Anesthetic Effectiveness of Buccal Infiltration Alone Vs Combined Buccal and Palatal Infiltration on Symptomatic Maxillary Teeth
DOI:
https://doi.org/10.70749/ijbr.v3i3.843Keywords:
Buccal Infiltration, Maxillary Molars (Maxillary First and Second), Palatal Infiltration, and Pulpal AnesthesiaAbstract
Objective: To evaluate the effectiveness of two distinct methods of local anesthesia. The effects of buccal and palatal infiltration with pulpal anesthesia on symptomatic maxillary molars (Maxillary first, and second molar) were compared with buccal filtration alone. Study Design: A Cross-sectional study. Setting and Duration of Study: From October 2023 to September 2024 at Operative dentistry and Endodontics Department, Sandeman Provincial Hospital / Bolan Medical College/ Hospital, Quetta. Materials & Methods: This Cross-sectional study conducted in Operative Dentistry and Endodontics Department, Sandeman Provincial Hospital / Bolan Medical College/ Hospital, Quetta lasted from October 2023 through September 2024. Two hundred patients suffering from irreversible pulpitis in maxillary first molars took part in the research. The study subjects possessed an average age of 35.6 years with a standard deviation of ± 6.4 years. Subjects randomly received division into two separate groups for the experiment. Buccal infiltration-alone entered one experimental group whereas the other group received buccal and palatal infiltration. Subjects used Heft Parker Visual Analogue Scale (VAS) to rate their pain experience immediately after local anesthetic application during access cavity preparation and pulp removal. Results: The individuals' mean age was 32 years ± 10 SD. Buccal infiltration had an 85% success rate, whereas buccal infiltration and palatal infiltration had an 80% success rate. A p-value of 0.592 indicated that there was no statistically significant difference between the two groups. Conclusion: According to the findings, pulpal anesthesia for symptomatic maxillary molars (Maxillary first and second molar) teeth is not more successful when palatal infiltration is added to a traditional buccal infiltration.
Downloads
References
Nuttall NM, Bradnock G, White D, Morris J, Nunn J. Dental attendance in 2011 and implications for the future. Br Dent J. 2011 Feb;190(4):177–82. https://pubmed.ncbi.nlm.nih.gov/11270384/
Mantesso A. Dental anxiety - definition, etiology, diagnosis, and treatment options. Open Access J Dent Oral Surg. 2022 May 9;3(2):1–4. https://doi.org/10.54026/oajdos/1031
Meechan JG. Intraoral topical anesthesia. Periodontol 2000. 2018 Feb;46(1):56–79. https://doi.org/10.1111/j.1600-0757.2008.00231.x
Steinvik LM, Svartdal F, Johnsen JAK. Delay of dental care: an exploratory study of procrastination, dental attendance, and self-reported oral health. Dent J. 2023 Feb 1;11(2). https://doi.org/10.3390/dj11020056
Munshi AK, Hegde AM, Latha R. Use of EMLA: is it an injection-free alternative? J Clin Pediatr Dent. 2001;25(3):215–9. Available from: https://pubmed.ncbi.nlm.nih.gov/12049081/
Malamed S, Gagnon S, Leblanc D. A comparison between articaine HCl and lidocaine HCl in pediatric dental patients. Pediatr Dent. 2000;22(4). https://www.aapd.org/globalassets/media/publications/archives/malamed-22-04.pdf
Hassan H, Chishti F, Shakoor A, Asad R, Aziz S, Abbas M. Needle threat and acquired dental phobia in pediatric dental patients. J Dow Univ Health Sci. 2024. https://doi.org/10.36570/jduhs.2024.2.1987
Roszkowski MT, Swift JQ, Hargreaves KM. Effect of NSAID administration on tissue levels of immunoreactive prostaglandin E2, leukotriene B4, and (S)-flurbiprofen following extraction of impacted third molars. Pain. 1997 Dec;73(3):339–45. https://doi.org/10.1016/s0304-3959(97)00120-6
Malamed SF. Pain management following dental trauma and surgical procedures. Dent Traumatol. 2023 Aug 1;39(4):295–303. https://doi.org/10.1111/edt.12840
Hawkins JM, Moore PA. Local anesthesia: advances in agents and techniques. Dent Clin North Am. 2022;46(4). Available from: https://pubmed.ncbi.nlm.nih.gov/12436827/
Raittio E, Sofi-Mahmudi A, Uribe SE. Research transparency in dental research: a programmatic analysis. Eur J Oral Sci. 2023 Feb 1;131(1):e12908. https://doi.org/10.1111/eos.12908
Badcock ME, Gordon I, McCullough MJ. A blinded randomized controlled trial comparing lignocaine and placebo administration to the palate for removal of maxillary third molars. Int J Oral Maxillofac Surg. 2017 Dec;36(12):1177–82. https://doi.org/10.1016/j.ijom.2007.06.001
Gadhia A, Pepper T. Oral surgery, extraction of teeth. StatPearls. 2023 Jun 1.
