Department of Pediatric and Preventive Dentistry, D.Y.Patil University, School of Dentistry, Navi Mumbai, Maharashtra, India.
Department of Oral Medicine and Radiology, D.Y.Patil University, School of Dentistry, Navi Mumbai, Maharashtra, India.
J Indian Soc Pedod Prev Dent. 2023 Jul-Sep;41(3):216-221. doi: 10.4103/jisppd.jisppd_250_23.
Oral application of sweet-tasting solutions has found to be effective in minimizing pain on dental injection in children. Xylitol has never been tested in this regard.
The aim of this study was to compare the effectiveness of prior application of sucrose versus xylitol solution in minimizing pain on dental injection in 5-7-year-old children.
This study was a randomized controlled clinical trial.
Informed consent was taken. A total of 30 children who required maxillary buccal infiltration injection were selected. The children were randomly allocated into the sucrose group, xylitol group, or control group by lottery method. In the sucrose and xylitol groups, 30% sucrose or 30% xylitol solution was applied on the lateral surface of the tongue for 2 min. In the control group, distilled water was applied. In all the groups, the topical anesthetic was applied at the site of injection followed by buccal infiltration. A video was taken during injection, and the sound eye-motor (SEM) scale was recorded by a blinded examiner. Patients were asked to self-evaluate using the Wong-Baker Faces Pain Scale (WBFPS).
Mann-Whitney test was used to analyze the data.
There was a statistically significant difference in the WBFPS and the SEM score between the sucrose and the control group (P < 0.05) and the xylitol and control group (P < 0.05). No statistically significant difference was found between the sucrose and xylitol group.
The application of xylitol solution before dental injection was as effective as sucrose solution in minimizing pain during the injection.
口服甜味溶液已被证明可有效减轻儿童牙科注射时的疼痛。木糖醇在此方面从未经过测试。
本研究旨在比较在 5-7 岁儿童中，预先应用蔗糖与木糖醇溶液对减轻牙科注射疼痛的效果。
这是一项随机对照临床试验。
征得知情同意后，选择了 30 名需要上颌颊部浸润注射的儿童。通过抽签法将儿童随机分配到蔗糖组、木糖醇组或对照组。在蔗糖组和木糖醇组中，将 30%蔗糖或 30%木糖醇溶液涂于舌侧表面 2 分钟。在对照组中，应用蒸馏水。在所有组中，在注射部位应用局部麻醉剂后进行颊部浸润。在注射过程中拍摄视频，并由一名盲法检查者记录声音眼动（SEM）评分。患者使用 Wong-Baker 面部疼痛评分量表（WBFPS）进行自我评估。
使用 Mann-Whitney 检验分析数据。
蔗糖组和对照组（P < 0.05）以及木糖醇组和对照组（P < 0.05）之间的 WBFPS 和 SEM 评分存在统计学差异。但蔗糖组和木糖醇组之间无统计学差异。
在牙科注射前应用木糖醇溶液与蔗糖溶液一样可有效减轻注射过程中的疼痛。
