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Abstract

Objective: To evaluate the effectiveness of two distinct methods of local anesthesia. The effects of buccal and palatal infiltration with pulpal anesthesia on symptomatic maxillary molars (Maxillary first, and second molar) were compared with buccal filtration alone. Study Design: A Cross-sectional study. Setting and Duration of Study: From October 2023 to September 2024 at Operative dentistry and Endodontics Department, Sandeman Provincial Hospital / Bolan Medical College/ Hospital, Quetta. Materials & Methods: This Cross-sectional study conducted in Operative Dentistry and Endodontics Department, Sandeman Provincial Hospital / Bolan Medical College/ Hospital, Quetta lasted from October 2023 through September 2024. Two hundred patients suffering from irreversible pulpitis in maxillary first molars took part in the research. The study subjects possessed an average age of 35.6 years with a standard deviation of ± 6.4 years. Subjects randomly received division into two separate groups for the experiment. Buccal infiltration-alone entered one experimental group whereas the other group received buccal and palatal infiltration. Subjects used Heft Parker Visual Analogue Scale (VAS) to rate their pain experience immediately after local anesthetic application during access cavity preparation and pulp removal. Results: The individuals' mean age was 32 years ± 10 SD. Buccal infiltration had an 85% success rate, whereas buccal infiltration and palatal infiltration had an 80% success rate. A p-value of 0.592 indicated that there was no statistically significant difference between the two groups. Conclusion: According to the findings, pulpal anesthesia for symptomatic maxillary molars (Maxillary first and second molar) teeth is not more successful when palatal infiltration is added to a traditional buccal infiltration.