Aslin WR. Reduced discomfort during palatal injection. J Am Dent Assoc. 2011;132(9):1277. https://doi.org/10.14219/jada.archive.2001.0372
Atasoy Ulusoy OI, Alaçam T. Efficacy of single buccal infiltrations for maxillary first molars in patients with irreversible pulpitis: a randomized controlled clinical trial. Int Endod J. 2014 Mar;47(3):222–7. https://doi.org/10.1111/iej.12129
Areenoo P, Manmontri C, Chaipattanawan N, Chompu-inwai P, Khanijou M, Kumchai T, et al. Anesthetic efficacies of buccal with palatal injection versus buccal with intra-septal injection in permanent maxillary first molars of pediatric patients. J Dent Anesth Pain Med. 2022;22(4):239. https://doi.org/10.17245/jdapm.2022.22.4.239
Pal S, Narayanan A, Jain L. Comparative evaluation of the influence of the palatal root length on the efficacy of maxillary buccal infiltration by open and closed mouth technique: a randomized control trial. J Dent Anesth Pain Med. 2024 Dec 1;24(6):407–14. https://doi.org/10.17245/jdapm.2024.24.6.407
Swati S, Nagpal AK, Kumar S, Sharma A, Rahman MM. Comparative evaluation of anesthetic efficacy of buccal & palatal infiltration of maxillary permanent first molar: An in vivo study. IP Indian J Conserv Endod. 2024 Sep 28;9(3):129–32. https://doi.org/10.18231/j.ijce.2024.028
Guglielmo A, Drum M, Reader A, Nusstein J. Anesthetic efficacy of a combination palatal and buccal infiltration of the maxillary first molar. J Endod. 2011 Apr;37(4):460–2. Available from: https://pubmed.ncbi.nlm.nih.gov/21419290/
Vílchez-Pérez MA, Sancho-Puchades M, Valmaseda-Castellón E, Paredes-García J, Berini-Aytés L, Gay-Escoda C. A prospective, randomized, triple-blind comparison of articaine and bupivacaine for maxillary infiltrations. Med Oral Patol Oral Cir Bucal. 2011 Mar;17(2):e325. https://doi.org/10.4317/medoral.17476
Atasoy Ulusoy OI, Alaçam T. Efficacy of single buccal infiltrations for maxillary first molars in patients with irreversible pulpitis: a randomized controlled clinical trial. Int Endod J. 2014 Mar;47(3):222–7. https://doi.org/10.1111/iej.12129
Areenoo P, Manmontri C, Chaipattanawan N, Chompu-inwai P, Khanijou M, Kumchai T, et al. Anesthetic efficacies of buccal with palatal injection versus buccal with intra-septal injection in permanent maxillary first molars of pediatric patients. J Dent Anesth Pain Med. 2022;22(4):239. https://doi.org/10.17245/jdapm.2022.22.4.239
Pal S, Narayanan A, Jain L. Comparative evaluation of the influence of the palatal root length on the efficacy of maxillary buccal infiltration by open and closed mouth technique: a randomized control trial. J Dent Anesth Pain Med. 2024 Dec 1;24(6):407–14. https://doi.org/10.17245/jdapm.2024.24.6.407
Hosseini HR, Parirokh M, Nakhaee N, Abbott PV. Efficacy of Articaine and Lidocaine for Buccal Infiltration of Maxillary First Molars with Irreversible Pulpitis: A Double-blind, Randomized Clinical Trial. J Endod. 2023 Jul;49(7):812–8. https://doi.org/10.1186/s12903-025-05552-y
Kumar U, Garg N, Vashisht R, Kumari A, Kaur CK, Rajput A. Buccal versus buccal palatal infiltration for pulpal anesthesia using 2% lidocaine and 4% articaine: A randomized controlled trial. J Oral Biol Craniofacial Res. 2024 Mar 1;14(2):205. https://doi.org/10.1016/j.jobcr.2024.02.004
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Indus Journal of Bioscience Research
This work is licensed under a Creative Commons Attribution 4.0 International License.
