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Comparison of computer controlled local anesthetic delivery and traditional injection regarding disruptive behaviour,

Özge Anil1, Gül Keskin2

  • 1Department of Pedodontics, Gaziantep University, Faculty of Dentistry, 27560 Gaziantep, Turkey.

The Journal of Clinical Pediatric Dentistry
|January 19, 2024
PubMed

Insights

Computer-controlled local analgesic delivery (CCLAD) significantly reduced pain and anxiety in children compared to traditional injections. This method is recommended for pediatric patients undergoing dental procedures.

Area of Science:

  • Pediatric Dentistry
  • Anesthesiology
  • Pain Management

Background:

  • Infiltrative anesthesia administration methods can influence patient comfort and anxiety levels.
  • Assessing pain and anxiety in children requires multi-modal approaches, including psychometric, physiological, and biochemical indicators.

Purpose of the Study:

  • To compare the efficacy of computer-controlled local analgesic delivery (CCLAD) versus traditional injection methods in reducing pain and anxiety in pediatric patients.
  • To evaluate the impact of different anesthesia delivery methods on physiological and biochemical markers of stress.

Main Methods:

  • A study involving 60 children aged 7-11 years, divided into a control group (traditional injection) and a study group (CCLAD).
  • Pain and anxiety were measured using the Visual Analogue Scale (VAS), Wong-Baker Faces Rating Pain Scale (WBS), Modified Child Dental Anxiety Scale (MCDAS), and Face, Leg, Activity, Cry, Consolability (FLACC) scale.
  • Physiological (pulse, SpO2) and biochemical (salivary cortisol) parameters were monitored.

Main Results:

  • While SpO2 levels did not differ significantly between groups, the control group showed increased pulse, VAS, WBS, MCDAS, FLACC scores, and salivary cortisol post-anesthesia.
  • The CCLAD group demonstrated decreased WBS, MCDAS, FLACC scores, and salivary cortisol levels compared to the control group (p < 0.05).

Conclusions:

  • Computer-controlled local analgesic delivery (CCLAD) is a superior method for managing pain and anxiety in pediatric dental patients.
  • CCLAD offers a more comfortable and less stressful alternative to traditional injections for infiltrative anesthesia in children.

Keywords:
AnxietyDental anesthesiaPainPediatric dentistry

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