Srpski arhiv za celokupno lekarstvo 2016 Volume 144, Issue 9-10, Pages: 470-473
https://doi.org/10.2298/SARH1610470T
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Anterior and middle superior alveolar block is efficient for maxillary premolar teeth extractions regardless of the injection system or anesthetic with adrenaline used
Tomić Slavoljub (University of East Sarajevo, Faculty of Medicine, Department of Oral Surgery, Foča, Bosnia and Herzegovina)
Simić Ivana (University of East Sarajevo, Faculty of Medicine, Department of Oral Surgery, Foča, Bosnia and Herzegovina)
Stanojević Mihael (University of East Sarajevo, Faculty of Medicine, Department of Prosthodontics, Foča, Bosnia and Herzegovina)
Janković Svetlana (University of East Sarajevo, Faculty of Medicine, Department of Preventive Dentistry, Foča, Bosnia and Herzegovina)
Todorović Ljubomir (Faculty of Dental Medicine, Department of Oral Surgery, Belgrade)
Introduction. The anterior and middle superior alveolar nerve block was
claimed to be unpredictably efficient for clinical application. Objective.
The aim of this report was to establish the efficacy of the anterior and
middle superior alveolar nerve block, applied with a computer-controlled
injection system or a conventional syringe, for upper premolars extraction.
Methods. Sixty healthy adults were divided into two groups regarding the
device used as follows: the first group was injected by a computer-controlled
injection system, and the second group by a conventional syringe. Pain
ratings were obtained via a visual analog scale (VAS) and a verbal rating
scale (VRS). Results. Anterior and middle superior alveolar injection enabled
a painless extraction in all patients, regardless of the local anesthetic or
injection system used. It was slightly less painful when administered by a
computer-controlled injection system, but insignificantly when evaluated by
VRS. Conclusion. The anterior and middle superior alveolar nerve block may be
recommended if maxillary permanent premolars have to be extracted.
Keywords: nerve block, hard palate, analogue pain scale, tooth extraction