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Transpapillary versus palatal injection technique for maxillary tooth extractions.
Omer Sefvan Janjua1, Uzair Luqman, Muhammad Wasim Ibrahim
1Department of Oral and Maxillofacial Surgery, Armed Forces Institute of Dentistry, Rawalpindi. osj1982@hotmail.com
Summary
Transpapillary injection significantly reduces pain during maxillary tooth extractions compared to traditional palatal injections. This novel technique offers comparable efficacy with improved patient comfort, making it a preferred method for dental procedures.
Area of Science:
- Dentistry
- Oral and Maxillofacial Surgery
- Anesthesiology
Background:
- Palatal injections are commonly used for maxillary anesthesia but can cause significant pain.
- Minimizing injection pain is crucial for improving patient experience and compliance in dental procedures.
Purpose of the Study:
- To compare the pain experienced during injection administration and the efficacy of transpapillary injection versus conventional palatal injection for simple maxillary tooth extractions.
Main Methods:
- A randomized controlled trial was conducted with 200 patients undergoing simple maxillary extractions.
- Patients were divided into two groups: one receiving conventional palatal injection and the other receiving transpapillary injection.
- Pain was assessed using the Visual Analogue Scale (VAS) and Faces Pain Score (FPS) scales.
Main Results:
- Transpapillary injection resulted in significantly lower pain scores during administration compared to palatal injection (p < 0.05).
- Both injection techniques demonstrated statistically similar efficacy for the extraction procedure (p > 0.05).
- Demographic data showed no significant differences between the two groups.
Conclusions:
- Transpapillary injection is an effective and less painful alternative to palatal injection for maxillary anesthesia.
- This technique enhances patient comfort without compromising the anesthetic efficacy required for tooth extractions.