Skip to main content
SpringerLink
Log in

Effectiveness of Anterior and Middle Superior Alveolar Nerve Block for Anesthesia of Maxillary Teeth Using Conventional Syringe: A Randomized Prospective Study

  • Original Article
  • Published:
Journal of Maxillofacial and Oral Surgery Aims and scope Submit manuscript

Abstract

Aim

To study the effectiveness of anterior and middle superior alveolar nerve block (AMSA) for anesthesia of unilateral maxillary teeth, i.e., from central incisor to second premolar of the same side by using conventional syringe and needle.

Material and Method

Two hundred patients who needed extraction of any tooth/teeth in the region of central incisor to second premolar of the same side were randomly chosen for the study.

Result

Successful anesthesia was found in 71.5% of cases. However, the highest success rate was seen with first premolar (82.2%) and minimum with lateral incisor (67.5%), and induction time ranged from 6 to 12 min and duration for 30–45 min.

Conclusion

Using conventional syringe and needle, AMSA can be administered to achieve adequate soft tissue anesthesia of maxillary central incisors, canine and premolars of that side and pulpal anesthesia to a good extent (more so with first premolar), without affecting the muscles of facial expressions and lip numbness, reducing the requirement of multiple injections for the same.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Covino BG, Vassallo HG (1976) Local anesthetics: mechanisms of action and clinical use. Grune & Stratton, New York

    Google Scholar 

  2. Friedman M, Hochman M (1998) The AMSA injection: a new concept for local anesthesia of maxillary teeth using a computer-controlled injection system. Quintessence Int 29:297–303

    CAS  PubMed  Google Scholar 

  3. Malamed SF (2004) Handbook of local anesthesia, 5th edn. Mosby, St. Louis

    Google Scholar 

  4. Velasco I, Soto R (2012) Anterior and middle superior alveolar nerve block for anesthesia of maxillary teeth using conventional syringe. Dent Res J (Isfahan) 9(5):535–540

    Article  Google Scholar 

  5. Fukayama H, Yoshikawa F, Kohase H, Umino M, Susuki N (2003) Efficacy of anterior and middle superior alveolar (AMSA) anesthesia using a new injection system: the wand. Quintessence Int 34:537–541

    PubMed  Google Scholar 

  6. Lee S, Reader A, Nusstein J, Beck M, Weaver J (2004) Anesthetic efficacy of the anterior middle superior alveolar (AMSA) injection. Anesth Prog 51:80–89

    PubMed  PubMed Central  Google Scholar 

  7. Holtzclaw D, Toscano N (2008) Alternative anesthetic technique for maxillary periodontal surgery. J Periodontol 79:1769–1772

    Article  Google Scholar 

  8. Acharya AB, Banakar C, Rodrigues SV, Nagpal S, Bhadbhade S, Thakur SL (2010) Anterior middle superior alveolar injection is effective in providing anesthesia extending to the last standing molar in maxillary periodontal surgery. J Periodontol 81:1174–1179

    Article  Google Scholar 

  9. Wahl MJ, Schmitt MM, Overton DA, Gordon MK (2002) Injection pain of bupivacaine with epinephrine vs prilocaine plain. J Am Dent Assoc 133:1652–1656

    Article  CAS  Google Scholar 

  10. Hutchins HS, Young FA, Lackland DT, Fishburne CP (1997) The effectiveness of topical anesthesia and vibration in alleviating the pain of oral injections. Anesth Prog 44:87–89

    PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Oral and Maxillofacial Surgery, Rishiraj College of Dental Sciences and Research Centre, Bhopal, Bhopal, MP, India

    N. R. Chourasia, Ankita Vastani, Vedant Pahlajani & Priya Sharma

  2. Department of Community Dentistry, Rishiraj College of Dental Sciences and Research Centre, Bhopal, Bhopal, MP, India

    Arpan Shrivastav

  3. Sagar, MP, India

    Suryakant Choubey

  4. Department of Oral and Maxillofacial Surgery, Rishiraj College of Dental Sciences and Research Centre, Bhopal, 57, Surya-Ganga A.B. Road, Shajapur, MP, 465001, India

    Samarth Vajpayee

Authors
  1. N. R. Chourasia
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ankita Vastani
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Vedant Pahlajani
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Arpan Shrivastav
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Suryakant Choubey
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Samarth Vajpayee
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Priya Sharma
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Samarth Vajpayee.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chourasia, N.R., Vastani, A., Pahlajani, V. et al. Effectiveness of Anterior and Middle Superior Alveolar Nerve Block for Anesthesia of Maxillary Teeth Using Conventional Syringe: A Randomized Prospective Study. J. Maxillofac. Oral Surg. 21, 616–619 (2022). https://doi.org/10.1007/s12663-020-01432-w

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12663-020-01432-w

Keywords

Search

Navigation