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Updated: Feb 10, 2026
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Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
Published on: February 23, 2024
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Extraction of permanent maxillary teeth without palatal injection: a meta-analysis
Li Cui1, Zhuyu Zhang1, Jiao Huang1
1College of Stomatology, Chongqing Medical University, Chongqing, China; Chongqing Key Laboratory for Oral Diseases and Biomedical Sciences, Chongqing, China; Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing, China.
Summary
Extracting maxillary teeth without palatal injections significantly reduces operation success rates. Routine infiltration anesthesia, combining buccal and palatal injections, is more effective for maxillary tooth removal.
Area of Science:
- Dentistry
- Anesthesiology
- Oral Surgery
Background:
- Palatal injection is a common component of anesthesia for maxillary tooth extraction.
- The necessity and efficacy of palatal injection in maxillary tooth removal have been debated.
Purpose of the Study:
- To assess the success rates of maxillary tooth extraction using only buccal anesthesia compared to traditional combined buccal and palatal anesthesia.
Main Methods:
- A meta-analysis was conducted on seven randomized controlled trials.
- Studies were identified through comprehensive searches of PubMed, Cochrane Library, EMBASE, and SinoMed up to June 2017.
- Data were analyzed using RevMan 5.3 software.
Main Results:
- Maxillary permanent teeth removal with single buccal anesthesia showed a significantly reduced success rate compared to routine infiltration anesthesia (Odds Ratio = 0.14; 95% CI: 0.07-0.27; P < .00001).
Conclusions:
- The use of palatal injections alongside buccal anesthesia is crucial for achieving high success rates in maxillary tooth extraction.
- Further high-quality research is warranted to confirm these findings and optimize anesthesia protocols.
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