Effect of Buffered Numbing Solution on Patients With Toothaches

NCT ID: NCT01868776

Last Updated: 2020-10-06

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2013-12-31

Brief Summary

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The purpose of this study is to determine the effect of buffered lidocaine (a numbing solution) on the ability to numb patients with toothaches. Buffered anesthetic (numbing) solutions have shown promise in some medical and dental research. Patients presenting with toothaches will be given either a buffered numbing solution or a nonbuffered numbing solution. Neither the patient nor the operator will know which solution they will receive. Root canal treatment will be performed on the tooth and the ability of the buffered versus non-buffered numbing solutions will be compared.

Detailed Description

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Conditions

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Irreversible Pulpitis (Toothache)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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buffered lidocaine

4% lidocaine with 1:100,000 epinephrine/0.18 mEq/mL sodium bicarbonate.

Group Type EXPERIMENTAL

buffered lidocaine

Intervention Type DRUG

nonbuffered lidocaine

4% lidocaine with 1:100,000 epinephrine

Group Type ACTIVE_COMPARATOR

nonbuffered lidocaine

Intervention Type DRUG

Interventions

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buffered lidocaine

Intervention Type DRUG

nonbuffered lidocaine

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* patients with a diagnosis of irreversible pulpitis (toothache) in a mandibular posterior tooth (back/bottom tooth) with moderate to severe pain
* ages 18 -65 years of age
* in good health (ASA I or II)
* able to grant informed consent.

Exclusion Criteria

* allergy to lidocaine (numbing solution
* significant medical problem (ASA III or IV)
* have taken CNS depressants or analgesic medications within the last 24 hours
* pregnancy or lactating
* non-English speaking
* inability to give informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ohio State University

OTHER

Sponsor Role lead

Responsible Party

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Melissa Drum

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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The Ohio State University College of Dentistry, Postle Hall

Columbus, Ohio, United States

Site Status

Countries

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United States

References

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DiFazio CA, Carron H, Grosslight KR, Moscicki JC, Bolding WR, Johns RA. Comparison of pH-adjusted lidocaine solutions for epidural anesthesia. Anesth Analg. 1986 Jul;65(7):760-4.

Reference Type BACKGROUND
PMID: 3717616 (View on PubMed)

Zahl K, Jordan A, McGroarty J, Sorensen B, Gotta AW. Peribulbar anesthesia. Effect of bicarbonate on mixtures of lidocaine, bupivacaine, and hyaluronidase with or without epinephrine. Ophthalmology. 1991 Feb;98(2):239-42. doi: 10.1016/s0161-6420(91)32311-x.

Reference Type BACKGROUND
PMID: 2008283 (View on PubMed)

Sinnott CJ, Garfield JM, Thalhammer JG, Strichartz GR. Addition of sodium bicarbonate to lidocaine decreases the duration of peripheral nerve block in the rat. Anesthesiology. 2000 Oct;93(4):1045-52. doi: 10.1097/00000542-200010000-00028.

Reference Type BACKGROUND
PMID: 11020760 (View on PubMed)

Richtsmeier AJ, Hatcher JW. Buffered lidocaine for skin infiltration prior to hemodialysis. J Pain Symptom Manage. 1995 Apr;10(3):198-203. doi: 10.1016/0885-3924(94)00124-4.

Reference Type BACKGROUND
PMID: 7629414 (View on PubMed)

Burns CA, Ferris G, Feng C, Cooper JZ, Brown MD. Decreasing the pain of local anesthesia: a prospective, double-blind comparison of buffered, premixed 1% lidocaine with epinephrine versus 1% lidocaine freshly mixed with epinephrine. J Am Acad Dermatol. 2006 Jan;54(1):128-31. doi: 10.1016/j.jaad.2005.06.043.

Reference Type BACKGROUND
PMID: 16384767 (View on PubMed)

Ackerman WE 3rd, Ware TR, Juneja M. The air-liquid interface and the pH and PCO2 of alkalinized local anaesthetic solutions. Can J Anaesth. 1992 Apr;39(4):387-9. doi: 10.1007/BF03009051.

Reference Type BACKGROUND
PMID: 1314142 (View on PubMed)

Other Identifiers

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buffered anesthetic toothache

Identifier Type: -

Identifier Source: org_study_id

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