Comparison of the effectiveness of XXXX in permanent maxillary teeth removal performed with single buccal infiltration versus routine buccal and palatal injection.

@entity1 @entity1425 @entity1347 @entity3303 @entity158 @entity2419
PURPOSE: For many dental @entity1 , 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 @entity158 during palatal injection is just not to have one. Hence, the present study aims at investigating if @entity3303 could provide @entity2419 in maxilla when only a buccal infiltration anesthesia is done for teeth extraction. @entity1 AND METHODS: One hundred and fifty @entity1 requiring extraction of maxillary teeth were included in the study. @entity1 were randomly allotted to two groups, study and control. @entity1 in study group received a single buccal infiltration of 1.5  mL of @entity3303 with @entity1425 for extraction of maxillary teeth. @entity1 in control group received 1.5  mL of buccal and 0.3  mL of palatal infiltration of @entity3303 with @entity1425 for the extraction. After achieving adequate @entity2419 the tooth was extracted with consistent technique. @entity158 level experienced by the @entity1 during injection procedure and during tooth extraction was rated in an 11-point @entity158 rating scale. Time taken to achieve @entity2419 following a single buccal infiltration of anesthetic solution was evaluated by regular pin-prick evaluation of palatal tissues. RESULTS: The overall success rate of @entity2419 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 @entity2419 by single buccal infiltration is 7-9  min. CONCLUSION: The extraction of permanent @entity1347 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.
