Background: Bupivacaine, an amide-type local anesthetic, provides prolonged analgesia and is indicated when post-operative pain is anticipated. Its use in routine oral surgery is especially justified for lengthy surgical procedures or oral surgical extraction associated with predicted post-operative pain and discomfort. Materials and method: A total of 30 patients were included in the study. The patients were randomly grouped into two groups, Group A and Group B with 15 patients in each group. Subjects in Group A were given an injection of 2% lidocaine with 1/80,000 epinephrine whereas subjects in group B were given injection of equal volumes of 2% lidocaine with 1/80,000 epinephrine and 0.5% bupivacaine. The operator was blinded to the preparation in the injection. For the evaluation of serum, blood was drawn from the pedis artery of the patients. Results: The mean age of patients in Group A was 51.2+9.3 years and in Group B was 49.3 + 6.8 years. The maximal serum concentration attained in Group A was 1.81 + 0.3 µg/ml and in Group B was 1.17 + 0.23 µg/ml. The results on comparison were observed to be statistically significant (p<0.05). Conclusion: The combination of lidocaine + bupivacaine has long-lasting local anesthetic effect as compared to lidocaine alone.
Keywords: Bupivacaine, Lidocaine, Local anesthesia, oral surgery

Corresponding Author: Dr. Syed Wakeel, Registrar, Department of Oral and Maxillofacial Surgery, IGGDC, Jammu, India

This article may be cited as: Wakeel S, Salgotra V, Bhagat SK. Comparison of Local Anesthesia for Dental Procedure with or without Bupivacaine. Int J Res Health Allied Sci 2017;3(6):52-54.