Ali W, Kazmi Ss, Mirza Ks, Chaudhry R, Yaseen S.
Use Of Only Buccal Infiltration Of 2% Lidocaine With Epinephrine For the Removal Of Maxillary Teeth.
Biomedica Jan ;34(1):44-7.

Background and Objectives: Palatal injections for dental extractions are one of the most uncomfortable experiences for patient undergoing oral surgery. Our aim in this study is to suggest an alternative technique to avoid this procedure and enhance patient acceptibility. This study is designed to show if 2% lidocaine hydrochloride with 1:100,000 epinephrine given only buccally could produce effective palatal anaesthesia in maxillary teeth for removal. Methods: A total of 100 patients presenting to the Oral and maxillofacial Surgery department in Akhtar Saeed Medical and Dental College from July 2017 to January 2018 were included in the study. All patients that required extraction of any maxillary tooth of either side were included in this study. The sample was divided into two groups. Group 1, the study group had 50 patients who received a single buccal injection before extraction. While Group 2 ? the control group had 50 patients who received both buccal and palatal injections before the extraction. Extraction was performed in both the groups after 5 minutes. For scoring, every subject was observed for Face Pain Scale during extraction and questioned later on a 100 mm visual analog scale. Results: The difference between the Visual Analog Scale and Face Pain Scale score with palatal injection and without palatal injection was not statistically significant (P. 0.05) in the extraction of maxillary tooth. Hence, according to this study, it is possible to extract maxillary third molar if only 2 mL of 2% lido-caine hydrochloride with 1 : 200,000 epinephrine is injected buccally.

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