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
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