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Is it possible to extract primary maxillary molars without palatal injection?: a controlled clinical trial
Esra Ceren Tuğutlu1, Kevser Sancak2
1Department of Pedodontics, Faculty of Dentistry, Ankara Yıldırım Beyazıt University, Ankara, Türkiye. cerentatli88@gmail.com.
Clinical Oral Investigations
|February 26, 2024
Summary
Palatal injections for primary maxillary molar extractions cause more pain during anesthesia. However, pain perception after extraction is similar whether or not a palatal injection is used, suggesting it may be unnecessary.
Area of Science:
- Pediatric Dentistry
- Dental Anesthesia
- Pain Management
Background:
- Palatal injections for primary maxillary molar extractions are common but poorly tolerated by children.
- The necessity and pain perception associated with palatal injections in this context remain underexplored.
Purpose of the Study:
- To compare pain perception during anesthesia and extraction of primary maxillary molars with and without palatal injections.
- To evaluate the impact of different anesthetic solutions and waiting times on pain.
Main Methods:
- A single-blinded randomized controlled study involving 78 children.
- Comparison of pain using Visual Analog Scale (VAS) and Wong-Baker Faces Pain Rating Scale (WBS).
- Groups included palatal anesthesia (control) and no palatal anesthesia with 5-min or 8-min waiting times.
Main Results:
- Anesthesia administration resulted in significantly lower VAS pain scores in groups without palatal anesthesia.
- No significant difference in VAS or Wong-Baker scores was observed after tooth extraction between groups with and without palatal anesthesia.
Conclusions:
- Palatal anesthesia for primary maxillary molar extraction is associated with increased pain during the injection phase.
- Extraction of primary maxillary molars can be successfully performed without palatal injection, using buccal infiltration with articaine or lidocaine.
