一种比较评估：在 4-9 岁儿童的上颌第一恒磨牙麻醉中，无针装置 INJEX 和胰岛素注射器的疗效和偏好：一项分口交叉随机临床试验。

A comparative assessment of efficacy and preference between needleless device INJEX and insulin syringe for anesthetizing primary maxillary teeth in children aged 4-9 years: A split-mouth crossover randomized clinical study.

机构信息

Department of Pediatric and Preventive Dentistry, Karnavati School of Dentistry, Karnavati University, Gandhinagar, Gujarat, India.

出版信息

J Indian Soc Pedod Prev Dent. 2023 Apr-Jun;41(2):149-155. doi: 10.4103/jisppd.jisppd_199_23.

DOI:10.4103/jisppd.jisppd_199_23

PMID:37635474

Abstract

UNLABELLED

insulin syringe for anesthetizing primary maxillary teeth in children aged 4-9 years.

MATERIALS AND METHODS

This randomized clinical study included 46 children aged 4-9 years. The patients were digitally allotted to receive 4% articaine for extractions of primary maxillary teeth, either using needleless device INJEX or insulin syringe on each side of the maxillary arch, in two different appointments after a 1-week washout period. Pain perception was measured by the subjective (Faces Pain Scale-Revised [FPS-R]) and objective pain scores (Face, Legs, Activity, Cry, and Consolability [FLACC]) and hemodynamic parameters (heart rate and oxygen saturation) during LA administration and during extractions. After the second appointment, children were asked about their preference between needleless device INJEX and insulin syringe.

RESULTS

On evaluating subjective pain scores with FPS-R, intergroup differences between the INJEX and insulin syringe groups were found statistically insignificant, both during LA administration (P = 0.101) and extraction (P = 0.080). However, on assessing pain objectively during extraction using FLACC, the mean pain score was less with insulin syringe (2.78) as compared to INJEX (4.72) and the difference was statistically significant (P = 0.000). There was no significant difference in patient preference between the two methods.

CONCLUSION

Pain perception was minimal during local anesthesia administration using needleless device INJEX; however, its clinical efficacy during extractions was reported to be lower than insulin syringe.

BACKGROUND

Managing pain in children is the most challenging task as it forms the foundation for instilling positive behavior toward dental treatment. Adequate local anesthesia (LA) is the cornerstone of pain management. However, the fear of needles, particularly in young children, can result in complete avoidance and refusal of treatment.

AIM

This study aimed to evaluate and compare the efficacy and preference between needleless device INJEX and.

摘要

未加标签

用于麻醉 4-9 岁儿童上颌第一磨牙的胰岛素注射器。

材料和方法

这是一项随机临床研究，纳入了 46 名 4-9 岁的儿童。患者按数字随机分配，在每侧上颌弓的颊侧接受 4%阿替卡因用于上颌第一磨牙的拔除，使用无针装置 INJEX 或胰岛素注射器，两次就诊之间间隔 1 周洗脱期。疼痛感知通过主观（修订面部疼痛量表[FPS-R]）和客观疼痛评分（面部、腿部、活动、哭泣和安慰性[FLACC]）以及局部麻醉给药期间和拔牙期间的血流动力学参数（心率和血氧饱和度）进行测量。在第二次就诊后，询问儿童对无针装置 INJEX 和胰岛素注射器的偏好。

结果

用 FPS-R 评估主观疼痛评分时，INJEX 组和胰岛素注射器组之间的组间差异无统计学意义，无论是在局部麻醉给药期间（P=0.101）还是在拔牙期间（P=0.080）。然而，在使用 FLACC 评估拔牙过程中的客观疼痛时，胰岛素注射器的平均疼痛评分（2.78）低于 INJEX（4.72），差异有统计学意义（P=0.000）。两种方法之间的患者偏好无显著差异。