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无针注射在上颌前磨牙不可逆性牙髓炎牙髓麻醉中的麻醉效果、注射疼痛及心率影响:随机临床研究

Anesthetic Efficacy, Injection Pain and Pulse-rate Effect of Needle-free Injection in Pulpal Anesthesia of Maxillary Premolars with Irreversible Pulpitis: Randomised Clinical Study.

作者信息

Sağlam Hatice, Karataş Ertuğrul

机构信息

Department of Endodontics, Biruni University, Faculty of Dentistry, Istanbul, Türkiye.

Department of Endodontics, Atatürk University, Faculty of Dentistry, Erzurum, Türkiye.

出版信息

Eur Endod J. 2025 May;10(3):181-187. doi: 10.14744/eej.2025.26566.

Abstract

OBJECTIVE

This study aims to compare the pain perception associated with the needle-free system (Comfort-In™) and the standard needle injection method during root canal treatments in adults.

METHODS

Forty-four maxillary premolar teeth of the patients that applied to university for treatment and needed endodontic treatment were included in the study. Patients were anesthetized with two different injection methods; needle-free injection and conventional dental injection. In both groups, oxygen saturation and pulse measurements of the patients were recorded at 30-second intervals for 2 minutes before anesthesia and 4 minutes after anesthesia. Pain during the injection and opening of the access cavity preparation was recorded according to Visual Analog Scale (VAS). The data were analyzed according to a statistical program.

RESULTS

In this study, a significant difference was found between the groups in terms of pain during anesthesia administration and the access cavity preparation (p<0.001). There were no significant differences in terms of gender and age (p>0.05). There was no significant difference between the groups in terms of oxygen saturation and pulse values before and after treatment (p>0.05).

CONCLUSION

Needle-free injection makes the treatment more comfortable for patients with injection fear and anxiety, making the procedure easier for the physician and the patient. (EEJ-2024-12-197).

摘要

目的

本研究旨在比较成人根管治疗期间无针注射系统(Comfort-In™)与标准针剂注射方法相关的疼痛感受。

方法

本研究纳入了44颗向大学申请治疗且需要进行牙髓治疗的上颌前磨牙。患者采用两种不同的注射方法进行麻醉,即无针注射和传统牙科注射。两组患者在麻醉前2分钟和麻醉后4分钟均每隔30秒记录一次血氧饱和度和脉搏测量值。根据视觉模拟量表(VAS)记录注射过程中和开髓预备时的疼痛情况。数据采用统计软件进行分析。

结果

本研究发现,两组在麻醉给药和开髓预备时的疼痛方面存在显著差异(p<0.001)。在性别和年龄方面无显著差异(p>0.05)。两组在治疗前后的血氧饱和度和脉搏值方面无显著差异(p>0.05)。

结论

无针注射使有注射恐惧和焦虑的患者在治疗过程中感觉更舒适,使医生和患者的操作都更简便。(EEJ-2024-12-197)

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