Assessment of Transmucosal Path as an Alternative to Infiltration Anesthesia in Orthodontic Extraction: A Split Mouth Study

Abstract

ABSTRACT Managing pain and anxiety during extraction has always been an essential part of oral surgery. Anxiety usually induces stress and fright due to which there is decrease in tolerance to pain. To prevent pain, administration of local anaesthesia via needle injection is done. The increasing risk of AIDS and hepatitis B caused due to utilization of contaminated syringes has resulted in exploration for different options in parenteral administration of drugs. 1 To minimize the excruciating impact during conventional method of local anaesthesia, alternative techniques can be considered, for instance like topical anaesthetics , transmucosal patch ,etc. Transmucosal patch is a local drug delivery method that evidently boost the effect of drug which diffuses into a specific local mucosal site and reduces the pain related with needle injections. Aim: To compare anesthetic efficacy of transmucosal patch containing 2% lignocaine hydrochloride and 2% lignocaine hydrochloride infiltration with adrenaline during bilateral orthodontic extractions.