Skoglund LA Jorkjend L. Postoperative pain experience after gingivectomies using different combinations of local anesthetic agents and periodontal dressings. J Clin Perio, 18:204, 1991.

Purpose

Evaluation of postoperative pain

Materials and Methods

• 243 gingivectomies,
• 3 different anesthetics (lidocaine-adrenaline, prilocaine-felypressin or mepivacaine)
• 3 perio dressings : Coe-pak, Wondrpak, Nobotec.

Results

• Coe-Pak showed a higher pain score in the group treated with lidocaine -adrenaline 4-6 hour after GV than the groups treated with the other 2 anesthetics
• No differences between the 2 other groups ( prilocaine and mepivacaine)
• When Wondrpak or Nobotec were used, no differences could be detected between the 3 groups.
• Authors conclude that adrenaline-lidocaine gives a higher degree of pain after GV. However, the effect is masked when a eugenol containing perio dressing is used.

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