AUTHOR(S): Dr. Madhumita Srivastava, Dr. Ravinder Singh bedi, Dr. Jitendra Aurora, Dr. Aaditya Sunil Markandey and Dr. Gaurav Vishal

ABSTRACT:A Double-blinded study was done in patients, who required extraction of maxillary teeth bilaterally, by close method of extraction. Patients were allocated randomly into 2 groups: Group T, each patient received drug T (5% Tramadol HCl and adrenaline 1:80000); & Group L, each received drug L (2% Lidocaine HCL with adrenaline 1: 80000). Extraction was done under local infiltration anesthesia. For each patient intraoperatively degree of pain on injection, onset of anaesthesia, pin prick grading, local tissue reaction, total volume of anaesthetic required to produce satisfactory anaesthesia, VAS scale and non-invasive vital data monitor & postoperatively, duration of anaesthesia, need for first analgesic, rescue analgesia were recorded. Study findings suggested that Tramadol HCL can be used as alternative to Lidocaine HCL in combination with adrenaline to achieve local anesthesia in situation where Lidocaine HCL is contraindicated. Also no drug is needed reversal of local anaesthetic and no or negligible need of post op analgesia.

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