| ORIGINAL ARTICLE |
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| Year : 2021 | Volume
: 13
| Issue : 5 | Page : 721-724 |
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A prospective study to assess the efficacy of 4% articaine, 0.5% bupivacaine and 2% lignocaine using a single buccal supraperiosteal injection for maxillary tooth extraction
Deepak Chandrasekaran, Ravindran Chinnaswami, K Shanthi, A Emmanuel Dhiravia Sargunam, K Santhosh Kumar, Tharini Satheesh
Department of Oral and Maxillofacial Surgery, Sri Ramachandra Faculty of Dental Sciences, SRIHER, Chennai, Tamil Nadu, India
Correspondence Address:
Deepak Chandrasekaran
Associate Professor, Dept of Oral & Maxillofacial Surgery, Sri Ramachandra Faculty of Dental Sciences, SRIHER, Chennai, Tamil Nadu
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jpbs.JPBS_659_20
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Introduction: The aim of this study was to demonstrate if articaine hydrochloride administered alone as a single buccal infiltration in maxillary tooth extraction can provide adequate palatal anesthesia as compared to buccal and palatal injection using lidocaine and bupivacaine. Materials and Methods: A prospective double-blinded trial was conducted on 150 patients who required maxillary tooth extraction. The patients were divided into three different groups consisting of 50 patients each. Each group was administered with 4% articaine into buccal vestibular mucosa of the tooth to be extracted, 2% lignocaine and 0.5% bupivacaine was injected into buccal and palatal side of the tooth to be extracted, respectively. Following the tooth extraction, all patients were asked to complete a 10-score Visual Analog Scale (VAS) and 5-score facial pain scale (FPS) to assess the pain on extraction. Results: According to the VAS and FPS scores, the pain on extraction between buccal infiltration of articaine and the routine buccal and palatal infiltration of lignocaine was statistically significant. Conclusion: The routine use of a palatal injection for extraction of maxillary teeth may not be required when articaine is used as a local anesthetic solution.
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