Ahmad Nehal, Jindal Mahendra K, Agrawal Neha, Varshney Pranshu
Department of Pediatric and Preventive Dentistry, Dr Ziauddin Ahmad Dental College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Department of Periodontics and Community Dentistry, Dr Ziauddin Ahmad Dental College and Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
Int J Clin Pediatr Dent. 2024 Nov;17(11):1241-1247. doi: 10.5005/jp-journals-10005-2993. Epub 2024 Dec 19.
Although local anesthesia (LA) eliminates pain and instills a positive dental attitude, the physical appearance of its syringe is highly fear provoking and often intolerable. Therefore, the purpose of this study was to evaluate the pain and fear perception in camouflaged syringe (CS) and vibration-assisted syringe (VA) when compared with conventional syringe and with each other (VACS) during local anesthetic administration in pediatric patients aged between 6 and 12 years.
Eighty-five subjects were randomly assigned into three groups: CS group ( = 7), VA group ( = 26), and VACS group ( = 27). Physiological and psychometric scale readings were noted before and after injection. The primary outcome was to assess the change in patients' fear and pain levels using CS and VA vs conventional injection techniques, using the above scales. The secondary outcome was to learn the preference for a particular injection technique by the subjects.
Based on the changes seen in the physiological and psychometric scales, pain and fear control was better in CS in the CS group ( < 0.00 for heart rate, VAS, and SEM score), vibration-assisted syringe in the VA group ( < 0.00 for VAS and SEM score), and vibration-assisted syringe in the VACS group ( < 0.00 for VAS score). The majority preference was CS in the CS group (64%), vibration-assisted syringe in the VA group (60%), and CS in the VACS group (52%).
VA followed by CS is better than the conventional syringe in terms of reducing pain and fear perceived during LA administration. Children preferred CS over VA or the conventional syringe.
Children's disruptive behavior due to dental fear and pain often results in difficulty in providing effective dental treatment, which is frequently caused by the syringe used in LA delivery. Thus, techniques used to minimize this fear and pain are essential to provide safe, efficient, and quality dental care to children.
The trial was registered with the Clinical Trial Registry of India (CTRI/2023/11/059505).
Ahmad N, Jindal MK, Agrawal N, Comparison of Conventional Syringe with Camouflaged Syringe and Vibration-assisted Syringe for Pain and Fear Perception during Local Anesthetic Administration in Children: A Split-mouth Randomized Controlled Trial. Int J Clin Pediatr Dent 2024;17(11):1241-1247.
尽管局部麻醉能消除疼痛并培养积极的牙科态度，但其注射器的外观却极易引发恐惧且常常令人难以忍受。因此，本研究的目的是评估在6至12岁儿科患者进行局部麻醉给药时，与传统注射器相比，伪装注射器（CS）和振动辅助注射器（VA）以及它们彼此之间（VACS）的疼痛和恐惧感知情况。
85名受试者被随机分为三组：CS组（n = 27）、VA组（n = 26）和VACS组（n = 27）。在注射前后记录生理和心理测量量表读数。主要结果是使用上述量表评估与传统注射技术相比，使用CS和VA时患者恐惧和疼痛水平的变化。次要结果是了解受试者对特定注射技术的偏好。
根据生理和心理测量量表的变化，CS组中CS在控制疼痛和恐惧方面效果更佳（心率、视觉模拟评分法（VAS）和面部表情疼痛量表（SEM）评分的P值均<0.00），VA组中振动辅助注射器效果更佳（VAS和SEM评分的P值均<0.00），VACS组中振动辅助注射器效果更佳（VAS评分的P值<0.00）。CS组中大多数人偏好CS（64%），VA组中偏好振动辅助注射器（60%），VACS组中偏好CS（52%）。
就减轻局部麻醉给药期间的疼痛和恐惧而言，先使用VA再使用CS比传统注射器更好。儿童更喜欢CS而非VA或传统注射器。
由于牙科恐惧和疼痛导致的儿童破坏性行为常常给提供有效的牙科治疗带来困难，这通常是由局部麻醉给药时使用的注射器引起的。因此，用于尽量减少这种恐惧和疼痛的技术对于为儿童提供安全、高效和优质的牙科护理至关重要。
该试验已在印度临床试验注册中心注册（CTRI/2023/11/059505）。
Ahmad N, Jindal MK, Agrawal N, 儿童局部麻醉给药期间传统注射器与伪装注射器和振动辅助注射器在疼痛及恐惧感知方面的比较：一项半口随机对照试验。《国际临床儿科牙科杂志》2024；17(11):1241 - 1247。
