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Aims: A clinical evaluation on a recently introduced technique of anesthesia for maxillary teeth namely the Anterior and Middle Superior alveolar nerve block compared with the conventional infiltration technique for extraction of upper anterior and premolar teeth. Materials and methods: In the first part of the study, testing of pulpal anesthesia were performed after administering this technique for teeth from upper central incisor to upper second premolar. The sample chosen for the second part of the study included 60 subjects of different ages and genders. The patients were divided randomly into two groups: control group to whom the conventional supraperiosteal injection technique was administered and the trial group to whom the anterior and middle superior alveolar nerve block technique was administered. In both groups, extraction was carried out. Results: The result of this study indicated the success of achieving pulpal anesthesia after AMSA injection for teeth from the upper canine to the upper second premolar with no significant difference noticed between AMSA and control group in regarding to pain score levels after extraction of these teeth. Conclusions: This new technique could be used as a good alternative and or supplementary to the infiltration technique for anesthetizing maxillary anterior and premolar teeth using a conventional dental syringe.

A Clinical Assessment on the Efficacy of the Anterior and Middle Superior Alveolar Nerve Block Technique During Extraction of Maxillary Teeth