COMPARE THE ANAESTHETIC EFFECTIVENESS OF BUCCAL INFILTRATION ALONE WITH COMBINED BUCCAL AND PALATAL INFILTRATION ON SY MPTOMATIC MAXILLARY FIRST MOLARS
DOI:
https://doi.org/10.33279/jkcd.v8i02.432Keywords:
Buccal infiltration, maxillary first molar, palatal infiltration and pulpal anaesthesia.Abstract
Objective: To compare the efficacy of two different local anaesthetic technique. Buccal filtration alone was compared with a combination of buccal and palatal infiltration on pulpal anaesthesia of symptomatic maxillary molars.
Materials & Methods: A randomised control trial was conducted at the Department of Operative Dentistry, Sardar Begum Dental College, Peshawar, from June 2014 to December 2014. One hundred and eighty emergency patients who had maxillary 1st molar diagnosed with irreversible pulpitis participated in the study. Subjects were divided into two groups (random allocation). One group received buccal infiltration alone, and the other group received buccal infiltration along with palatal infiltration. Subjects reported pain on Heft Parker Visual Analogue Scale (VAS) after local anaesthetic administration during access cavity preparation and pulp extirpation.
Results: Mean age of subjects was 30.5 years ± 8.4 SD. The success rate of buccal infiltration was 80% whereas the success rate of buccal infiltration along with palatal infiltration was 78.8%. There was no statistically significant difference between the two groups (p-value 0.845).
Conclusion: It can be concluded from the results that the addition of palatal infiltration to a conventional buccal infiltration does not increase the success of pulpal anaesthesia for symptomatic maxillary first molars.
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Copyright (c) 2018 Asim Qureshi, Muhammad Zain, Syed Imran Shah

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