title: Patient Discomfort During and After Surgically Assisted Rapid Maxillary Expansion Under Local Anaesthesia.
abstract: The aim of this study was to evaluate whether surgically assisted rapid maxillary expansion (SARME) could be performed under local anaesthesia and to understand the patient discomfort associated with this protocol. Patient discomfort was compared during and after 2 different types of oral surgical treatments in the same patients. Odontectomies for impacted lower third molar (control) were compared with SARME procedures (test) that were also performed under local anaesthesia. A visual analogic scale was used for each patient to quantify his or her discomfort before and after surgery. A total of 47 patients required 1 of these surgeries and were enrolled in this study. No statistically differences (P >0.05) were observed between the control and test groups. The results of this study suggest that SARME can be safely performed under local anesthesia because the intra- and postoperative discomfort levels were similar to those of other procedures that are typically performed under local anesthesia.
authors.affiliation: *Department of Clinical and Experimental Medicine, Foggia University, Foggia†Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, Second University of Naples, Naples‡Department of Human Pathology, University of Messina, University of Messina School of Dentistry, Messina, Italy.
authors.forename: Luigi
authors.initials: L
authors.lastname: Laino
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Troiano
authors.forename: Mario
authors.initials: M
authors.lastname: Dioguardi
authors.forename: Letizia
authors.initials: L
authors.lastname: Perillo
authors.forename: Gregorio
authors.initials: G
authors.lastname: Laino
authors.forename: Lorenzo
authors.initials: L
authors.lastname: Lo Muzio
authors.forename: Marco
authors.initials: M
authors.lastname: Cicciù
mesh_terms: D000328:Adult; D000772:Anesthesia, Local; D005260:Female; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery; D008964:Molar, Third / Q000601:surgery*; D019647:Oral Surgical Procedures; D010147:Pain Measurement; D010149:Postoperative Pain / Q000209:etiology*; D010155:Palatal Expansion Technique; D014095:Tooth, Impacted / Q000601:surgery*; D055815:Young Adult