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Pain management during needle insertion with low level laser.
F Ghaderi1, R Ghaderi2, M Davarmanesh3
1Associate Professor, Department of Pediatric Dentistry Shiraz University of Medical Science, Shiraz, Iran.
European Journal of Paediatric Dentistry
|July 6, 2016
Summary
Combining low-power laser therapy with benzocaine topical anesthetic did not reduce pain during dental needle insertion. This study found no significant benefit for this combined approach in managing injection pain.
Area of Science:
- Dentistry
- Pain Management
- Laser Therapy
Background:
- Needle insertion pain is a significant concern in dental procedures.
- Low-energy laser therapy has shown potential for local anesthesia with lidocaine.
- Limited data exists on combining laser therapy with benzocaine for needle pain reduction.
Purpose of the Study:
- To evaluate the efficacy of combining low-power laser therapy with benzocaine topical anesthetic in reducing pain during dental needle insertion.
- To compare the pain perception of combined laser and benzocaine treatment versus benzocaine alone.
Main Methods:
- A prospective single-blind clinical trial involving 66 dental students.
- Subjects received either topical anesthetic (control) or topical anesthetic plus low-power laser (experimental) before needle insertion.
- Pain was assessed using the Visual Analogue Scale (VAS).
Main Results:
- The experimental group (laser + benzocaine) reported a mean VAS score of 21, while the control group (benzocaine alone) reported 19.
- A statistically significant higher VAS score was observed in the experimental group.
- The difference in pain scores was not considered clinically significant.
Conclusions:
- Simultaneous application of low-power laser with benzocaine topical anesthetic does not reduce pain perception during dental needle insertion.
- This combined approach is not effective in managing pain associated with buccal mucosa injections.
- Further research may be needed to explore alternative pain management strategies.

