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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
91

Organiska kväveföreningars påverkan på vätebehandlingsanläggningens prestanda / Effect of Organic Nitrogen Compounds on Hydrotreater Performance

BIN HANNAN, KHALID January 2014 (has links)
Various distillates are treated with hydrogen gas during hydrotreatment in the presence of catalyst in order to reduce the sulfur and aromatic content of the product. Optimal hydrotreater performance is essential for producing Nynas specialty oils, in order to fulfill the planned production volume and to meet the product specification. Loss of catalyst activity is inevitable during the production. To adjust for the impact of catalyst deactivation, different process variables are manipulated. Different distillates affect the catalyst in different ways due to the variation in distillate composition. Distillates with higher organic nitrogen content and running at a lower temperature tend to deactivate the catalyst more due to the adsorption of nitrogen compounds on the active sites of the catalyst and their slow nature of desorption. In this master thesis, different catalyst deactivation mechanisms with a focus on nitrogen deactivation have been studied. Since nitrogen is not normally measured at Nynas, nitrogen content of different distillates and products and how these values change during operation was not known. Different distillates, blend of distillates and different products were measured to estimate roughly the typical nitrogen value of the distillates and products. The temperature data inside the reactors were analyzed to calculate and plot WABT (weighted average bed temperature) during different product runs and to see whether there is a correlation between the nitrogen content of the feed and operation severity (increase in WABT). Historical process data from hydrotreater unit 2 (mostly from 2013-2014) were analyzed with a view to finding out signs of catalyst deactivation. Similar product runs were also analyzed and compared to see how the catalysts performed at different periods of time. A kinetic model, based on HDS kinetics, has been used for following up two product runs. To do so, sulfur content of the feed and product were measured. Aromatic content of the product was also measured to see whether the product was on specification. .From the calculation and plotting of WABTs, it could be seen that there is an increase in WABT during the product runs operating at lower temperatures and with higher nitrogen content. From the comparison of two P3 product runs at two different time periods, it could be seen that ∆T development over one bed (amount of reaction over the bed) was much lower at one time. This can possibly be a sign of catalyst deactivation since it contributed to lesser amount of reaction over the bed. From the calculations by using the kinetic model, it could be seen that the actual temperatures were higher than the predicted temperatures. The increase in WABTs could also be noticed. These observations can possibly be coupled with nitrogen deactivation of the catalysts.  However, more tests are required to verify whether the temperature differences were significant or not. Other parameters which are also important from product selling point of view such as viscosity, color, flash point, acid number etc. and have not been covered in this degree project need to be taken into consideration before making further conclusions.
92

Effect of a Combination of Nitrous Oxide and Intraligamentary Injection on the Success of the Inferior Alveolar Nerve Block in Patients with Symptomatic Irreversible Pulpitis

Chen, Lo-Shen January 2020 (has links)
No description available.
93

Anesthetic efficacy of lidocaine and prilocaine for inferior alveolar nerve block in endodontic treatment of adult patients with symptomatic pulpitis - A pilot study

