Dental PostGraduate Program, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Paraná, Ponta Grossa, Brazil.
Dental Undergraduate Program, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Paraná, Ponta Grossa, Brazil.
Clin Oral Investig. 2021 Jun;25(6):3831-3843. doi: 10.1007/s00784-020-03713-7. Epub 2021 Mar 14.
To evaluate pain, disruptive behavior, and anxiety in children undergoing different local dental anesthetic techniques.
This randomized/parallel clinical trial analyzed three groups of patients (9-12 years old) (n = 35) who received infiltrative anesthesia using conventional (CA), vibrational (VBA), and computer-controlled techniques (CCLAD). The outcomes were pain self-perception (Wong-Baker Faces Pain Rating Scale (WBF); Numerical Ranting Scale (NRS)), disruptive behavior (Face, Legg, Activity, Crying, Consolability Scale (FLACC)), anxiety (Corah's Dental Anxiety Scale; modified Venham Picture test (VPTm)), and physiological parameters (systolic (SBP)/diastolic pressure (DBP); heart rate (HR); oxygen saturation (SpO2); respiratory rate (RR)). Statistical analysis was accomplished using Kruskall-Wallis test and ANOVA for repeated measures (α = 0.05).
Dental anxiety levels at the baseline were similar for all patients. CA promoted less pain than VBA in WBF (p = 0.018) and NRS (p = 0.006) and CCLAD in WBF (p = 0.029). There were no differences in disruptive behavior (FLACC p = 0.573), anxiety (VPTm p = 0.474), blood pressure (SBP p = 0.954; DBP p = 0.899), heart rate (p = 0.726), oxygen saturation (p = 0.477), and respiratory rate (p = 0.930) between anesthetic techniques.
Conventional technique resulted in less pain perception for dental local anesthesia.
Conventional technique reduces the self-reported pain in children 9-12 years old, and therefore, the use of additional devices or different anesthetic techniques is not justified.
评估接受不同局部牙科麻醉技术的儿童的疼痛、行为障碍和焦虑情况。
本随机/平行临床试验分析了三组（9-12 岁）（n=35）接受常规浸润麻醉（CA）、振动（VBA）和计算机控制技术（CCLAD）的患者。结果是疼痛自我感知（Wong-Baker 面部疼痛评分量表（WBF）；数字评分量表（NRS））、行为障碍（面部、腿部、活动、哭泣、安抚性量表（FLACC））、焦虑（Corah 的牙科焦虑量表；改良 Venham 图片测试（VPTm））和生理参数（收缩压（SBP）/舒张压（DBP）；心率（HR）；血氧饱和度（SpO2）；呼吸频率（RR））。使用 Kruskal-Wallis 检验和重复测量的方差分析（α=0.05）进行统计分析。
所有患者的基线牙科焦虑水平相似。CA 在 WBF（p=0.018）和 NRS（p=0.006）中比 VBA 引起的疼痛更少，在 CCLAD 中在 WBF 中引起的疼痛更少（p=0.029）。行为障碍（FLACC p=0.573）、焦虑（VPTm p=0.474）、血压（SBP p=0.954；DBP p=0.899）、心率（p=0.726）、血氧饱和度（p=0.477）和呼吸频率（p=0.930）在麻醉技术之间无差异。
常规技术可减少儿童局部麻醉的疼痛感知。
常规技术可减少 9-12 岁儿童的自我报告疼痛，因此，使用额外的设备或不同的麻醉技术是没有道理的。
