Singh Kopal, Jhingan Pulkit, Mathur Shivani, Malik Manvi, Kashyap Ketki
Department of Pediatric and Preventive Dentistry, I.T.S - Centre for Dental Studies and Research, Ghaziabad, Uttar Pradesh, India.
Int J Clin Pediatr Dent. 2024 Mar;17(3):297-302. doi: 10.5005/jp-journals-10005-2807.
To compare and evaluate the efficacy of transcutaneous electrical nerve stimulation (TENS) and a vibrational precooling system in reducing pain and anxiety during the administration of local anesthesia in children aged 6-12 years old.
A total of 60 children aged 6-12 years old participated in this randomized controlled trial and were randomly allocated to three groups: the conventional method group, the vibrational precooling system group, and the TENS group. The Modified Dental Anxiety Scale (MDAS), pulse rate, and oxygen saturation were recorded to assess the preoperative anxiety of the participating children. Sound, motor, and eyes (SEM) and face, legs, activity, cry, and consolability (FLACC) scores were recorded during the procedure, along with pulse rate and oxygen saturation, to measure pain during the procedure. This was followed by a self-administered visual analog scale (VAS) to assess the discomfort felt by the child.
A statistically significant reduction in pain was observed with the usage of the vibration system and TENS, as measured by the FLACC scale, compared to the conventional method group. Similarly, statistically significant differences in SEM scores were noted between the vibrational precooling system group and the conventional method group, as well as between the TENS group and the conventional method group, with the highest scores observed in the conventional method group. The children reported the highest comfort levels with the usage of the vibration system, as indicated by the self-administered VAS. However, no statistically significant difference was observed within any group.
The new vibrational precooling system as well as TENS can be effectively used to alleviate the pain experienced during the administration of local anesthesia.
Singh K, Jhingan P, Mathur S, Intercomparison of Efficacy of Transcutaneous Electrical Nerve Stimulation and Precooling Vibration Device on Pain and Anxiety Management during Administration of Local Anesthesia Injection in 6-12-year-olds. Int J Clin Pediatr Dent 2024;17(3):297-302.
比较和评估经皮电刺激神经疗法（TENS）和振动预冷系统在减轻6至12岁儿童局部麻醉给药期间疼痛和焦虑方面的疗效。
共有60名6至12岁儿童参与了这项随机对照试验，并被随机分为三组：传统方法组、振动预冷系统组和TENS组。记录改良牙科焦虑量表（MDAS）、脉搏率和血氧饱和度，以评估参与儿童的术前焦虑情况。在操作过程中记录声音、运动和眼睛（SEM）以及面部、腿部、活动、哭闹和安慰性（FLACC）评分，同时记录脉搏率和血氧饱和度，以测量操作过程中的疼痛程度。随后进行自我视觉模拟量表（VAS）评估，以评估儿童所感受到的不适。
与传统方法组相比，通过FLACC量表测量发现，使用振动系统和TENS后疼痛有统计学意义的显著减轻。同样，振动预冷系统组与传统方法组之间以及TENS组与传统方法组之间的SEM评分存在统计学意义的显著差异，传统方法组的评分最高。自我VAS显示，儿童使用振动系统时舒适度最高。然而，在任何组内均未观察到统计学意义的显著差异。
新型振动预冷系统以及TENS均可有效用于减轻局部麻醉给药期间所经历的疼痛。
Singh K, Jhingan P, Mathur S, 经皮电刺激神经疗法与预冷振动装置在6至12岁儿童局部麻醉注射时疼痛和焦虑管理方面疗效的相互比较。《国际临床儿科牙科学杂志》2024年；17(3):297 - 302。
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