Is the only buccal infiltration anesthesia enough for extraction of mandibular anterior incisors and premolar teeth? A s
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ORIGINAL ARTICLE
Is the only buccal infiltration anesthesia enough for extraction of mandibular anterior incisors and premolar teeth? A split-mouth randomized clinical trial Bilal Ege 1
&
Mehmet Demirkol 2
Received: 17 August 2020 / Accepted: 7 October 2020 # Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Objectives The issue of needing additional lingual injection in extractions of mandibular premolar and incisors is still not clarified. The aim of this study is to investigate whether it is necessary to perform lingual injection in addition to buccal infiltration anesthesia in mandibular incisors and premolar teeth extractions. Materials and methods Sixty-six patients who admitted to our clinic for the removal of bilateral mandibular anterior teeth were included in the present study. Patients were divided into two groups. The experimental group received only 1.5 ml of 2% lidocaine with 1:80,000 epinephrine by injection into the buccal vestibule of the tooth. The control group received 1.5 ml of 2% lidocaine with 1:80,000 epinephrine by buccal injection into the buccal side and 0.3 ml same lidocaine solution injected into the lingual side of the tooth. After 5 min, tooth was extracted and each patient was asked to record the intensity of injection and extraction pain by 0–100 mm and a 10-point Visual Analogue Scale (VAS) and six-pointed Face Pain Scale (FPS). Results The injection pain scores were significantly higher in terms of the VAS 0–10 point and 0–100 mm and FPS in the control group to which additional lingual injections were applied than the experimental group (p < 0.05). No statistically significant differences were found in all three scales between the groups in terms of extraction pain (p > 0.05). The mean extraction pain scores were lower in the experimental group according to the three scales. No additional anesthetic injection and post-operative complications were observed in all patients. Conclusions The extraction of mandibular incisors and premolar teeth can only be done with only the buccal infiltration. Clinical relevance In the extraction of mandibular anterior teeth, it can be performed with less anesthetic amount without the need for an additional lingual injection. Keywords Lingual injection . Mandible . Supplemental local anesthesia . Tooth extraction
Introduction One of the most important criteria to successfully carry out dentoalveolar surgery procedures, especially tooth extraction, is effective pain management achieved with an accurate dental anesthesia technique. However, dental anesthesia techniques
* Bilal Ege [email protected] 1
Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Adıyaman University, 02200 Adıyaman, Turkey
2
Faculty of Dentistry, Department of Oral and Maxillofacial Surgery, Gaziantep University, Gaziantep, Turkey
performed on the maxilla or mandible cannot always provide effective anesthesia for various reasons such as the anatomical differences of the jaws [1]. Therefore, the issue of how to achieve local anesthesia
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