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Updated: Aug 12, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
Published on: January 27, 2010
Effect of injection site pre-cooling on pain perception in patients attending a dental camp at Life Line Express: a
Upendra Singh Bhadauria1, Pralhad L Dasar1, N Sandesh1
1Department of Public Health Dentistry, Sri Aurobindo College of Dentistry, Indore, India.
Background And Aim:
To determine the effect of pre-cooling injection site on pain perception in patients attending a dental camp at lifeline express, Habibganj.
Methods:
A split mouth interventional study assessed the effect of pre cooling the injection site in patients (n=33) requiring bilateral buccal infiltration prior to extraction. One side of the patient's mouth received the intervention after the injection site was pre cooled with ice for 3 minutes along with topical Lidocaine, while the other mouth side of the same patient received only topical Lidocaine and served as control group. A structured proforma assessed the demographic characteristics and risk factors that influence pain perception in patients. Mann-Whitney U tests and Wicoxon rank sum test were used for statistical analysis. Statistical significance was defined at P<0.05.
Results:
The results revealed a significant difference in pain perception between control and intervention group as assessed using both Heft-Parker Visual Analog Scale (median score 3.0 and 1.0) and Sound Eye Motor scale (median score=1.0 and 0.0) (P<0.01). For both the scales the assessed and self reported variables Gender, Location, Chief Complaint, Region and Arch were found to be statistically significant.
Conclusion:
Pre cooling injection site reduced pain perception in patients.

