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High Volume Local Anesthesia as a Postoperative Factor of Pain and Swelling in Dental Implants
Objective To determine whether the administration of high‐volume local anesthesia can influence postoperative pain and swelling, and the degree of patient satisfaction, following dental implant placement. Material and Methods One hundred patients (45 women and 55 men) between 19 and 80 years old wer...
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Published in: | Clinical implant dentistry and related research 2014-06, Vol.16 (3), p.429-434 |
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container_title | Clinical implant dentistry and related research |
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creator | Sánchez-Siles, Mariano Torres-Diez, Luis Carlos Camacho-Alonso, Fabio Salazar-Sánchez, Noemi Ballester Ferrandis, Jose Francisco |
description | Objective
To determine whether the administration of high‐volume local anesthesia can influence postoperative pain and swelling, and the degree of patient satisfaction, following dental implant placement.
Material and Methods
One hundred patients (45 women and 55 men) between 19 and 80 years old were divided into two groups: group A (n = 50, with placement of an implant using an atraumatic approach in each patient, with sub‐periosteal injection of a volume of Ultracain® ≤0.9 mL [half a carpule]) and group B (n = 50, involving the same surgical procedure but infiltrating a local anesthetic volume of ≥7.2 mL [four carpules]). Visual analog scales were used in all patients to rate intraoperative pain and postoperative pain and swelling. After the first week, the patients completed a questionnaire evaluating satisfaction with treatment.
Results
The intraoperative pain scores were similar in both groups (p = 0.363), while the postoperative pain and swelling scores were significantly lower in group A at all time points. Patient rated satisfaction with the surgical treatment was higher in group A.
Conclusions
Excess injected volume of local anesthetic in dental implant surgery has a negative impact upon both postoperative pain and swelling, and on patient rated satisfaction. |
doi_str_mv | 10.1111/cid.12005 |
format | article |
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To determine whether the administration of high‐volume local anesthesia can influence postoperative pain and swelling, and the degree of patient satisfaction, following dental implant placement.
Material and Methods
One hundred patients (45 women and 55 men) between 19 and 80 years old were divided into two groups: group A (n = 50, with placement of an implant using an atraumatic approach in each patient, with sub‐periosteal injection of a volume of Ultracain® ≤0.9 mL [half a carpule]) and group B (n = 50, involving the same surgical procedure but infiltrating a local anesthetic volume of ≥7.2 mL [four carpules]). Visual analog scales were used in all patients to rate intraoperative pain and postoperative pain and swelling. After the first week, the patients completed a questionnaire evaluating satisfaction with treatment.
Results
The intraoperative pain scores were similar in both groups (p = 0.363), while the postoperative pain and swelling scores were significantly lower in group A at all time points. Patient rated satisfaction with the surgical treatment was higher in group A.
Conclusions
Excess injected volume of local anesthetic in dental implant surgery has a negative impact upon both postoperative pain and swelling, and on patient rated satisfaction.</description><identifier>ISSN: 1523-0899</identifier><identifier>EISSN: 1708-8208</identifier><identifier>DOI: 10.1111/cid.12005</identifier><identifier>PMID: 22998596</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Adult ; Anesthesia, Local ; dental implant ; Dental Implants - adverse effects ; Dentistry ; Edema - etiology ; Female ; Humans ; local anesthesia ; Male ; Middle Aged ; pain ; Pain, Postoperative ; postoperative ; swelling</subject><ispartof>Clinical implant dentistry and related research, 2014-06, Vol.16 (3), p.429-434</ispartof><rights>2012 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4665-eb9c55c22a7bfc297e0ac2736ab7cae2800b318e78d5a5ed873ac9c36506a1ad3</citedby><cites>FETCH-LOGICAL-c4665-eb9c55c22a7bfc297e0ac2736ab7cae2800b318e78d5a5ed873ac9c36506a1ad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,783,787,27936,27937</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22998596$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sánchez-Siles, Mariano</creatorcontrib><creatorcontrib>Torres-Diez, Luis Carlos</creatorcontrib><creatorcontrib>Camacho-Alonso, Fabio</creatorcontrib><creatorcontrib>Salazar-Sánchez, Noemi</creatorcontrib><creatorcontrib>Ballester Ferrandis, Jose Francisco</creatorcontrib><title>High Volume Local Anesthesia as a Postoperative Factor of Pain and Swelling in Dental Implants</title><title>Clinical implant dentistry and related research</title><addtitle>Clinical Implant Dentistry and Related Research</addtitle><description>Objective
To determine whether the administration of high‐volume local anesthesia can influence postoperative pain and swelling, and the degree of patient satisfaction, following dental implant placement.
Material and Methods
One hundred patients (45 women and 55 men) between 19 and 80 years old were divided into two groups: group A (n = 50, with placement of an implant using an atraumatic approach in each patient, with sub‐periosteal injection of a volume of Ultracain® ≤0.9 mL [half a carpule]) and group B (n = 50, involving the same surgical procedure but infiltrating a local anesthetic volume of ≥7.2 mL [four carpules]). Visual analog scales were used in all patients to rate intraoperative pain and postoperative pain and swelling. After the first week, the patients completed a questionnaire evaluating satisfaction with treatment.
Results
The intraoperative pain scores were similar in both groups (p = 0.363), while the postoperative pain and swelling scores were significantly lower in group A at all time points. Patient rated satisfaction with the surgical treatment was higher in group A.
