Efficacy of Articaine with Single Buccal Infiltration in Extraction of Maxillary Molars in Pediatric Patients.

AIM: This study aims to evaluate and compare the efficacy of articaine buccal infiltration for the extraction of deciduous maxillary molars, assessing its effectiveness as a potential alternative to conventional local anesthesia techniques in pediatric dentistry.

METHODOLOGY: A randomized clinical trial was conducted involving children aged 6-12 years requiring extraction of primary maxillary molars. Bilateral extraction was done in children, with one side receiving buccal infiltration with 4% articaine and the other side undergoing traditional infiltration with lidocaine. Pain perception during injection and extraction, onset and duration of anesthesia, and any adverse effects were recorded and analyzed using validated pain scales and statistical methods.

RESULTS

There was no statistically significant difference in pain intensity between the two groups for pain on administration of the local anesthetic agent. Intraoperative pain rating was similar in both groups.

CONCLUSION

Articaine buccal infiltration appears to be equally effective as traditional infiltration with lidocaine and can be used as an alternative for the extraction of deciduous maxillary molars in children.

HOW TO CITE THIS ARTICLE: Ragulakollu RK, Namineni S, Cheruku S. Efficacy of Articaine with Single Buccal Infiltration in Extraction of Maxillary Molars in Pediatric Patients. Int J Clin Pediatr Dent 2026;19(3):324-330.