Is permanent maxillary tooth removal without palatal injection possible?
OBJECTIVE
The aim of the present study was to demonstrate if articaine HCl could provide palatal anesthesia in maxillary tooth removal without the need for a second palatal injection.


METHODS
Of 53 patients, 23 had bilateral and 30 had unilateral extractions. In the study group 2 mL of 4% articaine/HCl with 1:100,000 epinephrine was injected into the buccal vestibule of the tooth. After 5 min the extraction was performed. 27 subjects were controls and subjected to the same protocol with palatal injection. All patients completed a Faces Pain Scale (FPS) and a 100-mm Visual Analogue Scale (VAS) after extraction.


RESULTS
According to VAS and FPS scores, when permanent maxillary tooth removal with palatal injection (97.5%) and without palatal injection (96.8%) were compared the difference was not statistically significant (P > .05) [corrected].


CONCLUSIONS
Permanent removal of maxillary teeth without palatal injection is possible by depositing 2 mL articaine/HCl to the buccal vestibule of the tooth.
Uckan
Sina
S
Department of Oral & Maxillofacial Surgery, Baskent University, Faculty of Dentistry, Ankara, Turkey.
Dayangac
Emre
E
Araz
Kenan
K
D000278:Administration, Buccal; D000293:Adolescent; D000328:Adult; D000766:Anesthesia, Dental / Q000379:methods*; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002355:Carticaine / Q000008:administration & dosage*; D019229:Dentition, Permanent; D005157:Facial Pain / Q000209:etiology; D005260:Female; D006801:Humans; D007267:Injections / Q000009:adverse effects; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D008437:Maxilla; D008875:Middle Aged; D010147:Pain Measurement; D021362:Palate, Hard; D014081:Tooth Extraction / Q000379:methods*
D000779:Anesthetics, Local; D008012:Lidocaine; D002355:Carticaine