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N/A Completed N=23 Randomized Double-blind Treatment

Clinical Outcomes of Buffered vs. Non-Buffered Lidocaine

Blood Levels of Buffered vs Non-buffered Lidocaine · Anesthetics, Local
Source: ClinicalTrials.gov NCT02620683 ↗
Enrolled (actual)
23
Serious AEs
0.0%
Results posted
Jan 2018
Primary outcomePrimary: Lidocaine Blood Levels 30 Minutes Post Injection — 7.9; 15.8 ug/L — p=0.006

Summary

Anecdotal reports suggest buffering lidocaine with epinephrine just before intraoral injection reduces time of onset, results in a deeper anesthetic effect, without the "sting" with injection from a low pH. Additional data are needed to establish clinical important outcomes such as the peak blood level of lidocaine as compared to the non-buffered drug combination. Clinical pilot studies are proposed as the start of a series of investigations to support or modify the use of the buffered anesthetic for intraoral procedures.

Outcome Measures

OutcomeResultp-value
PRIMARY
Lidocaine Blood Levels 30 Minutes Post Injection
7.9; 15.8 0.006 sig
SECONDARY
Pain Intensity Scores
2.6; 3.0 0.096
SECONDARY
Number of Minutes to Anesthesia Symptoms of Lower Lip
10.2; 13.7 0.23
SECONDARY
Topical Anesthesia Effect Contralateral Lower Lip
— —

Eligibility Criteria

Inclusion Criteria

  • Age 18-30 years
  • ASA I
  • Willingness to complete QOL instrument
  • Willingness to participate in two sessions

Exclusion Criteria

  • Allergy to lidocaine class of anesthetic drugs
  • Local anesthetic drug use in past week
  • Current symptoms teeth or oral mucosa
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02620683). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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