Comparison of Local Anaesthetic Efficacy of Tramadol Versus Lignocaine for Extraction of Tooth Under Supraperiosteal Infiltration
- 11 Downloads
Tramadol has been shown to have a local anaesthetic effect when used as infiltration anaesthesia.
The local anaesthetic efficacy of tramadol was compared with that of lignocaine for the extraction of teeth in terms of their onset of action, duration of action, intraoperative pain, post-operative analgesic effect and adverse reactions. Apart from this, incidence of allergic reaction was also recorded for both the drugs. A total of 100 patients were divided into two groups randomly. Each patient was assigned to receive either a maximum of 2 ml of 5% tramadol (Supridol 50 mg, Neon laboratories), Group T (n = 50), as a local anaesthetic solution for extraction of maxillary premolar for orthodontic reason under supraperiosteal infiltration following strict aseptic precaution or a maximum of 2 ml of 2% lignocaine (Lox 2%, Neon laboratories), Group L (n = 50), in a double-blinded fashion.
In group T, the mean subjective onset of action was 33.66 s, while in group L it was 33.06 s (p = 0.881). In group T, the mean objective onset of action was 3.04 min, while in group L it was 3.18 min (p > 0.05). The mean duration of action in group T was 55.60 min, while in group L it was 57.50 min (p = 0.432). Only 2 patients in group T and 1 patient in group L had nausea (p = 0.245).
We conclude that 5% tramadol has a local anaesthetic efficacy similar to 2% lignocaine but is comparatively a weaker agent.
KeywordsTramadol Lignocaine Local anaesthesia Supraperiosteal infiltration
The authors are grateful to Dr. Gopal Nagargoje, Dr. Priyanka Tapsale and Mrs Bhagyashree Chopade for their assistance during the clinical procedures and Dr. Ketan Lipare for providing the relevant literature.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in this study (involving human participants) were in accordance with the ethical standards of the institutional research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- 1.World Health Organization (2014) Tramadol update review report. http://www.who.int/medicines/areas/quality_safety/6_1_Update.pdf
- 6.Bennett CR (1990) Monheim’s local anesthesia and pain control in dental practice, 7th edn. B.C.Decker, OntarioGoogle Scholar
- 15.Mert T, Gunes Y, Guven M, Gunay I, Ozcengiz D (2001) Blocking action of tramadol on nerve conduction. Intern J Pharmacol 1(2)Google Scholar
- 19.Alsandook TA, Haideri YAA (2013) A pilot double blinded clinical trial to compare between tramadol HCl and lidocaine HCl as local anaesthesia amongst hospital-outpatient adult dental attendees Mosul-Iraqi. J Oral Res 1(1):13–16Google Scholar
- 24.Malamed SF (2013) Handbook of local anesthesia, 6th edn. Mosby, St.LouisGoogle Scholar