World Journal of Dentistry

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VOLUME 5 , ISSUE 1 ( January-March, 2014 ) > List of Articles

RESEARCH ARTICLE

Palatal Injection: A Myth or a Reality in Maxillary Third Molar Extraction

Mukul Padhye, Vaibhav Shah, Vruturaj Shevale, Suraj Pawar, Rujuta Ajit Desai, Rishi Khosa, Ekta Keswani, Snehal Thakker

Citation Information : Padhye M, Shah V, Shevale V, Pawar S, Desai RA, Khosa R, Keswani E, Thakker S. Palatal Injection: A Myth or a Reality in Maxillary Third Molar Extraction. World J Dent 2014; 5 (1):28-32.

DOI: 10.5005/jp-journals-10015-1253

Published Online: 01-03-2014

Copyright Statement:  Copyright © 2014; The Author(s).


Abstract

Introduction

Palatal injection, in spite of many modernized injection techniques, remains a painful experience for the patient. The aim of this study was to demonstrate if maxillary third molars could be extracted using only buccal infiltration of 2% lignocaine hydrochloride (HCl) with adrenaline 1:80,000 without the need for supplemental palatal injection.

Materials and methods

Three hundred patients were selected randomly and divided into two groups of 150 each. In the experimental group, 2 ml of 2% lignocaine hydrochloride with 1:80000 adrenaline was injected into the buccal vestibule of the tooth to be extracted. Extraction was performed after a waiting period of 7 minutes postinjection. Equal number of 150 patients were used as control and were subjected to the same protocol, with additional palatal injection. Pain experienced during extraction of both groups were recorded using visual analog scale and faces pain scale. Mann-Whitney test was used to analyze pain between both the groups.

Results

Statistical analysis of the two groups, experimental and control groups do not defer with respect to visual analog and faces pain score.

Conclusion

Palatal injection for extraction of maxillary third molar is not mandatory.

How to cite this article

Pawar S, Desai RA, Padhye M, Shevale V, Khosa R, Keswani E, Thakker S, Shah V. Palatal Injection: A Myth or a Reality in Maxillary Third Molar Extraction. World J Dent 2014;5(1):28-32.


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  1. Reduced discomfort during palatal injection. J Am Dent Assoc 2001;132:1277
  2. Handbook of local anesthesia. 5th ed. Mosby. 2004. p. 202-213.
  3. Painless palatal anesthesia. J Am Dent Assoc 1997;128:647
  4. Effective topical anesthetic agents and techniques. Dent Clin North AM 2002;46:759-766.
  5. Is permanent maxillary tooth removal without palatal injection possible? Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;102:733-735.
  6. ‘Technique to diminish discomfort from the palatal injection’. The Journal of Prosthetic Dentistry, 1992;67(6):901-902.
  7. A blinded randomized controlled trial comparing lignocaine and placebo administration to the palate for removal of maxillary third molars. Int J Oral Maxillofac Surg 2007;36:1177-1182.
  8. Is palatal injection mandatory prior to extraction of permanent maxillary tooth: a preliminary study. 2011;22(1):100-102.
  9. Comparison of the efficiencies of permanent maxillary tooth removal performed with single buccal infiltration versus routine buccal and palatal injection. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontology 2009;107(3):359-363.
  10. Evaluation of the buccal vestibule-palatal diffusion of 4% articaine hydrochloride in impacted maxillary third molar extractions. Med Oral Patol Oral Cir Bucal 2009;14:E129-132.
  11. Is it possible to anesthetize palatal tissues with buccal 4% articaine injection? J Oral Maxillofac Surg 2010;68(5):1032-1037.
  12. A comparison of the anesthetic efficacy of articaine and lidocaine in patients with irreversible pulpitis. J Endod 2009;35:165-168.
  13. Anesthetic efficacy of a eutectic mixture of lidocaine and prilocaine on the oral mucosa: prospective double blind study with a placebo. Minerva Stomatal 1999;48:39-43.
  14. Use of EMLA: Is it an injection free alternative? J Clin Pedatr Dent 2001;25:215-219.
  15. Electronic Dental Anesthesia. Anesth Prog 1992;39:162-177.
  16. Palatal anaesthesia for the removal of maxillary third molars as practised by oral and maxillofacial surgeons in Australia and New Zealand. Aust Dent J 2007;52:329-332.
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