Bupivacaine in the Treatment of Postoperative Pain of Impacted Third Molar Extraction

• Status: Completed
• Trial end date: 2020-01-01
• Target enrollment: 0
• Participant gender: All

Summary

The third molars are the teeth that are most frequently included and impacted, extraction is one of the most performed treatments by maxillofacial surgeons in their clinical practice. Its surgical extraction is accompanied by an inflammatory process, which generates pain, edema and trismus. The use of alternatives that offer prolonged analgesia, like the use of bupivacaine, reduce the pain of the patient after an extraction of third molars, allows the reduction of morbidity and the rapid return to daily activities.

In addition, it allows a better experience in the dental consultation.

Investigators hypothesis is:

Irrigation of the alveolus with 4 ml of 0.5% bupivacaine is effective for the reduction of post-operative pain in extraction of impacted lower third molars

• Phase: Phase 4
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: CES University
• Treatments: Bupivacaine; Epinephrine; Epinephryl borate; Pharmaceutical Solutions; Racepinephrine; Vasoconstrictor Agents

Criteria

Inclusion Criteria:

• Lower third molars impacted bilaterally requiring an osteotomy for their extraction and which are located spatially within the following positions or classes according to Pell & Gregory (1933).

• Position B (occlusal plane of the impacted tooth between the occlusal plane and the cervical line of the second molar).

• Position C (tooth impacted below the cervical line of the second molar).

• Class II (space between the second molar and the mandibular branch smaller than the distal mesial diameter of the third molar).

• Class III (All or most of the third molar is inside the mandibular branch).

• Systemically healthy patients (ASA I-II).

Exclusion Criteria:

We exclude patients who present a history of infectious processes in the abscess area of third molars or who, for medical reasons, chronically use some type of analgesia.