title: Lidocaine versus mepivacaine in sedated pediatric dental patients: randomized, prospective clinical study.
abstract: Dental anxiety is usually seen in the pediatric patients. specially in the case of minor oral surgical procedures and exodontia, cooperation of the patients and their families with the dentist will lead to superior treatment outcomes. Pain control is important in dentistry. The aim of this randomized prospective clinical study is to compare the local anaesthetic and haemodynamic effects of 2% lidocaine (Group 1) and 3% mepivacaine (Group 2) in sedated pediatric patients undergoing primary tooth extraction.
  
  
  METHODS
  60 pediatric patients undergoing sedation for elective primary tooth extraction was prospectively included in the study in a randomized fashion. Inclusion and exclusion criteria were assigned. Patients were given premedication via oral route. Local anesthesia was achieved before extraction(s).
  
  
  RESULTS
  There were no significant differences between the groups in patient demographics, number of teeth extracted, duration of the operation and time from the end of the procedure to discharge (p ≥ 0.05). FLACC pain scale scores were not statistically significant between the groups, except at 20 minutes post-operatively when the score is significantly lower in Group 2 (p=0.029).
  
  
  CONCLUSIONS
  Prevention of pain during dental procedures can nurture the relationship of the patient and dentist. Tooth extraction under sedation in pediatric patients could be safe with both local anesthetics.
authors: Ege University Faculty of Dentistry, Izmır, Turkey Faculty of Dentistry Oral and Maxillofacial Surgery Dept.
authors: Aylin Sipahi
authors: AS
authors: Çalış
authors: Ege University Faculty of Dentistry, Izmır, Turkey Faculty of Medicine Anesthesiology Dept.
authors: Esra
authors: E
authors: Cagiran
authors: Ege University Faculty of Dentistry, Izmır, Turkey Faculty of Dentistry Oral and Maxillofacial Surgery Dept.
authors: Candan
authors: C
authors: Efeoglu
authors: Ege University Faculty of Dentistry, Izmır, Turkey Faculty of Dentistry Pediatric Dentistry Dept.
authors: Aslı Topaloglu
authors: AT
authors: Ak
authors: Ege University Faculty of Dentistry, Izmır, Turkey Faculty of Dentistry Oral and Maxillofacial Surgery Dept.
authors: Huseyın
authors: H
authors: Koca
mesh_terms: D000766:Anesthesia, Dental; D000779:Anesthetics, Local / Q000008:administration & dosage*; D062186:Arterial Pressure / Q000502:physiology; D002648:Child; D016292:Procedural Sedation; D004311:Double-Blind Method; D017558:Elective Surgical Procedures; D005260:Female; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage*; D008297:Male; D008619:Mepivacaine / Q000008:administration & dosage*; D008991:Monitoring, Physiologic / Q000379:methods; D061646:Operative Time; D010100:Oxygen / Q000097:blood; D010149:Postoperative Pain / Q000209:etiology; D011229:Preanesthetic Medication; D011446:Prospective Studies; D013997:Time Factors; D014081:Tooth Extraction / Q000379:methods; D014094:Tooth, Deciduous / Q000601:surgery
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine; D008619:Mepivacaine; D010100:Oxygen
keywords: Anxiety; Lidocaine; Mepivacaine; Sedation; children