Erratum to “Is permanent maxillary tooth removal without palatal injection possible?” [Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102 (2006) 733-735]*

Efficacy of 4 % Articaine and 2 % Lidocaine: A clinical study

“…Gregorio et al [54] stated that 4 % Articaine provided shorter time of onset, comparable homeostasis and post operative pain control with a shorter duration of soft tissue anesthesia in lower third molar removal. Uckan et al [39] and Lacet-Lima et al [58] reported that Articaine demonstrated relatively good vestibule palatal diffusion with efficacy rates of anesthesia 98 %. Retained maxillary third molar extractions could be performed with only buccal vestibule infiltrative terminal anesthesia in the majority of cases with no need for supplemental palatal anesthesia [58].…”

Maxillary Posterior Teeth Removal Without Palatal Injection –Truth or Myth: A Dilemma for Oral Surgeons

“…It has been claimed that articaine is able to diffuse through soft and hard tissues more reliably than other local anaesthetics and that maxillary buccal infiltration of articaine provides palatal soft tissue anaesthesia [6]. Few previous studies have successfully evaluated articaine local anaesthetic in tooth removal only with buccal anaesthesia, without complementary palatal injection [7][8][9], while one study had contradictory outcomes [10]. A recent study stated that even the ideal infiltration of lignocaine with a prolonged latency period of eight minutes could bypass the need of palatal injection [11].…”

Anaesthetic efficacy of a labial infiltration method on the nasopalatine nerve

“…Anaesthetic injections should be as painless as possible, especially in the palate which is the most sensitive area of the oral cavity for injection. 1 Anaesthesia of the nasopalatine nerve is mandatory to perform surgical procedures on the soft and hard tissues of the anterior palate and extraction of upper anterior teeth. 1 The nasopalatine nerve passes through the anterior nasal spine and innervates the anterior portion of palate, maxillary central incisors and nasal fl oor and fi nally enters the oral cavity via the incisal foramen (Fig.…”

“…1). [1][2][3] Labial tissues are anaesthetised by labial infi ltration. Obtaining anaesthesia for the relevant palatal soft tissue is however, impossible this way and necessitates direct injection of an anaesthetic agent in the palatal area.…”

“…4 However, permanent removal of maxillary teeth without a palatal injection has been possible. 1 We assessed this less painful approach to obtain anaesthesia in the anterior palate and aimed to determine the anaesthetic effi ciency of our method on the nasopalatine nerve in patients referred for extraction of maxillary anterior incisor teeth to our department. • The technique of anaesthetising the anterior hard palate will be more easy for dental students to learn.…”