Axelsson, Emil, Altersved, Albin January 2015 (has links)
Syftet med denna randomiserade kliniska studie var att jämföra anestesieffekten mellan 2 % lidocain med 1:200,000 adrenalin och 3 % prilocain med 0,03 i.u./ml felypressin vid en blockad av Nervus alveolaris inferior för behandling av patienter med symtomatisk pulpit i en underkäksmolar eller –premolar.Materialet utgjordes av 5 patienter som uppsökt Tandvårdshögskolans jourmottagning för akuta besvär. Patienterna fick upp till 3,6 ml av antingen 2% lidocain (n=4) eller 3% prilocain (n=1). Det valda medlet var okänt för både patient och behandlare under hela behandlingen. Behandling (pulpotomi) påbörjades först när patienten erhållit bedövad läpp. Information om smärta före och under behandling, intag av analgetika och oro inför behandling noterades. Lyckad anestesi ansågs vara ingen eller endast mild smärta under behandling (<54 mm av 170 mm på en visuell analog skala).Lyckandefrekvensen för lidocain var 50 % och för prilocain 100 %. Det insamlade materialet var för litet för möjliggöra statistisk analys.De patienter som inkluderades i denna pilotstudie var för få för att visa eventuella skillnader i anestesieffekt mellan lidocain och prilocain vid en blockad av Nervus alveolaris inferior för behandling av patienter med symtomatisk pulpit i en underkäksmolar eller –premolar. Ett större underlag krävs för att kunna dra slutsatser om något av de testade bedövningsmedlen är överlägset. Ett stickprov på 57 deltagare i varje grupp krävs för att upptäcka en skillnad i lyckandefrekvens på 25 % (power 80 %). Protokollet har nu testats och visat sig vara lämpligt att använda i en större studie. / The aim of this randomized clinical trial was to compare the anesthetic efficacy of 2% lidocaine with 1:200,000 epinephrine and 3% prilocaine with 0,03 i.u./ml felypressin used for the inferior alveolar nerve block (IANB) in endodontic treatment of adult patients with symptomatic pulpitis in posterior mandibular teeth.5 patients visiting the emergency clinic of the Faculty of Odontology, Malmö University participated in the study. They randomly received, in a double-blind manner, up to 3,6 ml of either 2% lidocaine (n=4) or 3% prilocaine (n=1) in a conventional IANB. Treatment (pulpotomy) was only initiated after profound lip numbness was obtained. Pre- and perioperative pain, intake of analgesics and anxiety was recorded. Anesthetic success was defined as no or only mild pain (a rating of <54mm on a 170mm Visual Analogue Scale) during treatment.The success rate for IANB using lidocaine was 50% and for prilocaine 100%. The material size was insufficient to enable statistical analysis.The few patients selected for this pilot study were insufficient to assess any difference in anesthetic efficacy between lidocaine and prilocaine for IANB in endodontic treatment of adult patients with symptomatic pulpitis in a posterior mandibular tooth. Further data collection is needed to make conclusions about possible superiority of any of the tested substances. A sample size of 57 test subjects in each group would give a power of 80% to detect a difference of 25% in success rate. The protocol appears to be suitable for use in a larger-scale study.
94

