EFFECTIVENESS OF LIDOCAINE AND ADRENALINE-SOAKED GAUZE VS NORMAL SALINE-SOAKED GAUZE IN MANAGEMENT OF PRIMARY POST EXTRACTION BLEEDING

Abstract

Objectives:

To compare the effectiveness of lidocaine with 1:100000 adrenaline-soaked gauze and normal saline soaked gauze in management of primary post extraction bleeding

Methods:

Patients that are candidates for dental extraction are chosen for this study who match the inclusion criteria. Under Local anaesthesia, dental extraction carried out as per protocol of the department. Patients were divided into two groups, Group E and C and the selection was single blinded. The extractions were carried out by a single operator. In the EXPERIMENTAL GROUP (n = 50) Pressure gauze soaked in LA solution (Lidocaine with 1:100000 adrenaline) placed in the extraction socket immediately post extraction for haemostatic control and in the CONTROL GROUP (n=50) Pressure gauze soaked in normal saline placed over the extraction socket. For both groups, time of placement of gauze noted. (Ta0) Gauze is reflected and status of haemostasis is checked every 5 mins for 20 minutes. (Tax = Ta1/Ta2/Ta3/Ta4) Time of stoppage of bleeding i.e., achievement of haemostasis is noted. (Tax)Time interval (Ta = Tax-Ta0) is measured and readings were tabulated and a statistical analysis was done to check for significance.

Results:

Total number of participants recruited for study is 100, of which 50 were male and 50 were female. P-value obtained (0.363)>0.05 -> statistically not significant.95% confidence interval = -01:52 - +04:52 was proved to be statistically not significant. There was no statistical difference between the meantime interval for management of primary post extraction of the two groups.

Conclusions: 

Thus, we can safely conclude that lidocaine with 1:100000 adrenaline-soaked gauze was not an ideal haemostatic agent for control of post extraction bleeding. Many alternate options clinically effective options are available for this the purpose of haemostasis after dental extraction.