Comparison of Different Techniques Used for Inferior Alveolar Nerve Block Anaesthesia Regarding the Pain Caused in Cooperative Children

Overview

Journal Eur Arch Paediatr Dent

Publisher Springer

Specialties Dentistry
Pediatrics

Date 2024 Nov 11

PMID 39528857

Authors

F Sari

H Ozbey Ipek

Affiliations

Soon will be listed here.

Abstract

Purpose: The aim of this study is to compare the application of inferior alveolar nerve block (IANB) anaesthesia in children with traditional plastic syringe (TPS) and computer-controlled injection device Dentapen using two different modes [continuous mode (DC) and ramp-up mode (DR)] in terms of pain.

Methods: This study included 96 children aged 7-12 who were determined to be positive (3) or definitely positive (4) according to the Frankl Behaviour Evaluation Scale and in need of treatment who had IANB anaesthesia indication in the right and left regions. Patients were divided into three groups and compared in terms of pain felt during IANB anaesthesia according to heart rate, oxygen saturation, Wong Baker Pain Rating Scale, Face Legs Activity Cry Consolability Pain Scale and patient preference distributions.

Results: Heart rate values increased significantly during the injection of IANB anaesthesia with all methods [TPS, DC and DR methods (p < 0.05)]. No significant differences were found in terms of pain between the TPS, DC and DR methods in the intragroup and intergroup assessments. However, among the patient preferences of TPS and DC methods, the number of patients who preferred the DC method was found to be statistically significantly higher those who preferred the TPS method (p = 0.026).

Conclusion: Although the TPS group scored higher than the Dentapen groups in terms of pain, the difference between the investigated IANB anaesthesia techniques was not statistically significant. However, the majority of the patients preferred the Dentapen device compared to the TPS. It appears that more research is needed on the Dentapen device in local anaesthesia applications in children.

References

Asarch T, Allen K, Petersen B, S. Beiraghi . Efficacy of a computerized local anesthesia device in pediatric dentistry. Pediatr Dent. 2000; 21(7):421-4. View

Baghlaf K, Alamoudi N, Elashiry E, Farsi N, El Derwi D, Abdullah A . The pain-related behavior and pain perception associated with computerized anesthesia in pulpotomies of mandibular primary molars: A randomized controlled trial. Quintessence Int. 2015; 46(9):799-806. DOI: 10.3290/j.qi.a34553. View

Brand H, Abraham-Inpijn L . Cardiovascular responses induced by dental treatment. Eur J Oral Sci. 1996; 104(3):245-52. DOI: 10.1111/j.1600-0722.1996.tb00074.x. View

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

El Hachem C, Kaloustian M, Cerutti F, Chedid N . Metallic syringe versus electronically assisted injection system: a comparative clinical study in children. Eur J Paediatr Dent. 2019; 20(4):320-324. DOI: 10.23804/ejpd.2019.20.04.12. View

Folayan M, Idehen E, Ufomata D . The effect of sociodemographic factors on dental anxiety in children seen in a suburban Nigerian hospital. Int J Paediatr Dent. 2003; 13(1):20-6. DOI: 10.1046/j.1365-263x.2003.00411.x. View

Foster W, Drum M, Reader A, Beck M . Anesthetic efficacy of buccal and lingual infiltrations of lidocaine following an inferior alveolar nerve block in mandibular posterior teeth. Anesth Prog. 2007; 54(4):163-9. PMC: 2213247. DOI: 10.2344/0003-3006(2007)54[163:AEOBAL]2.0.CO;2. View

Girdler J . Dentapen versus traditional syringe infiltration - which LA technique is preferred by patients?. Evid Based Dent. 2022; 23(3):100-101. DOI: 10.1038/s41432-022-0811-4. View

Hochman M, Friedman M, Williams W, Hochman C . Interstitial tissue pressure associated with dental injections: a clinical study. Quintessence Int. 2006; 37(6):469-76. View

10.

Kanaa M, Meechan J, Corbett I, Whitworth J . Speed of injection influences efficacy of inferior alveolar nerve blocks: a double-blind randomized controlled trial in volunteers. J Endod. 2006; 32(10):919-23. DOI: 10.1016/j.joen.2006.04.004. View

11.

Kaufman E, Epstein J, Naveh E, Gorsky M, Gross A, Cohen G . A survey of pain, pressure, and discomfort induced by commonly used oral local anesthesia injections. Anesth Prog. 2006; 52(4):122-7. PMC: 1586799. DOI: 10.2344/0003-3006(2005)52[122:ASP]2.0.CO;2. View

12.

Klingberg G, Ridell K, Brogardh-Roth S, Vall M, Berlin H . Local analgesia in paediatric dentistry: a systematic review of techniques and pharmacologic agents. Eur Arch Paediatr Dent. 2017; 18(5):323-329. PMC: 5651714. DOI: 10.1007/s40368-017-0302-z. View

13.

Kudo M . Initial injection pressure for dental local anesthesia: effects on pain and anxiety. Anesth Prog. 2005; 52(3):95-101. PMC: 1586792. DOI: 10.2344/0003-3006(2005)52[95:IIPFDL]2.0.CO;2. View

14.

Lee S, Lee N . An alternative local anaesthesia technique to reduce pain in paediatric patients during needle insertion. Eur J Paediatr Dent. 2013; 14(2):109-12. View

15.

Merkel S, Voepel-Lewis T, Shayevitz J, Malviya S . The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997; 23(3):293-7. View

16.

Milani A, Froughreyhani M, Rahimi S, Zand V, Jafarabadi M . Volume of Anesthetic Agents and IANB Success: A Systematic Review. Anesth Prog. 2018; 65(1):16-23. PMC: 5841477. DOI: 10.2344/anpr-65-01-03. View

17.

Milgrom P, Coldwell S, Getz T, Weinstein P, Ramsay D . Four dimensions of fear of dental injections. J Am Dent Assoc. 1997; 128(6):756-66. DOI: 10.14219/jada.archive.1997.0301. View

18.

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

19.

Monteiro J, Tanday A, Ashley P, Parekh S, Alamri H . Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental treatment. Cochrane Database Syst Rev. 2020; 2:CD011024. PMC: 7045283. DOI: 10.1002/14651858.CD011024.pub2. View

20.

Nagendrababu V, Abbott P, Pulikkotil S, Veettil S, Dummer P . Comparing the anaesthetic efficacy of 1.8 mL and 3.6 mL of anaesthetic solution for inferior alveolar nerve blocks for teeth with irreversible pulpitis: a systematic review and meta-analysis with trial sequential analysis. Int Endod J. 2020; 54(3):331-342. DOI: 10.1111/iej.13428. View