Prospective Clinical Study on the Effectiveness of Gel Topical Anesthesic in Second-Stage Surgeries of Dental Implants | Chapter 19 | Recent Developments in Medicine and Medical Research Vol. 2

 The purpose of this study is to determine the efficacy of gel topical anaesthesia in second surgeries of dental implants in order to locate a submerged cover screw; to determine if there are significant differences in pain perception between the different treated areas of the oral cavity; and to investigate the thickness and type of oral mucosa in which the gel topical anaesthesia is effective.   Materials and Methods: The study included 13 partially and totally edentulous individuals with a total of 30 implants. The cover screws of submerged dental implants that were not submerged in a depth more than 2-4 mm were chosen. In the event that the gel topical anaesthetic was ineffective, conventional infiltrative anaesthesia was used as a backup. Visual Analogue Scales (VAS) were used to assess pain, and a periodontal probe was used to assess gum thickness.   Results: Conventional anaesthetic infiltration was required to strengthen 66.67 percent of the sample. Although a higher feeling of pain was seen in those patients who were first subjected to a second-stage surgery (p0,05), no statistically significant differences were discovered in the comparison of pain with various gum thickness, implant localization in the oral cavity.   Conclusions: Gel topical anaesthesia should be used in conjunction with infiltrative anaesthesia rather than as a stand-alone treatment for pain relief. There were no significant variations in the thickness or type of oral mucosa between the different treated locations of the oral cavity.

Author (S) Details

 Jordi Ortega-Martínez
College of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.

Ferrés-Amat Elvira
College of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.

Hernández-Alfaro Federico
College of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.

Ferrés-Padró Eduard
Department of the Oral Pathology, Oral Surgery, Oral Medicine and Oral Implantology, College of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.

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