Volume : 7, Issue : 9, September - 2018

Extraction of permanent maxillary anterior teeth using single buccal infiltration of 2% lidocaine.

Mandeep Sharma, Praveen Akhter Lone

Abstract :

<p class="MsoNormal" style="text-align:justify;line-height:200%"><b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;color:black">Background &amp; Objectives:</span></b><span style="font-size:&#10;12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Pain management is the most important tenet in any oral surgical procedure.<span style="color:black"> Extraction of tooth should bepain free with limited dosage of anesthetic and limited pricks. Objectives of the study was to </span>compare the efficacy of single buccal infiltration of 2% lignocaine with buccal and palatal infiltration of 2% lignocaine in maxillary anterior tooth extraction.<u><span style="mso-bidi-font-weight:bold"><o:p></o:p></span></u></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;color:black">Methodology: </span></b><span style="font-size:12.0pt;line-height:&#10;200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;color:black"><span style="mso-spacerun:yes">&nbsp;&nbsp;</span>A study was carried on 60 patients of age group 20-60 years who required </span><span style="font-size:12.0pt;line-height:&#10;200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">maxillary anterior tooth extraction<span style="color:black"> in a randomized controlled manner, visiting the Department of Oral and Maxillofacial surgery. Buccal infiltration of 1.8ml of anesthetic solution was given randomly to 30 patients in group A and buccal and palatal infiltration was given to 30 patients in group B. Objective signs were checked. </span>Postoperatively VAS score and FPS score was noted. <u><span style="mso-bidi-font-weight:bold"><o:p></o:p></span></u></span></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:200%;mso-layout-grid-align:none;text-autospace:none"><b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Results: </span></b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">In group A (only buccal infiltration)extraction was done symptoms free in 29 patients.Additional injection was required in 1 case. In group B(buccal and palatal infiltration)including 30 patients extraction was done without the need of additionalinjection. The VAS score and FPS score values for both the groupswas not statistically significantly (p value &gt;0.05). <o:p></o:p></span></p> <p class="MsoNormal" style="text-align:justify;line-height:200%"><b><span style="font-size:12.0pt;line-height:200%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">Interpretation &amp; Conclusion</span></b><span style="font-size:12.0pt;line-height:200%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">: <span style="color:black">The single buccal infiltration of 1.8ml lignocaine can be used for extracting permanent maxillary anterior teeth.</span><o:p></o:p></span></p>