{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T19:19:09Z","timestamp":1770751149193,"version":"3.50.0"},"reference-count":22,"publisher":"American Dental Society of Anesthesiology (ADSA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p>Anesthesia of the soft and hard tissues of the maxilla may require up to 5 injections. Thus, the aim of this study was to evaluate the anesthetic efficacy of the anterior middle superior alveolar (AMSA) and supraperiosteal injection techniques during subgingival scaling and root planing (SRP). Thirty individuals with periodontitis were scheduled for SRP on the buccal aspect of teeth in the anterior maxilla. Before SRP, on a randomly chosen side of the maxilla, the supraperiosteal injection was performed in 1 session, while the AMSA injection was conducted in the contralateral side of the same patient in another session. Immediately after each SRP session, patients rated their pain perception during the procedure with a visual analog scale. No statistically significant differences in mean pain ratings during SRP were found after both anesthetic techniques (<jats:italic>P<\/jats:italic> &gt; .05). This preliminary study demonstrated that the AMSA and supraperiosteal injection techniques provided similar anesthetic comfort during SRP. The AMSA injection could be an alternative to anesthetize the buccal aspect of maxilla, without the undesirable effects on facial structures such as the upper lip, nostrils, and lower eyelids. However, further randomized clinical trials with larger samples are necessary to confirm such results.<\/jats:p>","DOI":"10.2344\/13-00013.1","type":"journal-article","created":{"date-parts":[[2015,12,11]],"date-time":"2015-12-11T08:25:51Z","timestamp":1449822351000},"page":"153-158","source":"Crossref","is-referenced-by-count":10,"title":["The Anesthetic Effect of Anterior Middle Superior Alveolar Technique (AMSA)"],"prefix":"10.2344","volume":"62","author":[{"given":"L\u00edvia","family":"de Souza Tolentino","sequence":"first","affiliation":[{"name":"School of Dentistry, Division of Periodontics, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e9","family":"Barbisan Souza","sequence":"additional","affiliation":[{"name":"Department of Dentistry, State University of Maring\u00e1, Maring\u00e1, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Alice","family":"Girardi","sequence":"additional","affiliation":[{"name":"Private practice, Maring\u00e1, Maring\u00e1, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe Alexandre","family":"Romito","sequence":"additional","affiliation":[{"name":"School of Dentistry, Division of Periodontics, University of S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maur\u00edcio Guimar\u00e3es","family":"Ara\u00fajo","sequence":"additional","affiliation":[{"name":"Department of Dentistry, State University of Maring\u00e1, Maring\u00e1, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1191","reference":[{"issue":"3","key":"i0003-3006-62-4-153-b01","series-title":"J Am Dent Assoc","first-page":"358","article-title":"Computer-controlled delivery versus syringe delivery of local anesthetic injections for therapeutic scaling and root planing","volume":"135","author":"Loomer\n              PM,","year":"2004","unstructured":"Loomer\n              PM, \n            \n              Perry\n              DA.\n            \n          \n          Computer-controlled delivery versus syringe delivery of local anesthetic injections for therapeutic scaling and root planing. J Am Dent Assoc. 2004;135(3):358\u2013365."},{"issue":"9","key":"i0003-3006-62-4-153-b02","series-title":"J Periodontol","first-page":"1769","article-title":"Alternative anesthetic technique for maxillary periodontal surgery","volume":"79","author":"Holtzclaw\n              D,","year":"2008","unstructured":"Holtzclaw\n              D, \n            \n              Toscano\n              N.\n            \n          \n          Alternative anesthetic technique for maxillary periodontal surgery. J Periodontol. 2008;79(9):1769\u20131772."},{"issue":"7","key":"i0003-3006-62-4-153-b03","series-title":"CDS Rev","first-page":"34","article-title":"The ASMA block: local anesthesia without collateral numbness","volume":"93","author":"Gomolka\n              KA.","year":"2000","unstructured":"Gomolka\n              KA.