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预给天然甜味溶液减少儿童牙科注射疼痛的效果:一项分口随机对照试验。

Effectiveness of Pre-administered Natural Sweet-tasting Solution for Decreasing Pain Associated with Dental Injections in Children: A Split-mouth Randomized Controlled Trial.

机构信息

Department of Paediatric and Preventive Dentistry, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai, Tamil Nadu, India, Phone: +91 9820775554, e-mail:

Department of Paediatric and Preventive Dentistry, Saveetha Dental College and Hospital, Saveetha Institute of Medical and Technical Science, Saveetha University, Chennai, Tamil Nadu, India.

出版信息

J Contemp Dent Pract. 2021 Dec 1;22(12):1434-1437.

PMID:35656683
Abstract

AIM

This study aimed to discern if a prior intake of a natural sweet remedy (honey) impacted pain perception during intraoral injections.

MATERIALS AND METHODS

One hundred healthy children who needed the same treatment bilaterally in either arch which required local anesthetic administration (infiltration in maxillary arch and inferior alveolar nerve block in mandibular arch) were recruited. The patients' demographic details were recorded. Local anesthesia was administered after taking 5 mL of honey solution on the test side and 5 mL of sterile water on the control side. Subjective pain perception during injection was measured using Wong-Baker Faces Pain Rating Scale and objective pain by sound, eye, body movement (SEM) rating scale. The parametric data were analyzed using a paired Student's -test ( <0.05). Level of consensus between the two scales was assessed using Pearson's correlation.

RESULTS

The test side yielded lower mean Wong-Baker Faces Pain Rating Scale (3.72 ± 1.80) and SEM (4.12 ± 1.04) scores than the control side (6.00 ± 2.06 and 5.00 ± 1.45 respectively). This was statistically significant.

CONCLUSION

The administering of a natural sweet solution such as honey before dental injections in children tends to reduce the discomfort and pain associated with the procedure.

CLINICAL SIGNIFICANCE

Pain management is of utmost importance in dentistry, especially among children. The consumption of natural foods such as honey helps in decreasing injection pain perception, making the child cooperative, and thereby allowing the dentist to provide the best dental care.

摘要

目的

本研究旨在探讨在口腔内注射时,先前摄入天然甜味剂(蜂蜜)是否会影响疼痛感知。

材料和方法

招募了 100 名需要在双侧弓部接受相同治疗的健康儿童,这些治疗都需要局部麻醉(上颌弓浸润麻醉和下颌弓下牙槽神经阻滞麻醉)。记录了患者的人口统计学资料。在测试侧给予 5 毫升蜂蜜溶液,在对照侧给予 5 毫升无菌水后,给予局部麻醉。使用 Wong-Baker 面部疼痛评定量表测量注射过程中的主观疼痛感知,使用声音、眼睛、身体运动(SEM)评定量表测量客观疼痛。使用配对学生 t 检验( <0.05)分析参数数据。使用 Pearson 相关系数评估两种量表之间的一致性程度。

结果

测试侧的 Wong-Baker 面部疼痛评定量表(3.72 ± 1.80)和 SEM(4.12 ± 1.04)评分均低于对照侧(6.00 ± 2.06 和 5.00 ± 1.45),差异具有统计学意义。

结论

在儿童牙科注射前给予天然甜味溶液(如蜂蜜)可减轻与该过程相关的不适和疼痛。

临床意义

在牙科中,疼痛管理至关重要,尤其是在儿童中。食用天然食物(如蜂蜜)有助于降低注射疼痛感知,使儿童合作,从而使牙医能够提供最佳的牙科护理。

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Effectiveness of Pre-administered Natural Sweet-tasting Solution for Decreasing Pain Associated with Dental Injections in Children: A Split-mouth Randomized Controlled Trial.预给天然甜味溶液减少儿童牙科注射疼痛的效果:一项分口随机对照试验。
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