Extraction of Maxillary Teeth Without a Palatal Injection: A Randomized Control Trial

Abstract

Purpose: The aim of this research was to assess the clinical effectiveness of buccal infiltration of 4% Articaine hydrochloride in comparison to routine buccal and palatal infiltration during the extraction of maxillary molars. Patients and Methods: Current research were carried out on 200 patients where study group included 100 patients, and 100 were controls. Unilateral extractions were made to patients in the research group. All patients were injected with 1.8 ml of 4% Articaine hydrochloride with 1:100.000 epinephrine in the buccal vestibule of chosen tooth for removal without performing palatal injection. The maxillary tooth was removed after 8 minutes. One hundred participants in the control group were subject to the same procedure with palatal injection. Upon extracting, every patient completed a face pain scale (FPS) and visual analog scale (VAS). Results: According to the FPS and VAS scores, the difference in pain rates was statistically non-significant (p>0.05) when compared with permanent maxillary dental removal with or without palatal injection. Conclusion: Permanent maxillary tooth extraction is possible when 1.8 mL of 4% Articaine is deposited in the buccal vestibule of the tooth without palatal anesthesia.