Comparative Assessment of Perceived Pain in Children During Palatal Anesthesia Using Two Injection Techniques: An Study

Overview

Journal J Pharm Bioallied Sci

Specialty Pharmacology

Date 2022 Sep 16

PMID 36110584

Authors

Anand N Patil

Sandeep Saurabh

Prakhar Pragya

Amreen Aijazuddin

Satish Chandra

Jatinder Pal Singh Chawla

Affiliations

Soon will be listed here.

Abstract

Background: Computer-controlled local anesthetic delivery (CCLAD) is an approach that uses a constant and slow flow of delivering the anesthetic solution into the tissues, which is capable of alleviating pain and discomfort in children.

Aim: Assessment of perceived pain in children during palatal anesthesia using Wand technique and conventional technique.

Materials And Methods: A total of 30 children requiring bilateral palatal anesthesia were included in the study in a split-half design. The children were asked to indicate their intensity of pain response on a visual analog scale (VAS) after administration of anesthesia by the Wand technique and the conventional technique.

Statistical Analysis: The data were analyzed using Statistical Package for the Social Sciences (SPSS) 16.0. Mann-Whitney test compared the mean VAS scores between the two groups. Statistical significance was defined as a value of less than 0.05.

Results: The mean VAS scores using the Wand technique and the conventional technique were 3.87 ± 1.99 and 4.20 ± 1.44, respectively ( = 0.332). Females had lesser VAS scores compared to males ( = 0.008).

Conclusion: Females readily accepted the Wand technique compared to males, although there was no substantial difference between the two injection procedures.

References

Ram D, Kassirer J . Assessment of a palatal approach-anterior superior alveolar (P-ASA) nerve block with the Wand in paediatric dental patients. Int J Paediatr Dent. 2006; 16(5):348-51. DOI: 10.1111/j.1365-263X.2006.00752.x. View

Oztas N, Ulusu T, Bodur H, Dogan C . The wand in pulp therapy: an alternative to inferior alveolar nerve block. Quintessence Int. 2005; 36(7-8):559-64. View

Khatri A, Kalra N . A comparison of two pain scales in the assessment of dental pain in East delhi children. ISRN Dent. 2012; 2012:247351. PMC: 3302111. DOI: 10.5402/2012/247351. View

Kuscu O, Akyuz S . Children's preferences concerning the physical appearance of dental injectors. J Dent Child (Chic). 2006; 73(2):116-21. View

Koyuturk A, Avsar A, Sumer M . Efficacy of dental practitioners in injection techniques: computerized device and traditional syringe. Quintessence Int. 2009; 40(1):73-77. View

Tirupathi S, Rajasekhar S, Tummakomma P, Gangili A, Khan A, Khurramuddin M . Auto-controlled Syringe vs Insulin Syringe for Palatal Injections in Children: A Randomized Crossover Trial. J Contemp Dent Pract. 2020; 21(6):604-608. View

Yogesh Kumar T, John J, Asokan S, Geetha Priya P, Punithavathy R, Praburajan V . Behavioral response and pain perception to computer controlled local anesthetic delivery system and cartridge syringe. J Indian Soc Pedod Prev Dent. 2015; 33(3):223-8. DOI: 10.4103/0970-4388.160394. View

Palm A, Kirkegaard U, Poulsen S . The wand versus traditional injection for mandibular nerve block in children and adolescents: perceived pain and time of onset. Pediatr Dent. 2005; 26(6):481-4. View

Ching D, Finkelman M, Loo C . Effect of the DentalVibe injection system on pain during local anesthesia injections in adolescent patients. Pediatr Dent. 2014; 36(1):51-5. View

10.

San Martin-Lopez A, Garrigos-Esparza L, Torre-Delgadillo G, Gordillo-Moscoso A, Hernandez-Sierra J, de Pozos-Guillen A . Clinical comparison of pain perception rates between computerized local anesthesia and conventional syringe in pediatric patients. J Clin Pediatr Dent. 2005; 29(3):239-43. DOI: 10.17796/jcpd.29.3.jgh607l870051882. View

11.

Garret-Bernardin A, Cantile T, DAnto V, Galanakis A, Fauxpoint G, Ferrazzano G . Pain Experience and Behavior Management in Pediatric Dentistry: A Comparison between Traditional Local Anesthesia and the Wand Computerized Delivery System. Pain Res Manag. 2017; 2017:7941238. PMC: 5331308. DOI: 10.1155/2017/7941238. View

12.

Tahmassebi J, Nikolaou M, Duggal M . A comparison of pain and anxiety associated with the administration of maxillary local analgesia with Wand and conventional technique. Eur Arch Paediatr Dent. 2009; 10(2):77-82. DOI: 10.1007/BF03321604. View

13.

Kandiah P, Tahmassebi J . Comparing the onset of maxillary infiltration local anaesthesia and pain experience using the conventional technique vs. the Wand in children. Br Dent J. 2012; 213(9):E15. DOI: 10.1038/sj.bdj.2012.988. View

14.

Queiroz A, Carvalho A, Censi L, Cardoso C, Leite-Panissi C, da Silva R . Stress and anxiety in children after the use of computerized dental anesthesia. Braz Dent J. 2015; 26(3):303-7. DOI: 10.1590/0103-6440201300211. View

15.

Deepak V, Challa R, Kamatham R, Nuvvula S . Comparison of a New Auto-controlled Injection System with Traditional Syringe for Mandibular Infiltrations in Children: A Randomized Clinical Trial. Anesth Essays Res. 2017; 11(2):431-438. PMC: 5490139. DOI: 10.4103/0259-1162.194535. View

16.

Versloot J, Veerkamp J, Hoogstraten J . Pain behaviour and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe. Br Dent J. 2008; 205(1):E2. DOI: 10.1038/sj.bdj.2008.414. View

17.

Allen K, Kotil D, Larzelere R, Hutfless S, Beiraghi S . Comparison of a computerized anesthesia device with a traditional syringe in preschool children. Pediatr Dent. 2002; 24(4):315-20. View

18.

Ram D, Peretz B . The assessment of pain sensation during local anesthesia using a computerized local anesthesia (Wand) and a conventional syringe. J Dent Child (Chic). 2003; 70(2):130-3. View

19.

Mittal M, Kumar A, Srivastava D, Sharma P, Sharma S . Pain Perception: Computerized versus Traditional Local Anesthesia in Pediatric Patients. J Clin Pediatr Dent. 2015; 39(5):470-4. DOI: 10.17796/1053-4628-39.5.470. View

20.

de Camargo Smolarek P, Wambier L, Siqueira Silva L, Chibinski A . Does computerized anaesthesia reduce pain during local anaesthesia in paediatric patients for dental treatment? A systematic review and meta-analysis. Int J Paediatr Dent. 2019; 30(2):118-135. DOI: 10.1111/ipd.12580. View