Efficacy of intraligamentary anesthesia in maxillary first molar extraction

• Published in: Journal of pain research Vol. 11; pp. 1829 - 1833
• Main Authors: Ryalat, Soukaina Tawfiq, Al-Shayyab, Mohammad H, Amin, Wala, AlRyalat, Saif Aldeen, Al-Ryalat, Nosaiba, Sawair, Faleh
• Format: Journal Article
• Language: English
• Published: New Zealand Dove Medical Press Limited 01.01.2018; Taylor & Francis Ltd; Dove Medical Press
• Subjects: Analgesia; Anesthesia; Comparative analysis; Dentistry; Infiltration anesthesia; intraligamentary anesthesia; Ligaments; maxillary first molars; Maxillofacial surgery; Medical research; Original Research; Pain; Pain management; Patient satisfaction; Patients; periodontal intraligamentary anesthesia; Surgeons; Surgery; Systemic diseases; Teeth; United States > US; periodontal intraligamentary anesthesia; intraligamentary anesthesia; maxillary first molars; infiltration anesthesia
• ISSN: 1178-7090; 1178-7090
• DOI: 10.2147/JPR.S170324

Infiltration anesthesia (IA) is the method to anaesthetize maxillary teeth successfully. In contrast, intraligamentary anesthesia (ILA) has been used as supplementary anesthesia during tooth extraction, particularly when regional block anesthesia has failed. In this study, we compare the efficacy of and patient satisfaction with ILA vs IA when extracting maxillary first molar teeth. Forty patients were enrolled in this study and 80 maxillary first molars extracted. All patients served as their own control, with ILA as the experimental side and IA as the control side. The two techniques were compared for efficacy using a visual analog scale (VAS) and patient satisfaction compared using a verbal rating scale (VRS). The mean VAS pain score for extraction using ILA was lower than that for IA (20.30±3.18 and 13.93±1.95 mm, respectively; <0.001). For injection pain, the mean VAS pain score in the ILA side was higher than the IA side (42.28±4.51 and 31.73±3.1 mm, respectively; <0.001). VRS results showed a higher number of patients who felt that pain during ILA was greater than expected compared with IA. IA appears less painful during injection compared with ILA, and provides sufficient pain relief during extraction. However, ILA can be used when IA fails to achieve the desired pain suppression, as it provides higher extraction-pain relief.