Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Sep 12:11:1829-1833.
doi: 10.2147/JPR.S170324. eCollection 2018.

Efficacy of intraligamentary anesthesia in maxillary first molar extraction

Soukaina Tawfiq Ryalat  1 , Mohammad H Al-Shayyab  1 , Wala Amin  2 , Saif Aldeen AlRyalat  3 , Nosaiba Al-Ryalat  4 , Faleh Sawair  1
Affiliations

Efficacy of intraligamentary anesthesia in maxillary first molar extraction

Soukaina Tawfiq Ryalat et al. J Pain Res. .

Abstract

Introduction: 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.

Methods: 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).

Results: 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; P<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; P<0.001). VRS results showed a higher number of patients who felt that pain during ILA was greater than expected compared with IA.

Conclusion: 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.

Keywords: infiltration anesthesia; intraligamentary anesthesia; maxillary first molars; periodontal intraligamentary anesthesia.

PubMed Disclaimer

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Similar articles

See all similar articles

Cited by

References

    1. Sandler PJ, Atkinson R, Murray AM. For four sixes. Am J Orthod Dentofacial Orthop. 2000;117(4):418–434. - PubMed
    1. Tarazona B, Paredes V, Llamas JM, Cibrián R, Gandia JL. Influence of first and second premolar extraction or non-extraction treatments on mandibular third molar angulation and position: a comparative study. Med Oral Patol Oral Cir Bucal. 2010;15(5):e760–e766. - PubMed
    1. Livas C, Halazonetis DJ, Booij JW, Katsaros C. Extraction of maxillary first molars improves second and third molar inclinations in class II division 1 malocclusion. Am J Orthod Dentofacial Orthop. 2011;140(3):377–382. - PubMed
    1. Jälevik B, Möller M. Evaluation of spontaneous space closure and development of permanent dentition after extraction of hypomineralized permanent first molars. Int J Paediatr Dent. 2007;17(5):328–335. - PubMed
    1. Fitzgerald MJ, Scott JH. Observations on the anatomy of the superior dental nerves. Br Dent J. 1958;104:205–208.