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

Sharma, Kanika; Sharma, Amit; Aseri, M L; Batta, Akash; Singh, Varsha; Pilania, Dinesh; Y, Kumar Sharma

doi:10.7860/jcdr/2014/10378.5092

Cited by 19 publications

(27 citation statements)

References 31 publications

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“…About 4% articaine group offered a better palatal anesthesia than 2% lidocaine group with only buccal infiltration. The result of this study goes in concordance with several other studies [21,22], while Ozeç et al [23] and Mittal et al [24] disproved the concept of 4% articaine's efficiency in providing palatal anesthesia only with buccal infiltration. Pain perception in the lidocaine group (Group B) is higher during extraction when compared to the control group.…”

Section: Discussionsupporting

confidence: 92%

Comparing the Efficiency of 2% Lidocaine and 4% Articaine as a Local Anesthetic Agent in Children

Nair

Jeevanandan

Mohan

2018

Asian J Pharm Clin Res

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Objective: The objective of this study is to compare the anesthetic efficiency of conventional 2% lidocaine with 4% articaine when infiltrated in the maxillary arch for pediatric patients during pulp therapy and extraction.Methodology: A randomized control trial was done with 45 children (n=45) of the age group 4-8 years. The children were randomly allotted to two experimental groups. Group A -Children received 2% Lidocaine HCL infilteration both buccally and palatally, Group B -Children received 2% Lidocaine infilteration buccally and Group C -Children received 4% Articaine infilteration baccally as local anesthetic agent. Post treatment, pain assessment was done using visual analog scale.Results: Articaine group had significantly lower pain scores when compared to the lidocaine group. Conclusion:Articaine infiltration can be considered as an effective alternative for the conventional lidocaine infiltration.

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Section: Discussionsupporting

confidence: 92%

Comparing the Efficiency of 2% Lidocaine and 4% Articaine as a Local Anesthetic Agent in Children

Nair

Jeevanandan

Mohan

2018

Asian J Pharm Clin Res

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“…It is vital that the dentist is aware of systemic conditions as well as the variations that can happen to the patient so that in this way can provide a safer service. [3,5,17] Anxiety and fear of dental treatment are common feelings that generate discomfort and negative expectations of the patient regarding to healthcare service. [5] The procedures that generate more fear and anxiety in dentistry are tooth extractions, anesthesia and cavity preparation, which can generate systemic consequences, such as increased BP, which happens because of the nerve stimulation during the situation.…”

Section: Discussionmentioning

confidence: 99%

“…[3,5,17] Anxiety and fear of dental treatment are common feelings that generate discomfort and negative expectations of the patient regarding to healthcare service. [5] The procedures that generate more fear and anxiety in dentistry are tooth extractions, anesthesia and cavity preparation, which can generate systemic consequences, such as increased BP, which happens because of the nerve stimulation during the situation. [5,8] Confirming this, this research has shown that during the extraction procedure there is a BP variation, as it is observed a significant increase (P < 0.05) in SBP and DBP, especially in the trans-operative period of the evaluated extractions.…”

Section: Discussionmentioning

confidence: 99%

“…However, in other studies it can be seen that there is a clear difference in the degree of anxiety between men and women. [3,5] BP measured at a dental office may be slightly higher than elsewhere due to anxiety and fear of dental treatment, which negatively impacts on the individual's systemic conditions. [7] The nerve stimulation is one of the factors causing BP elevation, so the fear and anxiety at the dental office are predisposing factors that trigger those BP changes in patients.…”

Section: Introductionmentioning

confidence: 99%

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Blood pressure variation in patients undergoing tooth extraction

Cordeiro¹,

Maciel²,

Pedro³

et al. 2015

SJOD

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Introduction: Dental care triggers feelings such as fear, anxiety, stress and apprehension in most patients. These, in turn, generate physiological changes that result in some systemic changes, such as blood pressure (BP). Objective: To evaluate the change in BP of patients undergoing tooth extractions. Materials and Methods:We evaluated 70 patients of both genders, randomly selected in the clinic of surgery and anesthesiology of a certain university. Each patient answered a questionnaire and then had the BP measured before, during and after surgery. Results:The results showed that there is a significant variation in BP in these three evaluated moments; there is no statistical difference between genders and the variation of pulmonary artery; it was found a significant association (P < 0.05) between the change in BP in the operating trans and patient age. Conclusion: There was a variation in BP of patients undergoing tooth extractions, which showed higher values in the trans-operative period. This increase is related to fear and anxiety during dental care.

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“…Sharma Samurai referred to higher concentration of 4 % articaine as one of the possible causes of palatal numbness compared to 2% lidocaine. Hence, Sharma used a half carpool articaine in his study with the same concentration of 2% lidocaine (1). The study by Oertel appears as their older references (11), who had measured the concentration of 2%lidocaine and 4% articaine in the alveolar blood by high performance liquid chromatography.…”

mentioning

confidence: 99%

Effect of Buccal Infiltration Injections of 4% Articaine on the Palatal Tissue in the Maxillary Teeth Removal

Fakour¹,

Moghadam²,

MohammadNaebi³

2015

Dent Clin Exp J

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Background: Several studies showed that 4% articaine had greater tissue penetration than other anesthetics. Objectives: The current study aimed to compare the efficacy of buccal injection of local 4% articaine and 2% lidocaine on the numbness of palatal tissue. Materials and Methods: One hundred-ninety-six patients were randomly divided into two groups of 100. A group received 4% articaine and the other group received just 2% lidocaine buccal injection. The examination of palatal tissue numbness was conducted by decole and luxation of palatal tissue. Pain assessment was conducted by verbal response scale (VRS). Results:The Chi-square test showed a significant relationship between the type of anesthesia and pain (P < 0.0001). The patients treated with 4% articaine had less pain. Conclusions: Although 4% articaine can cause more anesthesia of palatal tissue compared to 2% lidocaine, its routine use is not recommended due to its incomplete success.

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

Cited by 19 publications

References 31 publications

Comparing the Efficiency of 2% Lidocaine and 4% Articaine as a Local Anesthetic Agent in Children

Comparing the Efficiency of 2% Lidocaine and 4% Articaine as a Local Anesthetic Agent in Children

Blood pressure variation in patients undergoing tooth extraction

Effect of Buccal Infiltration Injections of 4% Articaine on the Palatal Tissue in the Maxillary Teeth Removal

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