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Updated: Jul 18, 2026
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Measuring Maxillary Posterior Tooth Movement: A Model Assessment using Palatal and Dental Superimposition
Published on: February 23, 2024
Is permanent maxillary tooth removal without palatal injection possible?
Sina Uckan1, Emre Dayangac, Kenan Araz
1Department of Oral & Maxillofacial Surgery, Baskent University, Faculty of Dentistry, Ankara, Turkey.
Summary
Articaine HCl effectively provides anesthesia for maxillary tooth removal without a second palatal injection. This dental anesthesia technique simplifies procedures and maintains high patient comfort levels.
Area of Science:
- Dentistry
- Anesthesiology
- Oral Surgery
Background:
- Effective anesthesia is crucial for successful maxillary tooth extraction.
- Traditional methods often involve supplementary palatal injections, which can be uncomfortable for patients.
Purpose of the Study:
- To evaluate the efficacy of articaine HCl for palatal anesthesia during maxillary tooth removal without a secondary palatal injection.
- To determine if a single buccal injection of articaine HCl is sufficient for pain control.
Main Methods:
- A study involving 53 patients undergoing maxillary tooth extractions.
- A single 2 mL injection of 4% articaine HCl with 1:100,000 epinephrine was administered to the buccal vestibule.
- Pain was assessed using the Faces Pain Scale (FPS) and Visual Analogue Scale (VAS) post-extraction.
- A control group received a standard palatal injection.
Main Results:
- No statistically significant difference in pain scores (VAS and FPS) was observed between extractions with (97.5%) and without (96.8%) a palatal injection.
- The single buccal injection of articaine HCl provided comparable anesthesia to the traditional two-injection method.
Conclusions:
- Maxillary tooth removal can be successfully performed with anesthesia achieved solely through a buccal injection of articaine HCl.
- This approach offers a viable alternative to traditional palatal injections, potentially improving patient experience.