Zarzecka Joanna, Gończowski Krzysztof, Kesek Barbara, Darczuk Dagmara, Zapała Jan
Pracownia Stomatologii Zachowawczej z Endodoncja, Instytut Stomatologii. Uniwersytetu Jagiellolńskiego Collegium Medicum, Kraków.
Przegl Lek. 2006;63(12):1304-9.
Local anesthesia is one of the basic and the most often executed interventions in dentistry. This procedure is very stressful for the patients because it is combined with pain. The new systems for delivering local anesthesia in dentistry have revolutionized the technique considerably by its simplify as well as reduction in pain.
this study presents the comparison between the local anesthesia delivery systems used in dentistry--The Wand and Injex, taking into consideration pain intensity during performing anesthesia and the intensification of fear before executed anesthesia with the given system.
the Visual Analogue Scale (VAS), verbal scale and questionnaires were used to evaluate pain and fear.
On the basis of our investigations it can be concluded that there were statistically important differences between men and women in fear intensity combined with the anesthesia procedure--men were less afraid than women. The patients who were anaesthetized with system The WAND declared less fear before similar anesthesia in future. The average value of intensity of pain analyzed with both verbal and visual scales during anaesthetizing with the system Injex (independently from sex) was statistically significantly higher than for system The WAND--respectively 0.57 and 8.55 for The WAND, 2.02 and 32.18 for Injex (p = 0.001).
on the basis of the results of this study it can be concluded that the less stressful and painful local anesthesia delivery system is the WAND.
局部麻醉是牙科最基本且最常实施的干预措施之一。该操作对患者来说压力很大，因为它伴随着疼痛。牙科中用于提供局部麻醉的新系统通过简化操作以及减轻疼痛，极大地革新了这项技术。
本研究比较了牙科中使用的局部麻醉给药系统——The Wand和Injex，同时考虑了麻醉过程中的疼痛强度以及使用给定系统进行麻醉前恐惧情绪的加剧情况。
使用视觉模拟量表（VAS）、语言量表和问卷来评估疼痛和恐惧。
根据我们的调查可以得出结论，在与麻醉过程相关的恐惧强度方面，男性和女性之间存在统计学上的显著差异——男性比女性更不害怕。使用The WAND系统进行麻醉的患者表示，在未来进行类似麻醉时恐惧程度较低。在使用Injex系统麻醉期间（不考虑性别），通过语言和视觉量表分析的疼痛强度平均值在统计学上显著高于The WAND系统——The WAND系统分别为0.57和8.55，Injex系统分别为2.02和32.18（p = 0.001）。
根据本研究结果可以得出结论，压力较小且疼痛较轻的局部麻醉给药系统是The WAND。
