Peng Min, Zhu Zhi-min, Yang Xiao-min
Dept. of Stomatology, The People's Hospital of Sichuan Province, Chengdu 610072, China.
Hua Xi Kou Qiang Yi Xue Za Zhi. 2008 Aug;26(4):416-8.
This study was to test the feasibility of permanent maxillary tooth removal using articaine without a second palatal injection.
Of 104 patients, 38 patients had bilateral extraction and 66 patients had unilateral extraction of maxillary tooth. In the test group, 1.7 mL articaine with 1:100000 epinephrine was injected into the buccal vestibule of the tooth and the tooth were extracted after 5 minutes. In the control group, the patients were subjected to both palatal injection with 2% lidocaine hydrochloride and buccal injection with articaine. All patients completed visual analog scales (VAS) after extraction.
The achievement ratio of permanent maxillary tooth anesthesia of test group was 96.2%. The achievement ratio of permanent maxillary tooth anesthesia of control group was 97.1%. There was no statistical significance between achievement ratio of test group and control group(P > 0.05).
Permanent maxillary tooth removal without palatal injection is possible by articaine injection to the buccal vestibule of the tooth.
本研究旨在测试不进行第二次腭部注射而使用阿替卡因进行上颌恒牙拔除的可行性。
104例患者中，38例患者双侧上颌牙拔除，66例患者单侧上颌牙拔除。试验组将1.7 mL含1:100000肾上腺素的阿替卡因注射到牙齿的颊侧前庭，5分钟后拔牙。对照组患者接受2%盐酸利多卡因腭部注射和阿替卡因颊部注射。所有患者拔牙后完成视觉模拟量表（VAS）。
试验组上颌恒牙麻醉成功率为96.2%。对照组上颌恒牙麻醉成功率为97.1%。试验组与对照组成功率之间无统计学意义（P>0.05）。
通过将阿替卡因注射到牙齿的颊侧前庭，不进行腭部注射进行上颌恒牙拔除是可行的。
Zotero 插件