FREQUENCY OF USE OF LOCAL AND GENERAL ANESTHESIA INMOLAR EXTRACTIONS: COMPARISON OF LEVEL OF PAIN ANDCOMPLICATIONS.

Abstract

Background: Study of LA and GA anesthesia response indicates the comparison between both
Local anesthesia (LA) is that technique which is used to make absent of sensation or feeling that
is confined to a circumscribed area of the body. Analgesia (pain relieving) is locally given for
insensitivity to pain. Local anesthetics have high efficacy and safety in medical and dental
practice. Their use is so routine, and adverse effects are infrequent, which may be overlooked. The aims of this study were to compare the frequency of use LA (Lidocaine) and GA
(Isoflurane) in molar extractions. And to determine the complications of this procedure.
Methods: Data was collected through questionnaire (sampling) method of hundredpatients who
recently had molar extractions in the three dental hospital ( private hopsital, government hospital, DUHS ( OJHA Campus),Karachi.Frequency of Procedures of molar extraction done in LA or
GA and any postsurgical complications were recorded. RESULTS: Approximately 67 procedures were done on LA compared to 48 cases of molar
extraction done in GA. This study show frequency of use of GA , DUHS (30%), Medicare
(28%), Abbasi Shaheed Hospital (37%)and LA varies among different hospitals DUHS (60%),
JMDC(72%), Abbasi Shaheed Hospital (62%)(Table 1).Post surgical complications in
procedures done under LA / GA which included were pain, trismus, swelling, soft tissue injury,
nerve damage, damage to adjacent teeth and dislocation of mandible were recorded.(Table 2).