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Effect of Acupressure on Pain during Inferior Alveolar Nerve Block Injection in Children Aged 5-10 Years Old - An

Ayushi Shashikant Gurharikar1, Devendra Nagpal1, Prabhat Singh Yadav1

  • 1Department of Pediatric and Preventive Dentistry, VSPM'S Dental College and Research Centre, Nagpur, Maharashtra, India.

Journal of Acupuncture and Meridian Studies
|August 23, 2023
PubMed

Insights

Acupressure significantly reduced pain from dental injections in children aged 5-10. This noninvasive therapy, applied at the EX-HN1 point, offers a safe adjunct to standard pain management techniques.

Area of Science:

  • Pediatric Dentistry
  • Pain Management
  • Complementary Therapies

Background:

  • Acupressure, a noninvasive therapy related to acupuncture, is suitable for pediatric use.
  • Limited data exists on acupressure's efficacy for pain associated with local anesthetic injections in children.

Purpose of the Study:

  • To evaluate the effectiveness of acupressure in alleviating pain during local anesthetic injections in children.

Main Methods:

  • A randomized, double-blind, parallel-group study involved 37 children (5-10 years old) undergoing inferior alveolar nerve block (IANB) for mandibular extraction.
  • Participants were assigned to either an acupressure group or a control group.
  • Pain was assessed using the Wong-Baker FACES Pain Rating Scale (WBFPS) and the Sound, Eye, Motor (SEM) scale.

Main Results:

  • Significant differences in both objective and subjective pain assessments were observed between the groups.
  • The acupressure group reported and exhibited lower pain scores during the injection compared to the control group.

Conclusions:

  • Acupressure applied at the extra one point (EX-HN1) effectively reduces pain during IANB injections in 5- to 10-year-olds.
  • Acupressure can serve as a valuable adjunct to conventional pain relief methods, such as topical anesthesia, for pediatric dental procedures.
Abstract

Keywords:
AcupressureEX-HN1IANBPain assessment scalePain on injectionPhysiologic pain assessment

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