Oral mucosal analgesia quantitatively assessed by argon laser-induced thresholds and single-evoked vertex potentials

Anesth Pain Control Dent. 1993 Summer;2(3):154-61.

Abstract

The aim of this study is to quantitate the efficacy of a new topical anesthetic applied to the oral mucosa. Nociceptive pinprick thresholds and single-evoked vertex potentials (VP) elicited by high-intensity argon laser stimuli are used as measures of analgesia. After 5 minutes of occlusion (Orahesive Oral Bandages, ConvaTec) with a eutectic mixture of local anesthetics (EMLA cream, Astra), nociceptive pinprick thresholds on the tongue and gingiva are higher than those taken during nonocclusion. In a double blind-placebo controlled experiment, VPs were elicited every 1 minute for 19 minutes by single laser stimuli applied to the mucosa of the lower lip. After occlusion with EMLA cream for 3 minutes, VPs were significantly reduced when compared to those with placebo cream. One minute after removal of the EMLA cream, the spectral power of the single-evoked VP decreased significantly by 63.3%, the root-mean-square amplitude decreased by 42.7%, and the subjective pain perception (estimated on visual analogue scales) decreased by 88%. A significant reduction in single-evoked VPs was detected until 13 minutes after the removal of the EMLA cream. Oral mucosal analgesia may be quantitated by argon laser-induced nociceptive pinprick thresholds and single-evoked VPs.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Anesthetics, Local*
  • Double-Blind Method
  • Drug Combinations
  • Evoked Potentials
  • Female
  • Gingiva / physiopathology
  • Humans
  • Lasers*
  • Lidocaine*
  • Lidocaine, Prilocaine Drug Combination
  • Male
  • Mouth Mucosa / physiopathology*
  • Occlusive Dressings
  • Pain Measurement*
  • Pain Threshold*
  • Prilocaine*
  • Tongue / physiopathology

Substances

  • Anesthetics, Local
  • Drug Combinations
  • Lidocaine, Prilocaine Drug Combination
  • Prilocaine
  • Lidocaine