Improvements in Pulse Parameter Selection for Electroporation-Based Therapies

Aycock, Kenneth N. 30 March 2023 (has links)
Irreversible electroporation (IRE) is a non-thermal tissue ablation modality in which electrical pulses are used to generate targeted disruption of cellular membranes. Clinically, IRE is administered by inserting one or more needles within or around a region of interest, then applying a series of short, high amplitude pulsed electric fields (PEFs). The treatment effect is dictated by the local field magnitude, which is quite high near the electrodes but dissipates exponentially. When cells are exposed to fields of sufficient strength, nanoscale "pores" form in the membrane, allowing ions and macromolecules to rapidly travel into and out of the cell. If enough pores are generated for a substantial amount of time, cell homeostasis is disrupted beyond recovery and cells eventually die. Due to this unique non-thermal mechanism, IRE generates targeted cell death without injury to extracellular proteins, preserving tissue integrity. Thus, IRE can be used to treat tumors precariously positioned near major vessels, ducts, and nerves. Since its introduction in the late 2000s, IRE has been used successfully to treat thousands of patients with focal, unresectable malignancies of the pancreas, prostate, liver, and kidney. It has also been used to decellularize tissue and is gaining attention as a cardiac ablation technique. Though IRE opened the door to treating previously inoperable tumors, it is not without limitation. One drawback of IRE is that pulse delivery results in intense muscle contractions, which can be painful for patients and causes electrodes to move during treatment. To prevent contractions in the clinic, patients must undergo general anesthesia and temporary pharmacological paralysis. To alleviate these concerns, high-frequency irreversible electroporation (H-FIRE) was introduced. H-FIRE improves upon IRE by substituting the long (~100 µs) monopolar pulses with bursts of short (~1 µs) bipolar pulses. These pulse waveforms substantially reduce the extent of muscle excitation and electrochemical effects. Within a burst, each pulse is separated from its neighboring pulses by a short delay, generally between 1 and 5 µs. Since its introduction, H-FIRE burst waveforms have generally been constructed simply by choosing the duration of constitutive pulses within the burst, with little attention given to this delay. This is quite reasonable, as it has been well documented that pulse duration plays a critical role in determining ablation size. In this dissertation, we explore the role of these latent periods within burst waveforms as well as their interaction with other pulse parameters. Our central hypothesis is that tuning the latent periods will allow for improved ablation size with reduced muscle contractions over traditional waveforms. After gaining a simple understanding of how pulse width and delay interact in vitro, we demonstrate theoretically that careful tuning of the delay within (interphase) and between (interpulse) bipolar pulses in a burst can substantially reduce nerve excitation. We then analyze how pulse duration, polarity, and delays affect the lethality of burst waveforms toward determining the most optimal parameters from a clinical perspective. Knowing that even the most ideal waveform will require slightly increased voltages over what is currently used clinically, we compare the clinical efficacy of two engineered thermal mitigation strategies to determine what probe design modifications will be needed to successfully translate H-FIRE to the clinic while maintaining large, non-thermal ablation volumes. Finally, we translate these findings in two studies. First, we demonstrate that burst waveforms with an improved delay structure allow for enhanced safety and larger ablation volumes in vivo. And finally, we examine the efficacy of H-FIRE in spontaneous canine liver tumors while also comparing the ablative effect of H-FIRE in tumor and non-neoplastic tissue in a veterinary clinical setting. / Doctor of Philosophy / Cancer is soon to become the most common cause of death in the United States. In 2023, approximately 2 million new cases of cancer will be diagnosed, leading to roughly 650 thousand lost lives. Interestingly, about half of newly diagnosed cancers are caught in the early stages before the disease has spread throughout the body. With effective local intervention, these patients could potentially be cured of their malignancy. Surgical removal of the tumor is the gold standard, but it is often not possible due to tumor location, patient comorbidities, or organ health status. In some instances, focal thermal ablation with radiofrequency or microwave energy can be performed when resection is not possible. These treatments entail the delivery of thermal energy through a needle electrode, which causes local tissue damage through coagulation (cooking) of the tissue. However, thermal ablation destroys tissue indiscriminately, meaning that any nearby blood vessels or neural components will also be damaged, which precludes thousands of patients from treatment each year. Irreversible electroporation (IRE) was introduced to overcome these challenges and provide a treatment option for patients diagnosed with otherwise untreatable tumors. IRE uses pulsed electric fields to generate nanoscale pores in cell membranes, which lead to a homeostatic imbalance and cell death. Because IRE is a membrane-based effect, it does not rely on thermal effects to generate cellular injury, which allows it to be administered to tumors that are adjacent to critical tissue structures such as major nerves and vasculature. Though IRE opened the door to treating otherwise inoperable tumors, procedures are technically challenging and require specialized anesthesia protocols. High-frequency irreversible electroporation (H-FIRE) was introduced by our group roughly a decade ago to simplify the procedure through the use of an alternate pulsing strategy. These higher frequency pulses offer several advantages such as limiting muscle contractions and reducing the risk of cardiac interference, both of which were concerns with IRE. However, H-FIRE ablations have been limited in size, and there is limited knowledge regarding the optimal pulsing strategy needed in order to maximize the ratio of therapeutic benefits to undesirable side effects like muscle stimulation and Joule heating. In this dissertation, we sought to understand how different pulse parameters affect these outcomes. Using a combination of computational, benchtop, and in vivo experiments, we comprehensively characterized the behavior of user-tunable pulse parameters and identified optimal methods for constructing H-FIRE protocols. We then translated our findings in a proof-of-principle study to demonstrate the ability of newly introduced waveform designs to increase ablation size with H-FIRE. Overall, this dissertation improves our understanding of how H-FIRE waveform selection affects clinical outcomes, introduces a new strategy for maximizing therapeutic outcomes with minimal side effects, and provides a framework for selecting parameters for specific applications.
95

Optical Sensors for High-Temperature Pressure Measurement and Real-Time Particle Detection

