比较 3%普鲁卡因作为麻醉剂在上颌第一和第二磨牙的麻醉成功率。
Comparison of the Anaesthesia Success Rate in Maxillary First and Second Molars with 3% Prilocaine as the Anaesthetic Agent.
机构信息
Department of Endodontics, Endodontology Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Department of Endodontics, Oral and Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran.
出版信息
Eur Endod J. 2021 Dec;6(3):254-258. doi: 10.14744/eej.2021.74755.
OBJECTIVE
The aim of this study was to compare the success rate of anaesthesia with 3% prilocaine and felypressin (0.03 IU/mL) in maxillary first and second molar teeth with irreversible pulpitis.
METHODS
The study population was 159 patients (53 males, 106 females) who had maxillary first or second molar teeth with irreversible pulpitis (84 first molars, 75 second molars). A buccal infiltration of 3% prilocaine with 0.03 IU/mL felypressin was used as the primary anaesthetic technique. In addition to using a categorised pain score, sound, eye movement and body motion were considered signs of anaesthesia efficacy. The data were analysed with independent t and Chi-square tests. Significance was set at α=0.05.
RESULTS
Overall, the success rate was 56.6% in maxillary molars, 53.6% in maxillary first molars, and 60% in maxillary second molars. There was no statistically significant difference between maxillary first and second molars in terms of anaesthesia success rate (P>0.05). The overall success rate of intraligament supplementary injections was 50%, and intrapulpal supplementary injections was 97.91%. No significant difference was found between maxillary first and second molars in terms of the success rate of the supplemental techniques (P>0.05).
CONCLUSION
No significant difference was found between maxillary first and second molars in terms of anaesthesia success rate when 3% prilocaine with 0.03 IU/mL felypressin was used as an anaesthetic solution for the infiltration injection.
目的
本研究旨在比较 3%丙胺卡因和菲立加压素（0.03IU/mL）用于治疗不可复性牙髓炎的上颌第一、第二磨牙麻醉成功率。
方法
研究人群为 159 名患者（53 名男性，106 名女性），他们患有不可复性牙髓炎的上颌第一或第二磨牙（84 颗第一磨牙，75 颗第二磨牙）。采用 3%丙胺卡因加 0.03IU/mL 菲立加压素颊侧浸润作为主要麻醉技术。除使用分类疼痛评分外，声音、眼球运动和身体运动也被视为麻醉效果的标志。数据采用独立 t 检验和卡方检验进行分析。显著性水平设为α=0.05。
结果
总体而言，上颌磨牙的成功率为 56.6%，上颌第一磨牙的成功率为 53.6%，上颌第二磨牙的成功率为 60%。上颌第一磨牙和第二磨牙的麻醉成功率之间无统计学差异（P>0.05）。附加浸润注射的总体成功率为 50%，牙髓内附加注射的成功率为 97.91%。上颌第一磨牙和第二磨牙附加技术成功率之间无显著差异（P>0.05）。
结论
在使用 3%丙胺卡因加 0.03IU/mL 菲立加压素作为浸润注射麻醉溶液时，上颌第一磨牙和第二磨牙的麻醉成功率无显著差异。
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