\n            \n          \n          The ASMA block: local anesthesia without collateral numbness. CDS Rev. 2000;93(7):34."},{"issue":"10","key":"i0003-3006-62-4-153-b04","series-title":"Compend Contin Educ Dent","first-page":"995","article-title":"21st century computerized injection system for local pain control","volume":"18","author":"Friedman\n              MJ,","year":"1997","unstructured":"Friedman\n              MJ, \n            \n              Hochman\n              MN. A\n            \n          \n          21st century computerized injection system for local pain control. 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J Periodontol. 1972;43(1):38."},{"issue":"7","key":"i0003-3006-62-4-153-b11","series-title":"J Clin Nurs","first-page":"798","article-title":"Pain: a review of three commonly used pain rating scales","volume":"14","author":"Williamson\n              A,","year":"2005","unstructured":"Williamson\n              A, \n            \n              Hoggart\n              B.\n            \n          \n          Pain: a review of three commonly used pain rating scales. J Clin Nurs. 2005;14(7):798\u2013804."},{"key":"i0003-3006-62-4-153-b12","series-title":"Periodontal Prac","first-page":"363","article-title":"A comparison of the traditional injection and a new anesthesia technique (The Wand\u00ae) for non-surgical periodontal therapy","volume":"1","author":"Sculean\n              A,","year":"2004","unstructured":"Sculean\n              A, \n            \n              Kasaj\n              A, \n            \n              Berakdar\n              M, \n            \n              Willershausen\n              B.\n            \n          \n          A comparison of the traditional injection and a new anesthesia technique (The Wand\u00ae) for non-surgical periodontal therapy. Periodontal Prac. 2004;1:363\u2013368."},{"issue":"8","key":"i0003-3006-62-4-153-b13","series-title":"J Periodontol","first-page":"1174","article-title":"The AMSA (Anterior Middle Superior Alveolar) injection is effective in providing anesthesia extending to the last standing molar in maxillary periodontal surgery","volume":"81","author":"Acharya\n              AB,","year":"2010","unstructured":"Acharya\n              AB, \n            \n              Banakar\n              C, \n            \n              Rodrigues\n              SV, \n            \n              Bhadbhade\n              S, \n            \n              Thakur\n              SL.\n            \n          \n          The AMSA (Anterior Middle Superior Alveolar) injection is effective in providing anesthesia extending to the last standing molar in maxillary periodontal surgery. J Periodontol. 2010;81(8):1174\u20131179."},{"issue":"9","key":"i0003-3006-62-4-153-b14","series-title":"J Dent","first-page":"700","article-title":"Anxiety and pain during dental injections","volume":"37","author":"Wijk\n              AJ,","year":"2009","unstructured":"Wijk\n              AJ, \n            \n              Hoogstraten\n              J.\n            \n          \n          Anxiety and pain during dental injections. J Dent. 2009;37(9):700\u2013704."},{"issue":"3","key":"i0003-3006-62-4-153-b15","series-title":"Gender Med","first-page":"172","article-title":"Interactions among sex, ethnicity, religion, and gender role expectations of pain","volume":"8","author":"Defrin\n              R,","year":"2011","unstructured":"Defrin\n              R, \n            \n              Eli\n              I, \n            \n              Pud\n              D.\n            \n          \n          Interactions among sex, ethnicity, religion, and gender role expectations of pain. Gender Med. 2011;8(3):172\u2013183."},{"issue":"3","key":"i0003-3006-62-4-153-b16","series-title":"Pain","first-page":"255","article-title":"Sex differences in the perception of noxious heat stimuli","volume":"44","author":"Feine\n              JS,","year":"1991","unstructured":"Feine\n              JS, \n            \n              Bushnell\n              MC, \n            \n              Miron\n              D, \n            \n              Duncan\n              GH.\n            \n          \n          Sex differences in the perception of noxious heat stimuli. Pain. 1991;44(3):255\u2013262."},{"issue":"3","key":"i0003-3006-62-4-153-b17","series-title":"Pain","first-page":"308","article-title":"Tactile and pain thresholds in the intra- and extra-oral regions of symptom-free subjects","volume":"115","author":"Komiyama\n              O,","year":"2005","unstructured":"Komiyama\n              O, \n            \n              De Laat\n              A.