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Comparative Assessment of Perceived Pain in Children During Palatal Anesthesia Using Two Injection Techniques: An In

Anand N Patil1, Sandeep Saurabh2, Prakhar Pragya3

  • 1Department of Pediatric and Preventive Dentistry, Nanded Rural Dental College and Research Centre, Nanded, Maharashtra, India.

Journal of Pharmacy & Bioallied Sciences
|September 16, 2022
PubMed

Insights

The Wand technique for palatal anesthesia in children showed similar pain scores to the conventional method, though females reported less pain overall. This computer-controlled local anesthetic delivery (CCLAD) offers a promising approach for pediatric dental procedures.

Area of Science:

  • Pediatric Dentistry
  • Anesthesiology
  • Pain Management

Background:

  • Computer-controlled local anesthetic delivery (CCLAD) utilizes a constant, slow flow of anesthetic solution to minimize pain and discomfort in children.
  • Palatal anesthesia is often associated with significant discomfort, necessitating effective pain management strategies.

Purpose of the Study:

  • To compare the perceived pain intensity in children during palatal anesthesia administration using the Wand technique versus the conventional technique.
  • To evaluate the efficacy of the Wand technique in alleviating pain during dental procedures in pediatric patients.

Main Methods:

  • A split-half study design included 30 children requiring bilateral palatal anesthesia.
  • Pain intensity was assessed using a visual analog scale (VAS) after anesthesia delivery via the Wand technique and the conventional method.
  • Data were analyzed using the Mann-Whitney U test with statistical significance set at P < 0.05.

Main Results:

  • Mean VAS scores were comparable between the Wand technique (3.87 ± 1.99) and the conventional technique (4.20 ± 1.44), with no statistically significant difference (P = 0.332).
  • Females reported significantly lower VAS scores than males (P = 0.008).

Conclusions:

  • While no substantial difference in pain was observed between the two techniques, females showed a preference for the Wand technique.
  • The findings suggest that CCLAD techniques, like the Wand, may offer comparable or improved patient comfort in pediatric palatal anesthesia.
Abstract

Keywords:
AnesthesiaCCLADWandlocal anesthesiapainpalatal anesthesiapediatric dentistryvisual analog scale

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