Comparison of Topical Anesthetic Gel, Pre-Cooling, Vibration and Buffered Local Anesthesia on the Pain Perception of Pediatric Patients during the Administration of Local Anesthesia in Routine Dental Procedures
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2
Abstract
Introduction: As a dentist, administering anesthesia to patients, especially children proves to be one of the most difficult parts of a procedure. Also, poor pain control adds on to the fear and anxiety of the needle that might interfere with appropriate dental management. So, several desensitization methods were aimed to reduce are being tried out recently. Material and methods: 40 children aged between 7 to 13 years were included. On a random basis, the subjects were allocated into four groups. Application of topical anesthesia at the site of administration of local anesthesia, pre-cooling the anesthetic site prior to the administration of local anesthesia, vibratory stimulus at the site of administration of local anesthesia, buffering the local anesthetic agent were the groups from 1 to 4 respectively. During the administration of infiltration anesthesia, the pain perception was assessed using Wong-Baker Faces Pain Rating Scale. The statistical analysis was performed using SPSS software. Results: Greatest pain reduction was observed in the pre-cooling group with mean pain score 2.4 followed by vibration group with mean pain score 2.6 then buffered local anesthesia with mean score of 5.6 and lastly topical anesthesia with 6.2 mean score. Mann-Whitney test showed that pre-cooling was statistical significance compared with topical anesthesia and buffered local anesthesia (P<0.001). Conclusions: Pre-cooling of the injection site before infiltration anesthesia is an easy, reliable and effective technique with no additional cost and was found to reduce discomfort and facilitate clinical management.
Authors and Affiliations
Aminah M, Priya Nagar, Parul Singh, Monali Bharti
Keywords
Related Articles
- EP ID EP425282
- DOI -
- Views 88
- Downloads 0
Shaping Effects of Three Different Nickel-Titanium Rotary Endodontic File Systems in Root Canals of Mandibular Molars: An Ex-Vivo Study
Introduction: Canal preparation and shaping is one of the major steps in root canal treatment. Study aimed to compare and evaluate the shaping ability of three different rotary Ni-Ti endodontic file systems in root canal...
Association of Pulse Pressure and Diurnal Blood Pressure Variation with Micro- and Macrovascular Complications in Type 2 Diabetes in Rohilkhand Region
Introduction: In non-diabetic persons pulse pressure (PP) is an independent predictor of cardiovascular disease microalbuminuria. Reduced circadian blood pressure (BP) variation is a potential risk factor for the develop...
A Study on Comparison between Dexmedetomidine and Magnesium Sulphate in Controlled Hypotension during Functional Endoscopic Sinus Surgery under General Anaesthesia
Introduction: Induced hypotension to minimize bleeding during functional endoscopic sinus surgery (FESS) is of vital importance to the surgeon and anesthetist to decrease the risk of complications as well as procedural f...
Intraoperative Triamcinolone Versus Bevacizumab as an Adjunct to Conjunctival Autograft in Primary Pterygium Surgery
Introduction: Pterygium is a wing shaped fibrovascular growth from the bulbar conjunctiva onto the cornea. The treatment of pterygium is surgical excision but it has high recurrence rate. Considering the role of inflamma...
A Study of Treatment Outcomes in Patients with Tuberculosis and Diabetes Mellitus on DOTS Therapy in Goa
Introduction: Diabetes mellitus (DM) is known to adversely affect treatment outcome in tuberculosis patients. Poor glycemic control can delay the time to sputum smear conversion from positive to negative in tuberculosis...