden
sonraki 1., 3., 5. ve 15. günlerde ki postoperative ağrı değerleri kaydedildi.
EPT değerleri ve ağrı skorları istatistiksel olarak analiz edildi.

Bulgular: Gruplar arasında
EPT yüzdelik değişimleri açısından istatistiksel olarak anlamlı farklılık olduğu
gözlemlendi.

Sonuç: Kullanılan
anestezi solüsyonu tipi, tam kuron preparasyonu sonrası dişlerin canlılığını
etkilememektedir.

Anahtar kelimeler: Anestezi solüsyonu, pulpa nekrozu,
Articaine, Mepivacaine

Keywords

Anesthetic solution, pulp necrosis, Articaine

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