European Journal of Molecular & Clinical Medicine

Abstract

Background: Intraoperative pain control by means of local anesthesia is an intrinsic part of clinical practice in oral surgery. The present study compared efficacy of lignocaine, ropivacaine, and bupivacaine in control of pain during extraction of mandibular posterior teeth.
Materials & Methods: 90 patients of mandibular third molar surgical extractions of both genders were divided into 3 groups. Group I was third molar surgeries performed using 2% lignocaine with 1: 80,000 epinephrine, group II underwent surgical extractions of mandibular third molars under 0.75% ropivacaine local anesthesia. Group III were given bupivacaine. Each group has 30 patients. Subject response for pain was recorded using visual Analog Scale (VAS) and verbal Rating scale (VRS).
Results: Group I had 16 males and 14 females, group II had 15 males and 15 females and group III had 13 males and 17 females. VAS showed no pain in 20, 25 and 22, minimal pain in 10, 5 and 8. VRS showed little pain in 18, 28 and 20, moderate pain in 9, 2 and 10, severe pain in 2 and extreme pain in 1 respectively. The difference was significant (P< 0.05).
Conclusion: 0.75% ropivacaine is a better anesthetic when compared to bupivacaine and lignocaine for pain control during third molar extractions.