Yi, Jihaeng 21 November 2012 (has links)
In this thesis, we report the development of two types of optical sensors, one for high temperature pressure measurements and the other for real-time particle detection. With a high melting temperature (over 2000°C), low optical loss, and excellent corrosion resistance, sapphire (α-Al₂O₃) is ideal for high temperature sensing applications. Fabry-Perot (FP) cavity with optical interrogation of pressure response. The prototype is based on an extrinsic FP interferometer design and is constructed by combining reactive ion etching (RIE) with direct wafer bonding. Long-term testing proves that the adhesive-free wafer bond is sufficient to create a sealed Fabry-Perot cavity as a pressure transducer. Pressure measurement over a range of 6 to 200 psi has been demonstrated at room temperature using white-light interferometry. For the other sensor, the goal is to detect the presence of micro- and nanoparticles in real time. The sensor is based on a silica fiber taper, and we aim to detect particle presence by measuring optical scattering and absorption induced by particles attached to the taper surface. To establish the relationship between particle density and optical transmission loss, we first consider a model where Au nanospheres are self-assembled on taper surface through electrostatic interaction. An analytical model is established to describe the adsorption of gold nanospheres onto cylindrical and spherical silica surfaces from quiescent aqueous particle suspensions. The curved surfaces of the fiber taper and microspheres are coated with nm-thick layer of a polycation, enabling irreversible adsorption of the negatively charged spheres. Our results fit well with theory, which predicts that the rates of particle adsorption will depend strongly on the surface geometry. In particular, adsorption is significantly faster on curved than on planar surfaces at times long enough that the particle diffusion length is large compared to the surface curvature. This is of particular importance for plasmonic sensors and other devices where particles are deposited from a suspension onto surfaces which may have non-trivial geometries. We have established a theoretical model that can describe optical loss generated by particles on taper surface. This theory is validated by measuring, in real time, optical loss during the self-assembly of gold nanoparticles. We find that the measured optical loss can be quantitatively explained by the presence of multiple guided modes within the fiber taper region. Based on this work, we incorporate a fiber taper into a cascade impactor and show that welding aerosols attached to the fiber taper surface can induce measurable transmission loss during the welding process. / Ph. D.
96

Stochastic modelling of the cell cycle

He, Enuo January 2012 (has links)
Precise regulation of cell cycle events by the Cdk-control network is essential for cell proliferation and the perpetuation of life. The unidirectionality of cell cycle progression is governed by several critical irreversible transitions: the G1-to-S transition, the G2-to-M transition, and the M-to-G1 transition. Recent experimental and theoretical evidence has pulled into question the consensus view that irreversible protein degradation causes the irreversibility of those transitions. A new view has started to emerge, which explains the irreversibility of cell cycle transitions as a consequence of systems-level feedback rather than of proteolysis. This thesis applies mathematical modelling approaches to test this proposal for the Mto- G1 transition, which consists of two consecutive irreversible substeps: the metaphase-to-anaphase transition, and mitotic exit. The main objectives of the present work were: (i) to develop deterministic models to identify the essential molecular feedback loops and to examine their roles in the irreversibility of the M-to-G1 transition; (ii) to present a straightforward and reliable workflow to translate deterministic models of reaction networks into stochastic models; (iii) to explore the effects of noise on the cell cycle transitions using stochastic models, and to compare the deterministic and the stochastic approaches. In the first part of this thesis, I constructed a simplified deterministic model of the metaphase-to-anaphase transition, which is mainly regulated by the spindle assembly checkpoint (the SAC). Based on the essential feedback loops causing the bistability of the transition, this deterministic model provides explanations for three open questions regarding the SAC: Why is the SAC not reactivated when the kinetochore tension decreases to zero at anaphase onset? How can a single unattached kinetochore keep the SAC active? How is the synchronized and abrupt destruction of cohesin triggered? This deterministic model was then translated into a stochastic model of the SAC by treating the kinetochore microtubule attachment at prometaphase as a noisy process. The stochastic model was analyzed and simulation results were compared to the experimental data, with the aim of explaining the mitotic timing regulation by the SAC. Our model works remarkably well in qualitatively explaining experimental key findings and also makes testable predictions for different cell lines with very different number of chromosomes. The noise generated from the chemical interactions was found to only perturb the transit timing of the mitotic events, but not their ultimate outcomes: all cells eventually undergo anaphase, however, the time required to satisfy the SAC differs between cells due to stochastic effects. In the second part of the thesis, stochastic models of mitotic exit were created for two model organisms, budding yeast and mammalian cells. I analyzed the role of noise in mitotic exit at both the single-cell and the population level. Stochastic time series simulations of the models are able to explain the phenomenon of reversible mitotic exit, which is observed under specific experimental conditions in both model organisms. In spite of the fact that the detailed molecular networks of mitotic exit are very different in budding yeast and mammalian cells, their dynamic properties are similar. Importantly, bistability of the transitions is successfully captured also in the stochastic models. This work strongly supports the hypothesis that uni-directional cell cycle progression is a consequence of systems-level feedback in the cell cycle control system. Systems-level feedback creates alternative steady states, which allows cells to accomplish irreversible transitions, such as the M-to-G1 transition studied here. We demonstrate that stochastic models can serve as powerful tools to capture and study the heterogeneity of dynamical features among individual cells. In this way, stochastic simulations not only complement the deterministic approach, but also help to obtain a better understanding of mechanistic aspects. We argue that the effects of noise and the potential needs for stochastic simulations should not be overlooked in studying dynamic features of biological systems.
97

