Alternative anesthetic technique for maxillary periodontal surgery

Area of Science:

• Dentistry
• Periodontology
• Anesthesiology

Background:

• Maxillary periodontal surgery often necessitates multiple injections, risking collateral anesthesia in facial structures.
• The anterior middle superior alveolar (AMSA) injection technique aims to provide comprehensive maxillary anesthesia with a single administration.
• This technique targets maxillary teeth and gingival tissues from the first molar to the central incisor.

Observation:

• The AMSA injection was utilized in five distinct maxillary periodontal surgeries.
• Anesthesia efficacy was assessed through subjective testing, including buccal mucosal sticks and palatal transgingival probing.
• Standard syringes with 27-gauge needles were employed for the injections.

Findings:

• The AMSA injection demonstrated excellent palatal hemostatic control.
• It successfully avoided undesirable collateral anesthesia.
• A significant reduction in the total number of injections was observed.
• Occasional drawbacks included inadequate buccal hemostasis and transient anesthesia of central incisors.

Implications:

• The AMSA injection presents a novel anesthetic approach for specific maxillary periodontal procedures.
• It offers potential benefits in reducing patient discomfort and surgical complications.
• Further research may explore optimizing AMSA injection for enhanced buccal hemostasis and prolonged central incisor anesthesia.