Universität zu Köln

Derman, Sonja H. M. ORCID: 0000-0003-2239-6010, Lowden, Claudia E., Hellmich, Martin and Noack, Michael J. (2014). Influence of intra-pocket anesthesia gel on treatment outcome in periodontal patients: a randomized controlled trial. J. Clin. Periodontol., 41 (5). S. 481 - 489. HOBOKEN: WILEY. ISSN 1600-051X

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Abstract

Aim Compare the treatment outcome after scaling and root-planing using local anesthesia gel or injected local anesthesia. Material and method Thirty-eight patients with periodontitis and good general health were included in a randomized, single-blind, split-mouth clinical trial. Probing depths and clinical attachment levels were recorded at baseline and 6weeks after treatment. Performed treatment procedures were scaling and root planing using two types of local anesthesia for separate treatment appointments. Anesthetics used were intra-pocket lidocaine and prilocaine gel (2.5% each) and injected articaine (1:100,000 adrenaline). Type of anesthesia for first appointment was randomized and switched for second appointment. Patients ' pain perception and anesthesia acceptance were recorded on questionnaires. Results No influence of applied type of anesthesia could be detected for change of probing pocket depths and clinical attachment level (p>0.05). These findings are valid even for deeper pockets. Gel-group had significant higher intra-operative pain perception. In retrospect 69% of patients favored gel. Conclusion Treatment outcome is not compromised by use of anesthesia gel in comparison to injected anesthesia. The same beneficial results for probing pocket depths and clinical attachment gain could be detected. The majority of patients prefer local anesthesia gel despite a slightly greater procedural discomfort.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Derman, Sonja H. M. UNSPECIFIED orcid.org/0000-0003-2239-6010 UNSPECIFIED Lowden, Claudia E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hellmich, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Noack, Michael J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-439678
DOI:	10.1111/jcpe.12239
Journal or Publication Title:	J. Clin. Periodontol.
Volume:	41
Number:	5
Page Range:	S. 481 - 489
Date:	2014
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1600-051X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INTRAPOCKET ANESTHESIA; CLINICAL-OUTCOMES; PAIN; LIDOCAINE; THERAPY; DEBRIDEMENT; PRILOCAINE; ORAQIX(R); DEVICE Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/43967