Caractérisation mécanique et modélisation thermodynamique du comportement anisotrope du polyéthylène à haute densité. Intégration des effets d'endommagement / Characterization and thermodynamic modeling of the mechanical behaviour of anisotropic high density polyEthylene (HDPE). Integration of the damage effects

Arieby, Rida 14 November 2007 (has links)
L’objectif de ce mémoire de thèse est de contribuer à la connaissance du comportement mécanique en grandes déformations du Polyéthylène à Haute Densité anisotrope obtenu par extrusion de plaques. Nous présentons le protocole et les résultats expérimentaux de traction séquencée, comportant des décharges, recharges et relaxations monotones et cycliques. Ces campagnes d’essais sont également centrées sur la mesure en temps réel de la variation de volume liée aux phénomènes d’endommagement. Les résultats sont présentés pour différentes orientations d’éprouvettes prélevées dans des plaques extrudées. La modélisation thermodynamique de l’ensemble des résultats, a fait l’objet d’un développement original conduisant à la prédiction unifiée de grandeurs en 3D : contrainte vraie axiale, déformations vraies transversales. Le modèle prévoit également le développement de l’endommagement et permet de mettre en évidence une variable tensorielle de dommage. L’identification des paramètres du modèle thermodynamique sur la base de données expérimentales conduit à des grandeurs physiques conformes aux caractéristiques de la microstructure. Ce travail ouvre la perspective d’un enrichissement de l’approche thermodynamique dans la direction de la prévision de l’anisotropie plastique induite des polymères semi-cristallins / The aim of this thesis is to contribute to the knowledge of the mechanical behavior in large strains of anisotropic High Density PolyEthylene (HDPE), obtained by extrusion of plates. We present the experimental procedure and the results for traction, with unloading, reloading and relaxation in monotonous and cyclic conditions. This work is also concerned with the measure in real time of the volume strain due to the phenomena of damage. The results are given for various orientations of specimen within the extruded plates. The thermodynamic modeling of the whole the results, is the subject of an original development leading to the unified prediction of measures in 3D: axial true stress, transverse true strains. The model also predicts the development of the damage and offer the possibility to introduce a tensorial damage variable. The identification of the model parameters on the basis of experimental data leads to physical quantities in conformity with the characteristics of the microstructure. This work opens the prospect for an enrichment of the thermodynamic approach in the direction of the prediction of the induced plastic anisotropy of semi-crystalline polymers
98

Agrégation irréversible par patchs de particules colloïdales : une étude par simulation numérique / Irreversible aggregation of patchy colloidal particles : a computer simulation study

