Efficacy of Buccal Infiltration with or without Palatal Injection for Posterior Maxillary Teeth Extraction - A Split-Mouth Randomized Trial

Objective: To evaluate the feasibility of posterior maxillary teeth extraction buccal infiltration with or without use palatal injection. Material and Methods: A total 70 patients underwent bilateral under 2% lignocaine hydrochloride 1:2,00000 adrenaline in this single-centric split-mouth randomized trial. The test side was administered a 2 mL anesthetic alone. An extended waiting period 10 minutes given before commencement procedure. standard protocol followed for control side. single operator performed all extractions. Results: 140 were extracted. Patients marked pain perception on visual analogue scale three different instances. During administration injections side, score less than that statistically significant. overall during procedure comparable insignificant. success method 90%. Conclusion: Extraction feasible injection most cases using an period. Dentists can attempt optimal success. However, alternate technique could be used when there is necessity rescue anesthesia.