Comparison of anxiety and pain perceived with conventional and computerized local anesthesia delivery systems for different stages of anesthesia delivery in maxillary and mandibular nerve blocks

Aggarwal, Kamal; Lamba, Arundeep Kaur; Faraz, Farrukh; Tandon, Shruti; Makker, Kanika

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자료유형: 학술저널

저자정보: Aggarwal, Kamal (Department of Periodontics, Maulana Azad Institute of Dental Sciences) Lamba, Arundeep Kaur (Department of Periodontics, Maulana Azad Institute of Dental Sciences) Faraz, Farrukh (Department of Periodontics, Maulana Azad Institute of Dental Sciences) Tandon, Shruti (Department of Periodontics, Maulana Azad Institute of Dental Sciences) Makker, Kanika (Department of Periodontics, Maulana Azad Institute of Dental Sciences)

저널정보: 대한치과마취과학회 Journal of dental anesthesia and pain medicine Journal of dental anesthesia and pain medicine 제18권 제6호

발행연도: 2018.1

수록면: 367 - 373 (7page)

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Background: Fear of local anesthesia (LA) is a significant impediment to dental care as many patients delay or avoid treatment to avert pain. Computer-controlled local anesthetic delivery system (CCLAD), with constant and controlled rate of flow, present a painless alternative. The present study aimed to compare anxiety and pain perceived with conventional and computerized systems, for different stages of anesthesia delivery when administering various nerve blocks. Methods: One hundred patients requiring bilateral LA participated in the study. One side was anesthetized using one system and the contralateral side was anesthetized using the other, in two separate appointments. Patients assigned anxiety scores on a 5-point scale and used the visual analogue scale (VAS) for pain determination at needle insertion, during delivery of anesthetic solution, immediately after injection, and at the end of the periodontal procedure. Each patient's preference for the delivery system of future injections was also recorded. Results: Patients reported significantly lower anxiety levels with CCLAD compared to the syringe. Significantly lower mean VAS scores for anesthesia deposition, pain immediately after, and at the end of the periodontal procedure were also noted. However, pain at needle insertion was comparable between the two systems, with no statistical significance. Overall, 64.4% patients preferred CCLAD for future anesthesia. Conclusion: Lower pain perceived with CCLAD and higher preference for the system suggest that CCLAD should replace conventional syringes to allow pain-free dental treatment.

#Computer-controlled Local Anesthetic Delivery System #Local Anesthesia #Pain #Pain Perception #Visual Analogue Scale

참고문헌 (22)

참고문헌 신청

Locker D / 1996 / Who is dentally anxious? Concordance between measures of dental anxiety / Community Dent Oral Epidemiol 24:346~350

Meechan JG / 2005 / Factors influencing the discomfort of intraoral needle penetration / Anesth Prog 52:91~94

Friedman MJ / 1997 / A 21st century computerized injection system for local pain control / Compend Contin Educ Dent 18:995~1003

Palm AM / 2004 / The wand versus traditional injection for mandibular nerve block in children and adolescents : Perceived pain and time of onset / Pediatr Dent 26:481~484

Kandiah P / 2012 / Comparing the onset of maxillary infiltration local anaesthesia and pain experience using the conventional technique vs. the Wand in children / Br Dent J 213:E15

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