Prabhu, Achutha 10 December 2012 (has links)
La variété des structures colloïdales auto assemblées est principalement due à la présence d'interactions anisotropes. Nous présentons ici une méthode numérique pour étudier l'agrégation irréversible par patches de particules sphériques. Il s'agit d'une amélioration de la dynamique d’amas browniens prenant en compte les interactions par patches et les mouvements de rotation. Nous limitons notre étude aux particules à deux patches opposés de taille variable. Une interaction isotrope, faible, est également ajoutée pour modéliser une polymérisation par étape dans diverses conditions de solvant. Cet algorithme a été testé sur des chaînes isolées et nous avons retrouvé les propriétés statiques et dynamiques attendues. En jouant sur la balance entre la qualité du solvant et la taille des patches diverses morphologies hors-équilibres sont obtenues. Même dans la limite diluée, les collisions corrélées jouent un rôle important et une description de type Smoluchowski échoue. / The versatility of self assembling structures is mostly due to the presence of anisotropic interactions. We present a new simulation method to study irreversible patchy aggregation of spherical particles. It is a variation of the Brownian Cluster Dynamics method taking into account patchy interactions and rotational motions. We limit our case to particles with two oppositely located patches. The size of patches can vary and an isotropic interaction is superimposed around the particle to mimic step-polymerization with various solvent qualities. This new algorithm was successfully tested on single polymer chains and expected static and dynamic properties were recovered. Depending on the balance between solvent quality and patch size various out of equilibrium morphologies could be obtained. Even in the limit dilute solutions, correlated collisions play a key role and the Smoluchowski approach fails. We propose new directions for a better understanding of anisotropy effects on kinetics.
99

Sur la modélisation et la simulation du couplage thermo-chimio-mécanique au sein des élastomères chargés

Nguyen van, Thien an 29 November 2012 (has links)
Dans ce travail prospectif, nous proposons une modélisation intégrant un couplage thermo-chimio-mécanique pour les élastomères chargés et dissipatifs. En se basant sur les résultats et les observations de la littérature, nous avons développé un cadre thermodynamique général et proposé trois modèles phénoménologiques de comportement. Nos outils principaux sont la thermodynamique des processus irréversibles, la notion d'états intermédiaires, les matériaux standards généralisés. Une variable interne correspondant au degré de réticulation est introduite. L'évolution de cette variable prend en compte une influence thermique et mécanique à travers la pression hydrostatique. Il s'agit d'une des originalités de cette approche. Ce travail se place dans le cadre général des grandes transformations. Un schéma numérique de résolution monolithique des équations bilan par éléments finis est proposé. Ce schéma tient compte de l'hypothèse de faible compressibilité du matériau par un choix judicieux de relations faibles entre inconnues et par le choix des approximations pour ces dernières. La résolution en temps est traitée par un schéma d'Euler implicite associé à une technique de linéarisation de Newton-Raphson. Un modèle orienté objet du matériau thermo-chimio-mécanique est proposé et implémenté en langage Java dans le code FEMJava. Quelques exemples de simulation illustrent le potentiel de ces modèles en reproduisant de manière qualitative des observations expérimentales. / In this prospective study, we propose a new thermo-chemo-mechanical coupled model for dissipative filled rubber. This work is based on experimental observations and results from the literature. In this context, we have developed three phenomenological constitutive laws within a generic thermodynamical framework. The models enters the category of the thermodynamics of irreversible processes. Intermediate states are taken into account in the model which is build within the generalized standard materials framework. The degree of cure is introduced as an internal variable. The evolution of this variable takes into account the thermal influence and the mechanical influence via the hydrostatic pressure. This is one of the features making this model original. A finite strains approach is considered. A finite element model is applied to the global problem. A monolithic solution scheme is built based on an implicit Euler scheme associated to a of Newton-Raphson linearization technique. This scheme takes into account the weak compressibility of the material condition through, first, a judicious choice of weak relations between unknowns, and second, an adequate choice of approximations for the unknowns of problem to enforce the stability of the numerical scheme. An object-oriented model for the constitutive equations of the thermo-chemo-mechanical model is proposed and is implemented in Java into the FEMJava code. Some simulations illustrate the high potential of these models in qualitatively reproducing these experimental observations.
100

