Painless Palatal Anesthesia

McArdle, Barry F

doi:10.14219/jada.archive.1997.0265

Cited by 32 publications

(18 citation statements)

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“…The difference in pain level between the two groups is highly significant (p B 0.05) ( Table 4). It suggests that palatal injection is painful as stated in literature and avoidance of palatal injection renders the anesthetic procedure significantly comfortable [23,[25][26][27]. Furthermore, when pain elicited during tooth extraction was compared among the groups, we could not obtain a significant difference in the pain level (p = 0.071), indicating that there was no disparity in pain level during tooth extraction despite avoiding palatal supplementation.…”

Section: Discussionmentioning

confidence: 71%

“…However, the discomfort produced by deposition of solution varies among the different syringe types [2,22]. In view of the fact that the palatal mucosa is compact and tightly bound to its underlying periosteum besides its abundant nervous complement, injections in the palate are always extremely painful [23]. Though, a number of adjunctive techniques have been suggested in order to reduce the discomfort of the palatal injection [3,[7][8][9][10][11][12], none of them gained universal acceptance, and some of them even require specific equipment.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of the Effectiveness of Lidocaine in Permanent Maxillary Teeth Removal Performed with Single Buccal Infiltration Versus Routine Buccal and Palatal Injection

Kumaresan

Srinivasan

Pendayala

2014

J. Maxillofac. Oral Surg.

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Purpose For many dental patients, palatal injection proves to be a very traumatic experience. Diverse methods have been suggested to reduce the discomfort of palatal injection. Nevertheless, the reliability of these methods is not obviously evident and they are not found to be universally effective. The desirable method to evade pain during palatal injection is just not to have one. Hence, the present study aims at investigating if lidocaine hydrochloride could provide palatal anesthesia in maxilla when only a buccal infiltration anesthesia is done for teeth extraction. Patients and Methods One hundred and fifty patients requiring extraction of maxillary teeth were included in the study. Patients were randomly allotted to two groups, study and control. Patients in study group received a single buccal infiltration of 1.5 mL of lidocaine with epinephrine for extraction of maxillary teeth. Patients in control group received 1.5 mL of buccal and 0.3 mL of palatal infiltration of lidocaine with epinephrine for the extraction. After achieving adequate palatal anesthesia the tooth was extracted with consistent technique. Pain level experienced by the patients during injection procedure and during tooth extraction was rated in an 11-point pain rating scale. Time taken to achieve palatal anesthesia following a single buccal infiltration of anesthetic solution was evaluated by regular pin-prick evaluation of palatal tissues. Results The overall success rate of palatal anesthesia achieved with a single buccal infiltration is 81.3 %. The success rate reduced as we proceed from anterior to posterior maxilla. Time taken to achieve successful palatal anesthesia by single buccal infiltration is 7-9 min. Conclusion The extraction of permanent maxillary anterior teeth and premolars is possible by depositing local anesthesia to the buccal vestibule of the tooth without palatal supplementation. However, the extraction of permanent maxillary posterior teeth with similar technique would result in fewer success rates suggesting its avoidance.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Comparison of the Effectiveness of Lidocaine in Permanent Maxillary Teeth Removal Performed with Single Buccal Infiltration Versus Routine Buccal and Palatal Injection

Kumaresan

Srinivasan

Pendayala

2014

J. Maxillofac. Oral Surg.

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“…The pressure and unpleasant noise are largely unavoidable and generally of little consequence to the majority of patients. However the pain of the palatal injection is well known to any practitioner or patient who has experienced it and is universally detailed in textbooks and papers describing palatal anaesthetic regimes 1,10,12,14 . Although a number of adjunctive techniques have been described in order to reduce the discomfort of the palatal injection they have not gained universal acceptance 1,6,12 .…”

mentioning

confidence: 99%

“…However the pain of the palatal injection is well known to any practitioner or patient who has experienced it and is universally detailed in textbooks and papers describing palatal anaesthetic regimes 1,10,12,14 . Although a number of adjunctive techniques have been described in order to reduce the discomfort of the palatal injection they have not gained universal acceptance 1,6,12 . MALAMED illustrates this in the latest edition of his text where he states: 'the discomfort of palatal injections is a concern to most dentists and indeed many dentists avoid the use of palatal injections unless they are absolutely necessary 10 .'…”

mentioning

confidence: 99%

A blinded randomized controlled trial comparing lignocaine and placebo administration to the palate for removal of maxillary third molars

Badcock

Gordon

McCullough

2007

International Journal of Oral and Maxillofacial Surgery

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“…Dentistry palatal injection is one of the most painful intra-oral injections due to the tight coupling of palatal mucosa sub-periodontitis and abundant nerve supply (7). Extraction of teeth without palatal injection is preferred in many studies (8).…”

Section: Discussionmentioning

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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Painless Palatal Anesthesia

Cited by 32 publications

References 0 publications

Comparison of the Effectiveness of Lidocaine in Permanent Maxillary Teeth Removal Performed with Single Buccal Infiltration Versus Routine Buccal and Palatal Injection

Comparison of the Effectiveness of Lidocaine in Permanent Maxillary Teeth Removal Performed with Single Buccal Infiltration Versus Routine Buccal and Palatal Injection

A blinded randomized controlled trial comparing lignocaine and placebo administration to the palate for removal of maxillary third molars

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

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