<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-971X</journal-id>
<journal-title><![CDATA[CES Odontología]]></journal-title>
<abbrev-journal-title><![CDATA[CES odontol.]]></abbrev-journal-title>
<issn>0120-971X</issn>
<publisher>
<publisher-name><![CDATA[Universidad CES - Facultad de Odontología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-971X2021000100035</article-id>
<article-id pub-id-type="doi">10.21615/cesodon.34.1.4</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Use of bufferized dental anesthetics in dental surgery]]></article-title>
<article-title xml:lang="pt"><![CDATA[Uso de anestésicos dentários bufferizados em cirurgia dentária]]></article-title>
<article-title xml:lang="es"><![CDATA[Uso de anestésicos dentales buferizados en cirugía oral]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Martínez]]></surname>
<given-names><![CDATA[Adel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jiménez-Batista]]></surname>
<given-names><![CDATA[Elio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Jiménez]]></surname>
<given-names><![CDATA[Alexander]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,University of Cartagena  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,University of Cartagena  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,University of Cartagena  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>34</volume>
<numero>1</numero>
<fpage>35</fpage>
<lpage>43</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-971X2021000100035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-971X2021000100035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-971X2021000100035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction and objective: The addition of epinephrine to the anesthetic solution reduces the pH of the solution to a range between 2.9 and 4.4. The acidity of the anesthetic may delay onset and contribute to injection pain.  Objective: to determine the intensity of pain during a mandibular third molar surgery after using buffered 4% articaine with epinephrine 1:100000 in the inferior alveolar nerve block with buccal infiltration.  Materials and methods: an observational and descriptive clinical study was performed. The buffered solution was alkalinized with 8.4% sodium bicarbonate with a ratio of 9:1, using a hand-mixing methodology, the sample were patients who required a mandibular third molar surgery. After standardizing the anesthetic technique, it was used the inferior alveolar nerve block followed by buccal infiltration.  Results: 32 patients (20 female - 62.5% and 12 male - 37.5%), with an average age of 21.12 years (mean ± standard deviation : 21.12 ± 3.61) were admitted to the study. When assessing the pain puncture and during the injection, 94% of patients classified it as mild pain according to VAS. When evaluating the latency period, the average time was less than two minutes and the perioral soft tissue anesthesia was 62%. Only a small percentage of patients required complementary anes thesia.  Conclusion: buffered 4% of articaine with epinephrine in the in ferior alveolar nerve block with buccal infiltration significantly decreased onset time, injection pain and need for complementary anesthesia in third molar surgery.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução e objetivo: A adição de adrenalina à solução anestésica reduz o pH da solução para uma faixa entre 2,9 e 4,4. A acidez do anestésico pode atrasar o início e contribuir para a dor da injeção. Determinar a inten sidade da dor durante uma cirurgia dos terceiros molares inferiores após o uso de articaína tamponada a 4% com adrenalina 1: 100000 no bloqueio do nervo alveolar inferior com infiltração bucal.  Materiais e métodos: foi realizado um estudo clínico observacional e descritivo. A solução tamponada foi al calinizada com bicarbonato de sódio a 8,4% com uma proporção de 9: 1, utilizando uma metodologia de mistura manual; a amostra era de pacientes que necessitaram de uma cirurgia de terceiros molares inferiores. Após padronização da técnica anes tésica foi utilizada bloqueio do nervo alveolar inferior seguido de infiltração bucal.  Resultados: 32 pacientes (20 mulheres - 62,5% e 12 homens - 37,5%), com idade média de 21,12 anos (média ± desvio padrão : 21,12 ± 3,61) foram admitidos no estudo. Ao avaliar a punção dolorosa e durante a injeção, 94% dos pacientes a classificaram como dor leve de acordo com a EVA. Ao avaliar o período de latência, o tempo médio foi inferior a dois minutos e a anestesia perioral dos tecidos moles foi de 62%. Apenas uma pequena porcentagem de pacientes necessitou de anestesia complementar.  Conclusão: tamponar 4% de articaína com epinefrina no bloqueio do nervo alveolar inferior com infiltração bucal diminuiu significativamente o tempo de início, a dor da injeção e a necessidade de anestesia complementar em cirurgia de terceiros molares.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción y objetivo: la adición de epinefrina a la solución anestésica reduce el pH en un rango entre 2.9 y 4.4. La acidez del anestésico puede retrasar el inicio del efecto anestésico y contribuir al dolor durante la inyección de la solución. deter minar la intensidad del dolor durante la cirugía de terceros molares mandibulares después de usar articaína al 4% con epinefrina 1:100000 buferizada, en el bloqueo del nervio alveolar inferior con infiltración bucal.  Materiales y métodos: se realizó un estudio clínico observacional y descriptivo. La solución buferizada se alcalinizó con bicarbonato de sodio al 8,4% en una relación de 9:1, utilizando una técnica de mezcla manual, la muestra se obtuvo de pacientes que requerían cirugía del tercer molar mandibular. Después de estandarizar la técnica anestésica fue utilizado un bloqueo del nervio alveolar inferior seguido de una infiltración bucal.  Resultados: 32 pacientes (20 mujeres - 62,5% y 12 hombres - 37,5%), con una edad promedio de 21.12 años (media ± desviación estándar : 21.12 ± 3.61) ingresaron al es tudio. Al evaluar el dolor durante la punción y durante la inyección de la solución anestésica, el 94% de los pacientes lo clasificaron como dolor leve según la EVA. Al evaluar el período de latencia, el tiempo promedio fue inferior a dos minutos y la anestesia perioral de tejidos blandos fue del 62%. Solo un pequeño porcentaje de pacientes requirió anestesia complementaria.  Conclusión: El uso de 4% de articaína con epinefrina buferizada, en el bloqueo del nervio alveolar inferior con infiltración bucal disminuyó significativamente el tiempo de inicio, el dolor durante la inyección y la necesidad de anestesia complementaria en la cirugía de terceros molares.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Sodium bicarbonate]]></kwd>
<kwd lng="en"><![CDATA[Carticaine]]></kwd>
<kwd lng="en"><![CDATA[Anesthesia, Local]]></kwd>
<kwd lng="en"><![CDATA[nerve block]]></kwd>
<kwd lng="en"><![CDATA[dentistry.]]></kwd>
<kwd lng="pt"><![CDATA[Bicarbonato de sódio]]></kwd>
<kwd lng="pt"><![CDATA[Carticaína]]></kwd>
<kwd lng="pt"><![CDATA[Anestesia Local]]></kwd>
<kwd lng="pt"><![CDATA[bloqueio de nervo]]></kwd>
<kwd lng="pt"><![CDATA[odontologia.]]></kwd>
<kwd lng="es"><![CDATA[bicarbonato de sodio]]></kwd>
<kwd lng="es"><![CDATA[Carticaína]]></kwd>
<kwd lng="es"><![CDATA[Anestesia local]]></kwd>
<kwd lng="es"><![CDATA[bloqueo nervioso]]></kwd>
<kwd lng="es"><![CDATA[cirugía de terceros molares.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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