The study aims to assess the use of intraligamental local anesthetic injection compared to buccal infiltration for extraction of maxillary molars suffering grade II mobility in terms of pain control and extraction duration.

Inclusion Criteria:

• healthy patients (class I category according to American society of anesthesiologists )
• Age range: 20 - 60 years of age,
• Either genders who are seeking dental extraction of maxillary molar teeth diagnosed with grade II mobility.

Exclusion Criteria:

• Patients with tooth that require trans osseous extraction
• Badly broken down coronal structure of the tooth to be extracted
• Patients with significant medical conditions
• Alcoh intake
• Patients on drugs that affect the central nervous systems
• Patients who reported the use of drugs that might interfere with pain sensitivity
• Pregnant or lactating women
• Patients who suffer from hypersensitivity to local anesthetics or non-steroidal anti-inflammatory drugs (NSAIDs).