Gangawane Aishwarya Avinash, Shah Sonal Bhavesh, Malankar Tanvi Eknath, Mathur Anmol, Ginde Shriya Shrirang, Lakshmi Priyanka Manne
Dept. of Oral and Maxillofacial Surgery, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpri, Pune, India.
Dept. of Public Health Dentistry, Dr. D.Y Patil Dental College and Hospital, Dr. D.Y Patil Vidyapeeth, Pimpri, Pune, India.
J Oral Biol Craniofac Res. 2022 Sep-Oct;12(5):542-546. doi: 10.1016/j.jobcr.2022.06.010. Epub 2022 Jul 8.
Pain control by means of local anesthesia is an intrinsic part of clinical practice in dentistry. It is an irony that the modality used for pain free procedure itself is a source of fear & anxiety to the patient. Several modifications have been made to the injecting devices, local anesthetic solutions and techniques to render their administration comfortably. The objective of this study was thus designed to evaluate and compare anxiety and pain perception during conventional greater palatine injections versus use of a novel barovibrotactile device named Accupal to give painless anesthesia. This device has an additional attachment which works on Vibra-pulse technology thus minimizing pain during injection technique.
A prospective, split mouth, open label, randomized, crossover clinical study was conducted on 50 patients coming to our institute whereby on one side Accupal was used during administration of local anesthesia. And on other side, traditional local anesthetic injection technique was used with one week of time interval.
A statistically significant difference was found as in the pain perception between the two techniques as per Visual Analogue Scale whereas no difference was seen in the anxiety levels as per the physiological parameters recorded by noninvasive blood pressure machine at various intervals.
The use of Accupal has thus proved to show better pain control as compared to traditional injection techniques of local anesthesia.
通过局部麻醉进行疼痛控制是牙科临床实践的固有组成部分。具有讽刺意味的是，用于无痛手术的方式本身却成为患者恐惧和焦虑的来源。人们对注射装置、局部麻醉溶液和技术进行了多项改进，以使它们的给药过程更舒适。因此，本研究的目的是评估和比较传统腭大孔注射与使用名为Accupal的新型气压振动触觉装置进行无痛麻醉时的焦虑和疼痛感知。该装置有一个额外的附件，采用振动脉冲技术，从而在注射技术过程中最大限度地减少疼痛。
对来我院就诊的50例患者进行了一项前瞻性、双侧、开放标签、随机、交叉临床研究，在局部麻醉给药过程中，一侧使用Accupal，另一侧使用传统局部麻醉注射技术，时间间隔为一周。
根据视觉模拟量表，两种技术在疼痛感知方面存在统计学上的显著差异，而根据无创血压计在不同时间间隔记录的生理参数，焦虑水平没有差异。
与传统局部麻醉注射技术相比，Accupal的使用已被证明能更好地控制疼痛。
