Tandon Sandeep, Kalia Garima, Sharma Meenakshi, Mathur Rinku, Rathore Khushboo, Gandhi Mahima
Senior Professor and Head, Department of Pedodontics and Preventive Dentistry Government Dental College, Jaipur, Rajasthan, India.
Postgraduate Student, Department of Pedodontics and Preventive Dentistry Government Dental College, Jaipur, Rajasthan, India.
Int J Clin Pediatr Dent. 2018 Jul-Aug;11(4):261-265. doi: 10.5005/jp-journals-10005-1523. Epub 2018 Aug 1.
Usually discomfort and pain are associated with dental work, especially for young patients. Pain control can be achieved by using anesthesia. Sight of injection can terrify any patient and if the patient is a child it is really difficult to convince them for injections. Alternatives to injections have been explored. Pediatric dentists are using anesthesia in the form of jelly and patch. Recently, the concept of mucosal vibration has been put forward to enhance the effectiveness of local anesthesia.
The aim of the present study was to compare and evaluate the effectiveness of lignocaine jelly and mucosal vibration in reducing pain during administration of local anesthesia in pediatric dental patients.
Thirty children in the age group 6 to 11 years who required bilateral anesthesia for dental treatment in mandible were selected for this study. Pain was compared using Wilcoxon signed-rank test at the time of injection using Sound, Eye, Motor (SEM) scale as objective criteria and facial pain rating (FPR) scale as subjective criteria after administration of injection by a trained assistant who was blinded to the procedure.
Local anesthetic injection along with mucosal vibration resulted in significantly less pain (p = 0.001) in comparison with the injections without the use of mucosal vibration.
The result shows that mucosal vibration can be used as an effective means to reduce the intensity of pain during local anesthetic injection in dentistry. Tandon S, Kalia G, Sharma M, Mathur R, Rathore K, Gandhi M. Comparative Evaluation of Mucosal Vibrator with Topical Anesthetic Gel to reduce Pain during Administration of Local Anesthesia in Pediatric Patients: An Study. Int J Clin Pediatr Dent 2018;11(4):261-265.
通常情况下，牙科治疗会伴随着不适和疼痛，尤其是对年轻患者而言。疼痛控制可通过使用麻醉来实现。注射的景象会吓坏任何患者，如果患者是儿童，很难说服他们接受注射。人们一直在探索注射的替代方法。儿科牙医正在使用果冻和贴片形式的麻醉剂。最近，有人提出黏膜振动的概念以提高局部麻醉的效果。
本研究的目的是比较和评估利多卡因凝胶和黏膜振动在减轻儿科牙科患者局部麻醉给药过程中疼痛方面的效果。
选取30名年龄在6至11岁、需要在下颌进行双侧牙科治疗麻醉的儿童参与本研究。由一名对操作不知情的训练有素的助手在注射时使用声音、眼神、动作（SEM）量表作为客观标准，并在注射后使用面部疼痛评分（FPR）量表作为主观标准，通过Wilcoxon符号秩检验比较疼痛情况。
与未使用黏膜振动的注射相比，局部麻醉注射结合黏膜振动导致的疼痛明显减轻（p = 0.001）。
结果表明，黏膜振动可作为一种有效手段，减轻牙科局部麻醉注射过程中的疼痛强度。坦登S、卡利亚G、夏尔马M、马图尔R、拉托尔K、甘地M。黏膜振动器与局部麻醉凝胶在减轻儿科患者局部麻醉给药过程中疼痛的比较评估：一项研究。《国际临床儿科牙科学杂志》2018年；11(4):261 - 265。
