Efficacy of Buccal Infiltration with or without Palatal Injection for Posterior Maxillary Teeth Extraction – A Split-Mouth Randomized Trial

Objective: To evaluate the feasibility of posterior maxillary teeth extraction buccal infiltration with or without the use of palatal injection. Material and Methods: A total of 70 patients underwent extraction of bilateral maxillary posterior teeth under 2% lignocaine hydrochloride with 1:2,00000 a...

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Main Authors: Abhirup Chatterjee, Srikanth Gadicherla, Sreea Roy, Kalyana-Chakravarthy Pentapati
Format: Article
Language:English
Published: Association of Support to Oral Health Research (APESB) 2023-03-01
Series:Pesquisa Brasileira em Odontopediatria e Clínica Integrada
Subjects:
Online Access:https://revista.uepb.edu.br/PBOCI/article/view/1754
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author Abhirup Chatterjee
Srikanth Gadicherla
Sreea Roy
Kalyana-Chakravarthy Pentapati
author_facet Abhirup Chatterjee
Srikanth Gadicherla
Sreea Roy
Kalyana-Chakravarthy Pentapati
author_sort Abhirup Chatterjee
collection DOAJ
description Objective: To evaluate the feasibility of posterior maxillary teeth extraction buccal infiltration with or without the use of palatal injection. Material and Methods: A total of 70 patients underwent extraction of bilateral maxillary posterior teeth under 2% lignocaine hydrochloride with 1:2,00000 adrenaline infiltration in this single-centric split-mouth randomized trial. The test side was administered with a buccal infiltration of 2 mL of anesthetic alone. An extended waiting period of 10 minutes was given before the commencement of the procedure. A standard protocol was followed for the control side. A single operator performed all extractions. Results: A total of 140 posterior maxillary teeth were extracted. Patients marked pain perception on a visual analogue scale in three different instances. During the administration of injections for the test side, the pain score was less than that of the control side and was statistically significant. The overall pain during the extraction procedure was comparable and statistically insignificant. The overall success of the method was 90%. Conclusion: Extraction of posterior maxillary teeth was feasible with a single buccal infiltration without palatal injection in most cases using an extended waiting period. Dentists can attempt extraction without palatal injections with optimal success. However, the alternate technique could be used when there is a necessity for rescue palatal anesthesia.
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spelling doaj.art-070d7c81129444069967299ce51fa6132023-03-20T12:37:40ZengAssociation of Support to Oral Health Research (APESB)Pesquisa Brasileira em Odontopediatria e Clínica Integrada1519-05011983-46322023-03-0123Efficacy of Buccal Infiltration with or without Palatal Injection for Posterior Maxillary Teeth Extraction – A Split-Mouth Randomized TrialAbhirup ChatterjeeSrikanth GadicherlaSreea RoyKalyana-Chakravarthy PentapatiObjective: To evaluate the feasibility of posterior maxillary teeth extraction buccal infiltration with or without the use of palatal injection. Material and Methods: A total of 70 patients underwent extraction of bilateral maxillary posterior teeth under 2% lignocaine hydrochloride with 1:2,00000 adrenaline infiltration in this single-centric split-mouth randomized trial. The test side was administered with a buccal infiltration of 2 mL of anesthetic alone. An extended waiting period of 10 minutes was given before the commencement of the procedure. A standard protocol was followed for the control side. A single operator performed all extractions. Results: A total of 140 posterior maxillary teeth were extracted. Patients marked pain perception on a visual analogue scale in three different instances. During the administration of injections for the test side, the pain score was less than that of the control side and was statistically significant. The overall pain during the extraction procedure was comparable and statistically insignificant. The overall success of the method was 90%. Conclusion: Extraction of posterior maxillary teeth was feasible with a single buccal infiltration without palatal injection in most cases using an extended waiting period. Dentists can attempt extraction without palatal injections with optimal success. However, the alternate technique could be used when there is a necessity for rescue palatal anesthesia. https://revista.uepb.edu.br/PBOCI/article/view/1754LidocaineAnesthesia, LocalMaxillaPain MeasurementTooth Extraction
spellingShingle Abhirup Chatterjee
Srikanth Gadicherla
Sreea Roy
Kalyana-Chakravarthy Pentapati
Efficacy of Buccal Infiltration with or without Palatal Injection for Posterior Maxillary Teeth Extraction – A Split-Mouth Randomized Trial
Pesquisa Brasileira em Odontopediatria e Clínica Integrada
Lidocaine
Anesthesia, Local
Maxilla
Pain Measurement
Tooth Extraction
title Efficacy of Buccal Infiltration with or without Palatal Injection for Posterior Maxillary Teeth Extraction – A Split-Mouth Randomized Trial
title_full Efficacy of Buccal Infiltration with or without Palatal Injection for Posterior Maxillary Teeth Extraction – A Split-Mouth Randomized Trial
title_fullStr Efficacy of Buccal Infiltration with or without Palatal Injection for Posterior Maxillary Teeth Extraction – A Split-Mouth Randomized Trial
title_full_unstemmed Efficacy of Buccal Infiltration with or without Palatal Injection for Posterior Maxillary Teeth Extraction – A Split-Mouth Randomized Trial
title_short Efficacy of Buccal Infiltration with or without Palatal Injection for Posterior Maxillary Teeth Extraction – A Split-Mouth Randomized Trial
title_sort efficacy of buccal infiltration with or without palatal injection for posterior maxillary teeth extraction a split mouth randomized trial
topic Lidocaine
Anesthesia, Local
Maxilla
Pain Measurement
Tooth Extraction
url https://revista.uepb.edu.br/PBOCI/article/view/1754
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