Quintessence Int. 2021;52(5):434-443. doi: 10.3290/j.qi.b912695.
Objective: To evaluate the effectiveness of using DentalVibe during injection in comparison with the traditional injection technique, regarding pain and discomfort associated with buccal infiltration anesthesia (BIA) in pediatric patients. Method and materials: This randomized clinical trial included 6- to 12-year-old healthy children currently receiving nonurgent dental treatment on the maxillary arch that required BIA. In the control group, subjects received traditional BIA. In the test group, they received BIA with the aid of DentalVibe. A sample of 30 subjects per group was included. The mean ± SD age of the subjects was 9.18 ± 1.66 years. All the subjects were videotaped, and two trained and calibrated evaluators assessed the children's behaviors during the injection using the face, legs, activity, cry, consolability (FLACC) scale independently. Immediately after anesthesia administration, the subjects were administered the validated Arabic version of the Wong-Baker FACES scale ranging from 0 to 10. Results: Female subjects showed significantly higher mean FLACC and Wong-Baker FACES scale scores (2.20 ± 1.82 and 2.93 ± 3.05) compared with males (1.08 ± 1.37 and 1.12 ± 2.09) (P = .008 and P = .006, respectively). Multiple regression analysis showed that regardless of age and treatment group, females had significantly higher mean scores on the FLACC (β = 1.63, P = .002) and the Wong-Baker FACES scales (OR = 4.44, P = .004) than males. Conclusion: The use of DentalVibe did not significantly affect pain, discomfort, or time during BIA among pediatric patients compared with the traditional technique. Female children were more likely to report higher pain and discomfort scores during BIA administration regardless of age and anesthesia administration technique.
评估与传统注射技术相比，在颊侧浸润麻醉（BIA）中使用 DentalVibe 对接受非紧急牙科治疗的上颌弓儿童患者的注射疼痛和不适的效果。方法和材料：本随机临床试验纳入了 6 至 12 岁目前正在接受需要 BIA 的非紧急牙科治疗的健康儿童。在对照组中，受试者接受传统的 BIA。在实验组中，他们接受了 DentalVibe 辅助的 BIA。每组纳入 30 名受试者。受试者的平均年龄为 9.18 ± 1.66 岁。所有受试者均进行录像，两名经过培训和校准的评估员独立使用面部、腿部、活动、哭声、可安慰性（FLACC）量表评估儿童在注射过程中的行为。麻醉给药后，立即对受试者进行经过验证的阿拉伯语版 Wong-Baker FACES 量表评估，范围从 0 到 10。结果：与男性相比，女性受试者的 FLACC 和 Wong-Baker FACES 量表评分（2.20 ± 1.82 和 2.93 ± 3.05）显著更高（P =.008 和 P =.006）。多元回归分析表明，无论年龄和治疗组如何，女性在 FLACC（β = 1.63，P =.002）和 Wong-Baker FACES 量表（OR = 4.44，P =.004）上的平均评分显著高于男性。结论：与传统技术相比，在儿科患者的 BIA 中使用 DentalVibe 并不会显著影响疼痛、不适或时间。无论年龄和麻醉给药技术如何，女性儿童在 BIA 给药期间更有可能报告更高的疼痛和不适评分。
