Effectiveness of the Greater Palatine Nerve Block for Anaesthetising Anterior Palate: A Prospective Study
Introduction: Local Anaesthesia (LA) is the mainstay of any routine dental extraction. Accomplishing optimum anaesthesia with least pain and anxiety to patients is a challenge. Hence, modification of technique and application of routine dental LA to enhance patient comfort is the need of the hou...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2020-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/13815/43673_CE[Ra1]_F(SHU)_PF1(AKA_KM)_PFA(AKA_KM)_PN(SL).pdf |
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| author | Gopinath Thilak Parepady Sundar Tripthi Prakash Shetty Bhanuprakash Bylapudi Vikram Shetty Chrysl Castellino Ashish Rai Arvind Karikal Pratiksha Shetty |
| author_facet | Gopinath Thilak Parepady Sundar Tripthi Prakash Shetty Bhanuprakash Bylapudi Vikram Shetty Chrysl Castellino Ashish Rai Arvind Karikal Pratiksha Shetty |
| author_sort | Gopinath Thilak Parepady Sundar |
| collection | DOAJ |
| description | Introduction: Local Anaesthesia (LA) is the mainstay of any
routine dental extraction. Accomplishing optimum anaesthesia
with least pain and anxiety to patients is a challenge. Hence,
modification of technique and application of routine dental LA to
enhance patient comfort is the need of the hour. In this pursuit,
a prospective cohort study was carried out to evaluate the
effectiveness of greater palatine nerve block as an alternative to
nasopalatine nerve block in anaesthetising the anterior palatal
mucosa and to achieve optimum palatal anaesthesia.
Aim: The primary outcome variable is to assess the extent of the
anaesthetic effect of greater palatine nerve block in maxillary
anterior palatal region.
Materials and Methods: A total of 100 patients scheduled
for the extraction of ipsilateral anterior and posterior maxillary
teeth were included in this prospective study between June
2017 to June 2019. Palatal anaesthesia for all the extractions
done was achieved only with greater palatine nerve block. After
an interval of five minutes, the extent of palatal anaesthesia
from the posterior palatal tissue to the anterior region was
evaluated for both subjective and objective symptoms. Pain on
the palatal mucosa was assessed using Numerical rating scale
of 0-10. Post-evaluation, depending on the proposed tooth of
extraction, buccal anaesthesia was achieved with Posterior
superior alveolar nerve block for posterior teeth and infraorbital
nerve block for anterior teeth.
Results: Of the 100 patients administered with greater palatine
nerve block, it was observed that in 36 patients (36%) had
effectiveness in anaesthesia till central incisor, 28 (28%) patients
had effectiveness in anaesthesia till lateral incisor, 20 (20%)
patients had effective in anaesthesia till the canine and 16 (16%)
patients anaesthetic effects were limited to posterior teeth.
Overall, 84% had varied degree of positive anterior anaesthesia
with greater palatine nerve block alone.
Conclusion: Greater palatine nerve block was effective in
providing anaesthesia to the posterior region till the premolars,
with the extended complete anaesthesia in the anterior
region with similar action as the nasopalatine nerve block
administered to anaesthetise the anterior palate for extraction
of the anterior teeth. |
| first_indexed | 2024-12-14T15:25:18Z |
| format | Article |
| id | doaj.art-5bb02b19b94740cfb1fa00948cae703a |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-14T15:25:18Z |
| publishDate | 2020-07-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-5bb02b19b94740cfb1fa00948cae703a2022-12-21T22:56:02ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2020-07-01147070910.7860/JCDR/2020/43673.13815Effectiveness of the Greater Palatine Nerve Block for Anaesthetising Anterior Palate: A Prospective StudyGopinath Thilak Parepady SundarTripthi Prakash ShettyBhanuprakash BylapudiVikram ShettyChrysl CastellinoAshish RaiArvind KarikalPratiksha ShettyIntroduction: Local Anaesthesia (LA) is the mainstay of any routine dental extraction. Accomplishing optimum anaesthesia with least pain and anxiety to patients is a challenge. Hence, modification of technique and application of routine dental LA to enhance patient comfort is the need of the hour. In this pursuit, a prospective cohort study was carried out to evaluate the effectiveness of greater palatine nerve block as an alternative to nasopalatine nerve block in anaesthetising the anterior palatal mucosa and to achieve optimum palatal anaesthesia. Aim: The primary outcome variable is to assess the extent of the anaesthetic effect of greater palatine nerve block in maxillary anterior palatal region. Materials and Methods: A total of 100 patients scheduled for the extraction of ipsilateral anterior and posterior maxillary teeth were included in this prospective study between June 2017 to June 2019. Palatal anaesthesia for all the extractions done was achieved only with greater palatine nerve block. After an interval of five minutes, the extent of palatal anaesthesia from the posterior palatal tissue to the anterior region was evaluated for both subjective and objective symptoms. Pain on the palatal mucosa was assessed using Numerical rating scale of 0-10. Post-evaluation, depending on the proposed tooth of extraction, buccal anaesthesia was achieved with Posterior superior alveolar nerve block for posterior teeth and infraorbital nerve block for anterior teeth. Results: Of the 100 patients administered with greater palatine nerve block, it was observed that in 36 patients (36%) had effectiveness in anaesthesia till central incisor, 28 (28%) patients had effectiveness in anaesthesia till lateral incisor, 20 (20%) patients had effective in anaesthesia till the canine and 16 (16%) patients anaesthetic effects were limited to posterior teeth. Overall, 84% had varied degree of positive anterior anaesthesia with greater palatine nerve block alone. Conclusion: Greater palatine nerve block was effective in providing anaesthesia to the posterior region till the premolars, with the extended complete anaesthesia in the anterior region with similar action as the nasopalatine nerve block administered to anaesthetise the anterior palate for extraction of the anterior teeth.https://jcdr.net/articles/PDF/13815/43673_CE[Ra1]_F(SHU)_PF1(AKA_KM)_PFA(AKA_KM)_PN(SL).pdfexodontialignocainelocal anaesthesiapalatal anaesthesia |
| spellingShingle | Gopinath Thilak Parepady Sundar Tripthi Prakash Shetty Bhanuprakash Bylapudi Vikram Shetty Chrysl Castellino Ashish Rai Arvind Karikal Pratiksha Shetty Effectiveness of the Greater Palatine Nerve Block for Anaesthetising Anterior Palate: A Prospective Study Journal of Clinical and Diagnostic Research exodontia lignocaine local anaesthesia palatal anaesthesia |
| title | Effectiveness of the Greater Palatine Nerve Block for Anaesthetising Anterior Palate: A Prospective Study |
| title_full | Effectiveness of the Greater Palatine Nerve Block for Anaesthetising Anterior Palate: A Prospective Study |
| title_fullStr | Effectiveness of the Greater Palatine Nerve Block for Anaesthetising Anterior Palate: A Prospective Study |
| title_full_unstemmed | Effectiveness of the Greater Palatine Nerve Block for Anaesthetising Anterior Palate: A Prospective Study |
| title_short | Effectiveness of the Greater Palatine Nerve Block for Anaesthetising Anterior Palate: A Prospective Study |
| title_sort | effectiveness of the greater palatine nerve block for anaesthetising anterior palate a prospective study |
| topic | exodontia lignocaine local anaesthesia palatal anaesthesia |
| url | https://jcdr.net/articles/PDF/13815/43673_CE[Ra1]_F(SHU)_PF1(AKA_KM)_PFA(AKA_KM)_PN(SL).pdf |
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