Eficácia da articaína, da bupivacaína e da lidocaína associadas à epinefrina em pacientes com pulpite irreversível em molares mandibulares / Efficacy of articaine, of bupivacaine and lidocaine and in patients associated with irreversible pulpitis in mandibular molars

Sampaio, Roberta Moura 13 March 2015 (has links)
O objetivo deste estudo foi comparar a eficácia anestésica da articaína 4%, da lidocaína 2%, ambas associadas à epinefrina 1:100.000, e da bupivacaína 0.5%, associada à epinefrina 1:200.000, durante pulpectomia em pacientes com pulpite irreversível em molares inferiores. Cento e cinco voluntários do Setor de Urgência da Faculdade de Odontologia da Universidade de São Paulo receberam, aleatoriamente, 3,6mL de um dos anestésicos locais para o convencional bloqueio do nervo alveolar inferior (BNAI). No caso de falha do BNAI, foram administrados 3,6mL da mesma solução como injeção complementar no ligamento periodontal. O sinal subjetivo de anestesia do lábio, a presença de anestesia pulpar e ausência de dor durante a pulpectomia foram avaliados, respectivamente, por indagação ao paciente, por meio do aparelho estimulador pulpar elétrico (pulp tester) e por uma escala analógica verbal. A análise estatística foi realizada por meio dos testes Qui-quadrado, Kruskal Wallis e Razão de Verossimilhanças. Foi adotado nível de significância de 0,05 (P <= 0,05). Todos os pacientes reportaram anestesia no lábio após o BNAI. A lidocaína apresentou valores superiores (42,9%) para a anestesia pulpar após o BNAI e após a injeção no ligamento periodontal (61,5%). A bupivacaína apresentou valores superiores para a analgesia (80%) após o BNAI e a lidocaína (92,3%) após a injeção no ligamento periodontal. Após a falha do BNAI, a dor na câmara pulpar foi a mais frequente para articaína e lidocaína e na dentina para a bupivacaína e após a falha da injeção no ligamento periodontal, a dor foi similar para articaína nas diferentes regiões; câmara, canal e dentina; para a bupivacaína foi mais frequente na dentina e para a lidocaína no canal. No entanto, essas diferenças não foram estatisticamente significantes. Portanto as três soluções anestésicas locais se comportam de forma semelhante e não apresentam efetivo controle da dor no tratamento da pulpite irreversível em molares inferiores. / The aim of this study was to compare the anesthetic efficacy of 4% articaine and 2% lidocaine both associated with 1:100,000 epinephrine and 0.5% bupivacaine associated with 1:200,000 epinephrine in patients with irreversible pulpitis of the mandibular molars during a pulpectomy procedure. One hundred and five volunteers from the Emergency Center of the School of Dentistry at University of São Paulo randomly received 3.6 mL of local anesthetic as a conventional inferior alveolar nerve block (IANB). The subjective signal of lip numbness, pulpal anesthesia and the absence of pain during the pulpectomy procedure were, respectively, evaluated by questioning the patient, stimulation using an electric pulp tester and a verbal analogue scale. Statistical analysis was performed using the chi-square test, Kruskal Wallis and likelihood rations. The level for significance of differences was P <= .05. All patients reported the subjective signal of lip numbness after the application of either IANB. Lidocaine showed higher values for pulpal anesthesia after the IANB (42.9%) and after injection in the periodontal ligament (61.5%). Bupivacaine presented higher values for analgesia after the IANB (80,0%) and lidocaine after injection in the periodontal ligament (92,3%). After the failure of the IANB, the pain in the pulp chamber was the most frequent to articaine and lidocaine and bupivacaine for dentin and after the failure of the periodontal ligament injection, the pain was equal to articaine in different regions, chamber, canal and dentin; for bupivacaine was greater in dentin and lidocaine was higher in the channel. However, these differences were not statistically significant. So the three local anesthetic solutions behave similarly and not present any effective pain control in the treatment of irreversible pulpitis in mandibular molars.

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