\n            \n          \n          Tactile and pain thresholds in the intra- and extra-oral regions of symptom-free subjects. Pain. 2005;115(3):308\u2013315."},{"issue":"3","key":"i0003-3006-62-4-153-b18","series-title":"J Rehabil Med","first-page":"171","article-title":"Assessing pain perception using the Painmatcher in patients with whiplash-associated disorders","volume":"40","author":"Kall\n              LB,","year":"2008","unstructured":"Kall\n              LB, \n            \n              Kowalski\n              J, \n            \n              Stener-Victorin\n              E.\n            \n          \n          Assessing pain perception using the Painmatcher in patients with whiplash-associated disorders. J Rehabil Med. 2008;40(3):171\u2013177."},{"issue":"6","key":"i0003-3006-62-4-153-b19","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"691","article-title":"A clinical comparison of pain perception to the Wand and a traditional syringe","volume":"89","author":"Saloum\n              FS,","year":"2000","unstructured":"Saloum\n              FS, \n            \n              Baumgartner\n              JC, \n            \n              Marshall\n              G, \n            \n              Tinkle\n              J.\n            \n          \n          A clinical comparison of pain perception to the Wand and a traditional syringe. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;89(6):691\u2013695."},{"issue":"1","key":"i0003-3006-62-4-153-b20","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"88","article-title":"Comparison of a controlled injection pressure system with a conventional technique","volume":"90","author":"Goodell\n              GG,","year":"2000","unstructured":"Goodell\n              GG, \n            \n              Gallagher\n              FJ, \n            \n              Nicoll\n              BK.\n            \n          \n          Comparison of a controlled injection pressure system with a conventional technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90(1):88\u201394."},{"issue":"6","key":"i0003-3006-62-4-153-b21","series-title":"Pediatr Dent","first-page":"458","article-title":"The Wand vs. traditional injection: a comparison of pain related behaviors","volume":"22","author":"Gibson\n              RS,","year":"2000","unstructured":"Gibson\n              RS, \n            \n              Allen\n              K, \n            \n              Hutfless\n              S, \n            \n              Beiraghi\n              S.\n            \n          \n          The Wand vs. traditional injection: a comparison of pain related behaviors. Pediatr Dent. 2000;22(6):458\u2013462."},{"issue":"1","key":"i0003-3006-62-4-153-b22","series-title":"Am J Dent","first-page":"15","article-title":"Influence of anesthetic flow rate delivered by the Wand local anesthetic system on pain response to palatal injections","volume":"15","author":"Primosch\n              RE,","year":"2002","unstructured":"Primosch\n              RE, \n            \n              Brooks\n              R.\n            \n          \n          Influence of anesthetic flow rate delivered by the Wand local anesthetic system on pain response to palatal injections. Am J Dent. 2002;15(1):15\u201320."}],"container-title":["Anesthesia Progress"],"original-title":[],"link":[{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/62\/4\/article-p153.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/anesthesia-progress\/article-pdf\/62\/4\/153\/2102093\/13-00013_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/62\/4\/article-p153.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/downloadpdf\/journals\/anpr\/62\/4\/article-p153.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:34:37Z","timestamp":1728304477000},"score":1,"resource":{"primary":{"URL":"https:\/\/anesthesiaprogress.kglmeridian.com\/view\/journals\/anpr\/62\/4\/article-p153.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":22,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.2344\/13-00013.1","relation":{},"ISSN":["0003-3006","1878-7177"],"issn-type":[{"value":"0003-3006","type":"print"},{"value":"1878-7177","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}