Palatal tissue anesthesia is necessary for procedures involving manipulation of the palatal tissues, i.e., extractions, gingivectomy and labial frenectomy. Unfortunately it is one of the most traumatic and painful procedures experienced by a dental patient during treatment. The following techniques should aid in reducing patient discomfort and in a small number of cases eliminate it entirely. Malamed recommends that the clinician forewarn the patient that there might be discomfort so they are mentally prepared. If the experience is atraumatic, the patient bestows the “golden hands” award on the clinician. If pain is experienced, the clinician can console the patient with “I’m sorry. I told you it might be uncomfortable” (avoid the “hurt” word).
The steps in atraumatic administration of anesthesia in all palatal areas are: