Tramadol HCL as an effective alternative to lignocaine HCL for extraction of tooth under supraperiosteal infiltration

Purpose: To evaluate the efficacy of tramadol as a local anesthetic effect. Materials and Methods: Fifty patients were evaluated. Group A given tramadol and Group B given lignocaine. Parameters such as pain on injection, onset of action, duration of effect, and side effects if any were recorded. Results: None of the patients showed any allergic response to the respective drug administered. The onset of anesthesia (objective) for tramadol and lignocaine was, respectively, 165.0 ± 39.80 s and 159.60 ± 35.09 s, not statistically significant (P = 0.613). Mean duration of anesthesia for them was 47.50 ± 7.51 min for tramadol and 45.70 ± 7.10 min for lignocaine, also statistically nonsignificant (P = 0.388). Regarding intraoperative pain, mean was 0.41 ± 1.013 of tramadol and of lignocaine was 0.31 ± 0.451, P = 0.654 also being statistically nonsignificant. Two patients receiving tramadol had nausea and 1 had pain. Those receiving lignocaine, only 1 patient had pain (P = 0.214). Conclusion: Tramadol has an almost similar local anesthetic efficacy with that of lignocaine.