Technique to diminish discomfort from the palatal injection

Duncan, J. David; Reeves, Gary W.; Fitchie, James G.

doi:10.1016/0022-3913(92)90617-j

Cited by 24 publications

(15 citation statements)

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“…Harbert 13 presented the idea of pre-cooling technique for palatal injection and observed that prior palatal cooling is efficient in relieving injection prick pain. Similar findings were reported by Duncan et al 23 after applying a cotton pellet saturated withdichlorodifluoromethane spray for 5 seconds prior to administrating palatal injections. Their results revealed less discomfort during needle penetration.…”

Section: Discussionsupporting

confidence: 88%

Cooling the soft tissue site and its effect on perception of pain during infiltration and block anesthesia in children undergoing dental procedures: A comparative study

Bose

Garg

Pathivada

et al. 2019

J Dent Res Dent Clin Dent Prospects

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Background. This study assessed the effect of cooling the soft tissue site on the perception of pain in children undergoing local anesthesia for routine dental procedures. Methods. One hundred children, 6‒14 years of age, were assigned to either of the two study groups, i.e., group 1 (infiltration) and group 2 (block anesthesia). One side of the arch served as the test side, where an ice pretreatment (IP) of the soft tissue of the injection site was carried out using a tube of ice for one minute, whereas the opposite side served as the control, where no ice pretreatment (WIP) was carried out. This was followed by the gradual injection of local anesthetic solution. The children’s pain perception was assessed by VAS, WB-FPRS and SEM scales. The data were analyzed statistically. Results. WBS, VAS and SEM scores were significantly different between the WIP and IP in both groups, indicating that ice was effective in reducing the pain perception in children. Intergroup comparison revealed no significant differences (P>0.05), indicating that cooling was equally effective in infiltration and block anesthesia. Conclusion. Cooling the soft tissue site helped decrease pain perception during injection in children.

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Section: Discussionsupporting

confidence: 88%

Cooling the soft tissue site and its effect on perception of pain during infiltration and block anesthesia in children undergoing dental procedures: A comparative study

Bose

Garg

Pathivada

et al. 2019

J Dent Res Dent Clin Dent Prospects

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“…Since it is a rather painful injection [1], some techniques such as pressure [2], electronic [3], cryogenic [4], or topical anesthesia [5] have been suggested to reduce the patient's discomfort. However, those methods are not universally effective, and PA remains a painful experience for most patients [6].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Depth of Anesthesia in Different Parts of Maxilla When Only Buccal Anesthesia Was Done for Maxillary Teeth Extraction

Işık

Kalaycı²,

Durmuş³

2011

International Journal of Dentistry

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Objective. Recently, some authors reported that maxillary teeth could be extracted without using palatal anesthesia, but they did not clearly specify the extracted teeth. This is important, because apparently the local anesthetic solution infiltrates the maxilla and achieves a sufficient anesthesia in the palatal side. Thus, thickness of the bone may affect the depth of anesthesia. The aim of this study was to compare the depth of anesthesia in different parts of the maxilla when only a buccal infiltration anesthesia was done. Patients and Method. The maxilla was divided into anterior, premolar, and molar regions. In each region, 15 teeth were extracted with a single buccal infiltration. The patient marked the pain level on a numerical rating scale. Results. Anesthesia depth was sufficient and was not significantly different (P > 0.05) among three maxillary regions. Conclusion. Except for surgical interventions, all maxillary teeth can be extracted using only a buccal infiltration anesthesia.

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“…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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Technique to diminish discomfort from the palatal injection

Cited by 24 publications

References 0 publications

Cooling the soft tissue site and its effect on perception of pain during infiltration and block anesthesia in children undergoing dental procedures: A comparative study

Cooling the soft tissue site and its effect on perception of pain during infiltration and block anesthesia in children undergoing dental procedures: A comparative study

Comparison of Depth of Anesthesia in Different Parts of Maxilla When Only Buccal Anesthesia Was Done for Maxillary Teeth Extraction

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

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