Abstract
Aims The periodontal ligament injection in isolated areas of the mandible was clinically evaluated us-ing only a conventional dental cartridge syringe. Materials and Methods: One hundred subjects requir-ing extractions of either premolars or molars participated in the study. Results: A high percentage of success rate (85%) was achieved but with unfavorable comment from the patient in regard to a painful injection. Duration of surgical anesthesia following the injection proved to be adequate in almost all extractions performed. Conclusions: New devices for performing this injection appear to have some advantage over the conventional syringe technique. However, these devices were unfortunately unavail-able at the area of study. Further studies are recommended to further evaluate its success and also to determine the response of both the periodontal ligament and pulpal tissue in cases were restorative treatment of teeth is to be undertaken for example crowns, bridges and fillings
Highlights
The relief and prevention of pain has been one of the main objectives in dental practice [1, 2]
This study evaluated the P.D.L. injection as a primary injection for mandibular anesthesia
Evaluation of the Periodontal Ligament Injection. This calibration referred to the volume that was to be injected in each aspect of the tooth to be extracted.The steps of the periodontal ligament injection (PDL) technique as recommended by [1] was performed on 80 subjects of the total 100 and as follows: 1. With the calibrated dental cartridge loaded into the conventional dental syringe and a short 27 gauge needle adapted to it, the needle with its bevel facing towards the root of the tooth involved was advanced into the gingival sulcus until resistance was met
Summary
The relief and prevention of pain has been one of the main objectives in dental practice [1, 2]. Hamid RS tients suffering from a bleeding disorder such as hemophilia in whom post injection bleeding following such an injection may be fatal[10,11,12] In this regard, many dentists have found a means of providing pain control in isolated areas of the mandible or maxilla for short procedures on one or two teeth in one quadrant such as the intraosseous, intraseptal and periodontal ligament injections without the need to anesthetize the entire quadrant and soft tissue surrounding the teeth [13, 14, 15, 16]. The cartridge that was to be used to deliver the solution was calibrated at 0.2 ml as shown in Fig [1] below
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