Comparison of local Anesthetic efficacy of tramadol hydrochloride (with adrenaline) versus lignocaine hydrochloride (with adrenaline) in simple dental extractions

Abstract

Introduction: Tooth extraction is one of the most common procedures practiced by dentists in exodontia. The administration of local anesthetic is thereby invariably used for blocking pain associated with the dental extraction procedure. Study aimed at comparing the local anesthetic efficacy of tramadol hydrochloride (with adrenaline) and lignocaine hydrochloride (with adrenaline) in simple dental extractions was done. Material and method: 50 healthy patients of both genders requiring bilateral extractions of teeth of either arch were selected as per the inclusion and exclusion criteria. The patients were selected randomly irrespective of gender, age, tooth condition and caste. Subjects were classified into two groups as follows: Group T-Patients who received local infiltration of tramadol hydrochloride5% with adrenaline & Group L-Patients who received local infiltration of ligniocaine hydrochloride2% with adrenaline. Results: In the present study, parameters showed no significant difference between the anesthetic activity of tramadol hydrochloride5% & lignocaine hydrochloride 2%. Conclusion: The administration of local anesthesia for dental procedures is as old as history of dental extractions itself. Use of lignocaine for local anesthesia remains the corner stone for performing dental procedures. However, incidence of lignocaine hypersensitivity reactions is not uncommon, thereby researches for a suitable alternative continues to strive. This study reveals tramadol hydrochloride as a suitable alternative to lignocaine hydrochloride in simple dental extractions.