Extraction of permanent maxillary teeth without palatal injection: a meta-analysis

Publication date: Available online 7 February 2018
Source:Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Author(s): Li Cui, Zhuyu Zhang, Ling Xu, Jiao Huang, Dongqing Yin
ObjectiveThe objective of this meta-analysis was to assess the operation success rates of extracting maxillary teeth without palatal injection.Study DesignPubMed, Cochrane Library, Embase, SinoMed and the references of the identified full-text articles were searched for relevant studies published until June 2017 that met the eligibility criteria. Experimental data were combined by meta-analysis using RevMan 5.3 soft- ware.Results7 randomized controlled trials were included in this meta-analysis. Compared with the control groups (were given the combination of buccal and palatal anesthesia recommended by the textbook, also known as routine Infiltration anesthesia), experimental group (single buccal anesthesia) for the removal of maxillary permanent teeth at conventional doses, which resulted in a reduction in the success rate (OR = 0.14, 95% CI = 0.07–0.27, P < 0.00001).ConclusionsThe results revealed that the success rate of the removal of the maxillary permanent teeth has undoubtedly been reduced by the lack of palatal injections. However, larger and higher quality tests are needed to confirm and optimize the effect of this anesthetic procedure.



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