The Effect of Maxillary First Molar Root Length on the Success Rate of Buccal Infiltration Anesthesia

Objective. Recently, some authors reported that maxillary teeth could be extracted without using palatal anesthesia, but they did not clearly specify the extracted teeth. This is important, because apparently the local anesthetic solution infiltrates the maxilla and achieves a sufficient anesthesia in the palatal side. Thus, thickness of the bone may affect the depth of anesthesia. The aim of this study was to compare the depth of anesthesia in different parts of the maxilla when only a buccal infiltration anesthesia was done.Patients and Method. The maxilla was divided into anterior, premolar, and molar regions. In each region, 15 teeth were extracted with a single buccal infiltration. The patient marked the pain level on a numerical rating scale.Results. Anesthesia depth was sufficient and was not significantly different () among three maxillary regions.Conclusion. Except for surgical interventions, all maxillary teeth can be extracted using only a buccal infiltration anesthesia.

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Efficacy of Lignocaine in Gel and Spray form during Buccal Infiltration Anesthesia in Children: A Randomized Clinical Trial

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-1611 ◽

2014 ◽

Vol 15 (6) ◽

pp. 750-754 ◽

Cited By ~ 5

Author(s):

Anshul Sharma ◽

BS Suprabha

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Rating Scale ◽

Permanent Teeth ◽

Chi Square ◽

Topical Anesthetic ◽

Significant Difference ◽

Spray Form ◽

Buccal Infiltration ◽

Infiltration Anesthesia

ABSTRACT Aim To compare the efficacy of 15% lignocaine spray and 8% lignocaine gel as a topical anesthetic, in reducing pain, during buccal infiltration in children. Materials and methods Forty-two patients aged between 7 and 12 years requiring restorative procedures/extraction/pulp therapy of primary/ permanent teeth in the maxillary arch, under buccal infiltration anesthesia were selected for the study. The participants were randomly allocated into 2 groups of 21 each. In group A, 8% lignocaine gel and in group B, 15% lignocaine spray was applied prior to buccal infiltration. Pain was assessed using Wong-Baker faces pain rating scale (WBFPRS) and faces legs activity cry and consolability (FLACC) painscale. Results Pearson's chi-square test revealed that there was no significant difference in the FLACC scores of the two groups (p = 0.54). Independent t-test demonstrated that there was no significant difference in Wong-Bakers faces pain score between the two agents (p = 0.07). Conclusion There is no significant difference in the efficacy of 15% lignocaine spray and 8% lignocaine gel as a topical anesthetic in controlling pain during buccal infiltration anesthesia, in children. How to cite this article Sharma A, Suprabha BS, Shenoy R, Rao A. Efficacy of Lignocaine in Gel and Spray form during Buccal Infiltration Anesthesia in Children: A Randomized Clinical Trial. J Contemp Dent Pract 2014;15(6):750-754.

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