AlRaddadi Zeyad A, AlHowaish Latifa A, Sulimany Ayman M
Department of Pediatric Dentistry and Orthodontics, College of Dentistry, King Saud University, Riyadh 11255, Saudi Arabia.
Children (Basel). 2025 Jan 7;12(1):65. doi: 10.3390/children12010065.
Managing pain during dental procedures is crucial, particularly for children, as pain can induce anxiety. Local anesthesia is the most anxiety-inducing procedure in pediatric patients. Consequently, this study aimed to assess and compare the pain-related behaviors and perceptions associated with two anesthesia techniques for children: traditional local anesthesia and intraosseous local anesthesia administered via the QuickSleeper 5 system.
A split-mouth randomized clinical trial was conducted involving 33 children aged 4-9 years. Each participant received both traditional local anesthesia and intraosseous local anesthesia with QuickSleeper 5 across two visits. Pain-related behaviors were evaluated by calibrated pediatric dentists through video recordings, and pain perceptions were assessed using the Wong-Baker Faces Pain Rating Scale. Heart rate measurements offered objective insights into patients' anxiety; finally, the time needed to administer anesthesia was recorded.
This study found no statistically significant differences between traditional local anesthesia and intraosseous local anesthesia with QuickSleeper 5 regarding pain perception, heart rate, or pain-related behaviors, indicating that both techniques are effective at minimizing discomfort. However, QuickSleeper 5 demonstrated a significantly shorter administration time, enhancing the procedural efficiency of pediatric dentistry.
The QuickSleeper 5 system is a valuable tool for pediatric dental care, delivering comparable comfort levels to traditional anesthesia while significantly reducing the time that is required for administration. The QuickSleeper 5 system's efficiency advantage could make it the preferred choice for treating children, especially given the stress that is often associated with local anesthesia and the need for quick, smooth procedures in pediatric care.
在牙科手术过程中控制疼痛至关重要，尤其是对儿童而言，因为疼痛会引发焦虑。局部麻醉是儿科患者中最容易引发焦虑的操作。因此，本研究旨在评估和比较两种儿童麻醉技术相关的疼痛行为和认知：传统局部麻醉和通过QuickSleeper 5系统进行的骨内局部麻醉。
进行了一项双盲随机临床试验，纳入33名4至9岁的儿童。每位参与者在两次就诊中分别接受了传统局部麻醉和使用QuickSleeper 5的骨内局部麻醉。由经过校准的儿科牙医通过视频记录评估与疼痛相关的行为，并使用面部表情疼痛评分量表评估疼痛认知。心率测量为患者的焦虑提供了客观的见解；最后，记录了麻醉给药所需的时间。
本研究发现，在疼痛认知、心率或与疼痛相关的行为方面，传统局部麻醉和使用QuickSleeper 5的骨内局部麻醉之间没有统计学上的显著差异，这表明两种技术在将不适降至最低方面均有效。然而，QuickSleeper 5的给药时间明显更短，提高了儿童牙科手术的效率。
QuickSleeper 5系统是儿童牙科护理的一种有价值的工具，在提供与传统麻醉相当的舒适度的同时，显著减少了给药所需的时间。QuickSleeper 5系统的效率优势可能使其成为治疗儿童的首选，特别是考虑到局部麻醉通常会带来的压力以及儿科护理中需要快速流畅的手术过程。
