Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Anesthetic efficacies of buccal with palatal injection versus buccal with intra-septal injection in permanent maxillary first molars of pediatric patients

  • Areenoo, Peecharat (Division of Pediatric Dentistry, Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University) ;
  • Manmontri, Chanika (Division of Pediatric Dentistry, Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University) ;
  • Chaipattanawan, Nattakan (Division of Pediatric Dentistry, Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University) ;
  • Chompu-inwai, Papimon (Division of Pediatric Dentistry, Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University) ;
  • Khanijou, Manop (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Bangkokthonburi University) ;
  • Kumchai, Thongnard (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Bangkokthonburi University) ;
  • Wongsirichat, Natthamet (Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Bangkokthonburi University)
  • Received : 2022.06.14
  • Accepted : 2022.07.17
  • Published : 2022.08.01
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Abstract

The high success rate of dental treatment is dependent on the cooperation of pediatric patients during procedures. Dental treatment often causes pain, particularly in children. The factors in providing treatment to pediatric patients include the characteristics and location of the tooth, profoundness of the anesthesia including the type of local anesthetic, and cooperation of the patient. Previous studies have examined several techniques to successfully achieve profound pulpal anesthesia in maxillary permanent teeth. The dentist should select the injection technique to be used based on patient needs. In children, either buccal with palatal injections or buccal with intra-septal injections may be used to anesthetize the permanent maxillary first molar. Buccal with palatal injections are commonly used prior to routine maxillary dental procedures. Currently, there are only a few studies on the employment of buccal with intra-septal injections to anesthetize permanent maxillary first molars in pediatric patients. This review will focus on efficacy of buccal with palatal versus buccal with intra-septal pulpal anesthesia of the permanent maxillary first molars in pediatric patients and aim to determine which technique should be used during routine dental procedures.

Keywords

Acknowledgement

The authors would like to thank the staff and dental assistants, including colleagues in the Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University, Chiang Mai; and the Oral and Maxillofacial Surgery Department, Faculty of Dentistry, Bangkokthonburi University.

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