PDF(Pubmed)
Abstract：
OBJECTIVE: The absolute necessity of a palatal injection for the extraction of primary maxillary molars has never been explored, despite the fact that it is widely known that children do not tolerate local anesthetic injections into the palatal tissue well. The aim of this study was to compare separately the perception of pain in the absence of palatal injection after anesthesia and maxillary primary molar tooth extraction using different anesthetic solutions and different post-anesthetic waiting times.
METHODS: A single-blinded randomized controlled study was conducted in 78 participants (26 patients with palatal anesthesia (the control groups), and 26 patients with 5 min and 26 patients with 8 min post-anesthetic waiting time without palatal anesthesia (the study groups)). Subjective experiences of pain were evaluated separately after anesthesia and tooth extraction using the Visual Analog Scale (VAS) and the Wong-Baker Faces Pain Rating Scale (WBS).
RESULTS: In terms of VAS scores obtained following administration of anesthesia, there was a statistically significant difference between the groups (p<0.05). VAS pain scores were reported to be lower in the groups without palatal anesthesia than in the groups with palatal anesthesia. No statistically significant difference was observed in VAS and Wong-Baker scores after tooth extraction between the groups with and without palatal anesthesia (P>0.05).
CONCLUSIONS: While the pain reported following administration of anesthesia was found to be higher in the groups receiving palatal anesthesia, no difference was found between the groups in the pain reported after tooth extraction.
CONCLUSIONS: Extraction of maxillary primary molars is possible without palatal injection by injecting 4% articaine or 2% lidocaine into the buccal vestibule of the tooth with a waiting time of 5 or 8 min.
METHODS: A single-blinded randomized controlled study was conducted in 78 participants (26 patients with palatal anesthesia (the control groups), and 26 patients with 5 min and 26 patients with 8 min post-anesthetic waiting time without palatal anesthesia (the study groups)). Subjective experiences of pain were evaluated separately after anesthesia and tooth extraction using the Visual Analog Scale (VAS) and the Wong-Baker Faces Pain Rating Scale (WBS).
RESULTS: In terms of VAS scores obtained following administration of anesthesia, there was a statistically significant difference between the groups (p<0.05). VAS pain scores were reported to be lower in the groups without palatal anesthesia than in the groups with palatal anesthesia. No statistically significant difference was observed in VAS and Wong-Baker scores after tooth extraction between the groups with and without palatal anesthesia (P>0.05).
CONCLUSIONS: While the pain reported following administration of anesthesia was found to be higher in the groups receiving palatal anesthesia, no difference was found between the groups in the pain reported after tooth extraction.
CONCLUSIONS: Extraction of maxillary primary molars is possible without palatal injection by injecting 4% articaine or 2% lidocaine into the buccal vestibule of the tooth with a waiting time of 5 or 8 min.
摘要：
目的：上颌下颌磨牙拔除的腭注射的绝对必要性从未被探索过，尽管众所周知，儿童不能很好地耐受向腭组织注射局部麻醉剂。这项研究的目的是分别比较在麻醉和上颌原发性磨牙拔牙后，使用不同的麻醉溶液和不同的麻醉后等待时间，在没有pal注射的情况下对疼痛的感知。
方法：在78名参与者中进行了一项单盲随机对照研究（26例上颚麻醉患者（对照组），和26例患者5分钟和26例患者在麻醉后等待8分钟而没有pal麻醉（研究组））。使用视觉模拟量表（VAS）和Wong-Baker面孔疼痛评定量表（WBS）分别评估麻醉和拔牙后的主观疼痛经历。
结果：就麻醉后获得的VAS评分而言，组间差异有统计学意义(p<0.05)。据报道，无pal麻醉组的VAS疼痛评分低于pal麻醉组。两组拔牙后VAS和Wong-Baker评分比较差异无统计学意义(P>0.05)。
结论：虽然在接受腭部麻醉的组中，麻醉后报告的疼痛更高，拔牙后报告的疼痛在两组之间没有差异。
结论：通过将4％阿替卡因或2％利多卡因注射到牙齿的颊前庭中，等待时间为5或8分钟，可以在没有腭注射的情况下拔除上颌初级磨牙。
方法：在78名参与者中进行了一项单盲随机对照研究（26例上颚麻醉患者（对照组），和26例患者5分钟和26例患者在麻醉后等待8分钟而没有pal麻醉（研究组））。使用视觉模拟量表（VAS）和Wong-Baker面孔疼痛评定量表（WBS）分别评估麻醉和拔牙后的主观疼痛经历。
结果：就麻醉后获得的VAS评分而言，组间差异有统计学意义(p<0.05)。据报道，无pal麻醉组的VAS疼痛评分低于pal麻醉组。两组拔牙后VAS和Wong-Baker评分比较差异无统计学意义(P>0.05)。
结论：虽然在接受腭部麻醉的组中，麻醉后报告的疼痛更高，拔牙后报告的疼痛在两组之间没有差异。
结论：通过将4％阿替卡因或2％利多卡因注射到牙齿的颊前庭中，等待时间为5或8分钟，可以在没有腭注射的情况下拔除上颌初级磨牙。
