Compare and evaluate the effect of Intra-ligamentary and Supra periosteal injection technique using 2%Lignocaine Hydrochloride 1:80000 adrenaline in orthodontic extraction of maxillary premolars

Not yet recruiting

Brief Summary: Asuccessful pain management through efficient local anesthesia is the basis forevery dental therapy. Patientsalways expect a painless and comfortabledental procedure , which becomes very crucial in subjects suffering from dental phobia. Severalmodifications have been made to modify the conventional procedures withnewer injecting devices, localanesthetic solutions and techniques to render the administration of LAcomfortably.

Inorder to reduce the various complications associated with conventionalinjection techniques newer attempts were made to anesthetize single teeth directlywithout influencing the nerve structures of the surrounding tissues.In1920 Chompret published his experiences entitling his work "AnesthÃ©sie par injectionsintraligamenteuses" During the following decades the describedtechnique of intraligamentary anesthesia (ILA) was refined simultaneously tothe development of new anesthetically devices.

English medical literature search failed toreveal any study of the effect of intra ligamentary injections on sound teeth.Thus we intend to do a comparative study where we compare the efficacy of intraligamentary and supra periosteal injection technique in orthodontic extractionof sound maxillary premolars and an age group of 12 years and above for thestudy to be reliable.

Recruitment & Eligibility

Inclusion Criteria

Patients indicated for bilateral maxillary premolar orthodontic extraction 2.Patients in the age group of 12 years and above.
3.Patients willing to participate in the study.

Exclusion Criteria

Patient with pre-operative pain.
Patients with any local infection like abscess, swelling, etc 3.
Patients allergic to Local anaesthesia.
Medically compromised patients.
Patient with history of bleeding disorders.
6.Pateints with Dilacerated root anatomy 7.Patients on antidepressant or anti-psychotic drugs.

Primary Outcome Measures

Name	Time	Method
To evaluate the pain perception felt during needle insertion, onset, duration and need for supplementary anaesthesia during supra periosteal injection technique and intra-ligamentary injection technique.	immediate post op
2.To compare the pain perception felt during needle insertion, onset, duration and need for supplementary anaesthesia during supra periosteal and intra ligamentary injection technique.	immediate post op

Secondary Outcome Measures

Name	Time	Method
Duration of anesthesia	till anesthesia effect subsides

Locations (1): Department of Oral and Maxillofacial Surgery
🇮🇳
Pune, MAHARASHTRA, India
Department of Oral and Maxillofacial Surgery
🇮🇳Pune, MAHARASHTRA, India
DR Mili Mehta
Principal investigator
09920980314
mehtamili95@gmail.com