Conclusions
Excess injected volume of local anesthetic in dental implant surgery has a negative impact upon both postoperative pain and swelling, and on patient rated satisfaction.</description><subject>Adult</subject><subject>Anesthesia, Local</subject><subject>dental implant</subject><subject>Dental Implants - adverse effects</subject><subject>Dentistry</subject><subject>Edema - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>local anesthesia</subject><subject>Male</subject><subject>Middle Aged</subject><subject>pain</subject><subject>Pain, Postoperative</subject><subject>postoperative</subject><subject>swelling</subject><issn>1523-0899</issn><issn>1708-8208</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqNkMlOHDEQQC2UCAhwyA9EPoZDg5fxdkTDNtIoQZDlhlXtrgEn3e2h3RPg73EywC0SvtiWXj2VHiEfOTvg5RyG2BxwwZjaINvcMFtZwey78lZCVsw6t0U-5PyLMcG55ptkSwjnrHJ6m1yfx5tb-iO1qw7pPAVo6VGPebzFHIFCpkAvUh7TEgcY4x-kpxDGNNC0oBcQewp9Q6_usW1jf0PL_xj7sThm3bKFfsy75P0C2ox7z_cO-X568m16Xs2_ns2mR_MqTLRWFdYuKBWEAFMvgnAGGQRhpIbaBEBhGaslt2hso0BhY42E4ILUimng0Mgd8nntXQ7pblX2913MoawFPaZV9lxNjJ2UEvYtaEnpuNYF3V-jYUg5D7jwyyF2MDx6zvzf8r6U9__KF_bTs3ZVd9i8ki-pC3C4Bu5ji4__N_np7PhFWa0nYh7x4XUCht9eG2mU__nlzHNzdTmX8tJP5BMUc5sQ</recordid><startdate>201406</startdate><enddate>201406</enddate><creator>Sánchez-Siles, Mariano</creator><creator>Torres-Diez, Luis Carlos</creator><creator>Camacho-Alonso, Fabio</creator><creator>Salazar-Sánchez, Noemi</creator><creator>Ballester Ferrandis, Jose Francisco</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>7QP</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>201406</creationdate><title>High Volume Local Anesthesia as a Postoperative Factor of Pain and Swelling in Dental Implants</title><author>Sánchez-Siles, Mariano ; Torres-Diez, Luis Carlos ; Camacho-Alonso, Fabio ; Salazar-Sánchez, Noemi ; Ballester Ferrandis, Jose Francisco</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4665-eb9c55c22a7bfc297e0ac2736ab7cae2800b318e78d5a5ed873ac9c36506a1ad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Anesthesia, Local</topic><topic>dental implant</topic><topic>Dental Implants - adverse effects</topic><topic>Dentistry</topic><topic>Edema - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>local anesthesia</topic><topic>Male</topic><topic>Middle Aged</topic><topic>pain</topic><topic>Pain, Postoperative</topic><topic>postoperative</topic><topic>swelling</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sánchez-Siles, Mariano</creatorcontrib><creatorcontrib>Torres-Diez, Luis Carlos</creatorcontrib><creatorcontrib>Camacho-Alonso, Fabio</creatorcontrib><creatorcontrib>Salazar-Sánchez, Noemi</creatorcontrib><creatorcontrib>Ballester Ferrandis, Jose Francisco</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Clinical implant dentistry and related research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sánchez-Siles, Mariano</au><au>Torres-Diez, Luis Carlos</au><au>Camacho-Alonso, Fabio</au><au>Salazar-Sánchez, Noemi</au><au>Ballester Ferrandis, Jose Francisco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>High Volume Local Anesthesia as a Postoperative Factor of Pain and Swelling in Dental Implants</atitle><jtitle>Clinical implant dentistry and related research</jtitle><addtitle>Clinical Implant Dentistry and Related Research</addtitle><date>2014-06</date><risdate>2014</risdate><volume>16</volume><issue>3</issue><spage>429</spage><epage>434</epage><pages>429-434</pages><issn>1523-0899</issn><eissn>1708-8208</eissn><abstract>Objective
To determine whether the administration of high‐volume local anesthesia can influence postoperative pain and swelling, and the degree of patient satisfaction, following dental implant placement.
Material and Methods
One hundred patients (45 women and 55 men) between 19 and 80 years old were divided into two groups: group A (n = 50, with placement of an implant using an atraumatic approach in each patient, with sub‐periosteal injection of a volume of Ultracain® ≤0.9 mL [half a carpule]) and group B (n = 50, involving the same surgical procedure but infiltrating a local anesthetic volume of ≥7.2 mL [four carpules]). Visual analog scales were used in all patients to rate intraoperative pain and postoperative pain and swelling. After the first week, the patients completed a questionnaire evaluating satisfaction with treatment.
Results
The intraoperative pain scores were similar in both groups (p = 0.363), while the postoperative pain and swelling scores were significantly lower in group A at all time points. Patient rated satisfaction with the surgical treatment was higher in group A.
Conclusions
Excess injected volume of local anesthetic in dental implant surgery has a negative impact upon both postoperative pain and swelling, and on patient rated satisfaction.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>22998596</pmid><doi>10.1111/cid.12005</doi><tpages>6</tpages></addata></record> |
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issn | 1523-0899 1708-8208 |
language | eng |
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source | Wiley-Blackwell Read & Publish Collection |
subjects | Adult Anesthesia, Local dental implant Dental Implants - adverse effects Dentistry Edema - etiology Female Humans local anesthesia Male Middle Aged pain Pain, Postoperative postoperative swelling |
title | High Volume Local Anesthesia as a Postoperative Factor of Pain and Swelling in Dental Implants |
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