Murat ULU, Osman A. ETÖZ, Ahmet E. DEMİRBAŞ, Fatma Gülfeşan Yıldırım ÇANAKÇI, Hüseyin AKÇAY

Yirmi yaş dişi çekimi öncesinde ısıtılmış lokal anestezik solüsyonun ağrı ve anestezi süresine etkisi

Amaç: Lokal anestezik ajanlar uzun yıllardır diş hekimliğinde yaygın olarak kullanılmaktadır. Vücut sıcaklığında uygulanan lokal anesteziklerin anestezi süresini kısalttığı ve injeksiyon sırasında duyulan ağrıyı azalttığı rapor edilmiştir. Bu çalışmanın amacı yirmi yaş dişi çekimi öncesi uygulanan vücut sıcaklığında ve oda sıcaklığında lokal anesteziklerin ağrı ve anestezi süresi açısından etkilerinin karşılaştırılmasıdır.Gereç ve Yönem: Yirmi yaş dişi çekimi yapılacak 46 yetişkin hasta bu split-mouth çalışmaya dahil edildi. Hastaların çenelerinin bir tarafına ısıtılmış lokal anestezik enjekte edilirken diğer tarafına oda sıcaklığında local anestezik enjekte edildi.Bulgular: İki grup arasında istatistiksel olarak anlamlı fark bulunamadı. Ortalama anestezi süresi ve enjeksiyon sırasında elde edilen VAS değerleri her iki grupta da benzerdi. Enjeksiyon sırasında ve sonrasında hastalarda herhangi bir komplikasyon gözlenmedi. Sonuç: Daha fazla örnek içeren ileriki çalışmalar, özellikle enjeksiyon sırasında ağrıyı azaltma ile ilgili ısıtılmış anestezinin etkinliğini gösterebilir.

Anahtar Kelimeler:

Anestezi, Dental Korku, Yirmi Yaş Dişi, Ağrı

Effect of warming of local anesthesia on pain and anesthesia duration before wisdom tooth extraction

Purpose: Local anesthetic agents have been widely used in dentistry for several decades. Administration of local anesthetics at body temperature has been reported to shorten the onset time and reduce pain during injection. The aim of this study was to compare the effect of the local anesthetic at body temperature and room temperature before wisdom tooth extraction in terms of injection pain and onset of anesthesia.Materials and Methods: Forty-six adult patients, who were undergoing wisdom tooth extraction, participated in this split-mouth study. To the one side of the patient’s jaws warmed anesthetic solution and to the other side anesthetic solution at room temperature was injected.Results: There was no statistically significant difference between two groups. Mean onset time of anesthesia and VAS scores during injection were similar for room temperature and warmed anesthetic solution groups. None of the patients exhibited any complications during and after injection.Conclusion: Further studies, which include large number of samples, may indicate the effectiveness of warmed anesthetic especially with regard to reducing pain during injection.

Keywords:

Anasthesia, Dental Fear, Wisdom Teeth, Pain,

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