Sumer Mahmut, Misir Ferhat, Koyuturk A Erdin
Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Ondokuz Mayis, Samsun, Turkey.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Jun;101(6):e106-9. doi: 10.1016/j.tripleo.2005.12.002. Epub 2006 May 3.
The objective of the present study was to compare the Wand computer-controlled anesthetic delivery system with a conventional technique as to pain of needle insertion and the pain during injection according to the patient's dental anxiety levels.
The study sample comprised 52 healthy patients about to undergo routine tooth extraction. A dental anxiety scale was used to determine anxiety levels before anesthetic administration. Anesthesia technique selection was made according to the patients' anxiety level. After each injection, patients completed pain rating score and visual analog scale to rate their pain perception during needle insertion and injection.
The patients receiving the Wand system reported significantly less pain of needle insertion and less pain during injection (P < .05).
Under the conditions of this study, although the anxiety levels of patients were higher in Wand injection than conventional syringe injection, the Wand seemed to be less painful. However, the mean ratings of pain were mostly mild or no pain for both injections.
本研究的目的是根据患者的牙科焦虑水平,比较Wand计算机控制麻醉给药系统与传统技术在进针疼痛和注射过程中的疼痛情况。
研究样本包括52名即将接受常规拔牙的健康患者。在麻醉给药前,使用牙科焦虑量表确定焦虑水平。根据患者的焦虑水平选择麻醉技术。每次注射后,患者完成疼痛评分和视觉模拟量表,以评估他们在进针和注射过程中的疼痛感受。
接受Wand系统的患者进针时疼痛明显减轻,注射过程中疼痛也减轻(P <.05)。
在本研究条件下,尽管Wand注射时患者的焦虑水平高于传统注射器注射,但Wand似乎疼痛较轻。然而,两种注射方式的平均疼痛评分大多为轻度疼痛或无疼痛。