Related Experiment Video

Updated: Jun 16, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
14:56

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP

Published on: January 27, 2010

21.4K

Intercomparison of Efficacy of Transcutaneous Electrical Nerve Stimulation and Precooling Vibration Device on Pain

Kopal Singh1, Pulkit Jhingan1, Shivani Mathur1

  • 1Department of Pediatric and Preventive Dentistry, I.T.S - Centre for Dental Studies and Research, Ghaziabad, Uttar Pradesh, India.

International Journal of Clinical Pediatric Dentistry
|August 15, 2024
PubMed

Insights

Transcutaneous electrical nerve stimulation (TENS) and a vibrational precooling system effectively reduce pain and anxiety during local anesthesia in children. Both methods offer significant pain relief compared to conventional techniques, enhancing patient comfort.

Area of Science:

  • Pediatric Dentistry
  • Pain Management
  • Anesthesia

Background:

  • Local anesthesia administration in children can cause significant pain and anxiety.
  • Effective pain and anxiety management strategies are crucial for pediatric dental procedures.
  • Non-pharmacological methods are increasingly explored to improve patient experience.

Purpose of the Study:

  • To compare the efficacy of transcutaneous electrical nerve stimulation (TENS) and a vibrational precooling system in reducing pain and anxiety during local anesthesia in children aged 6-12 years.
  • To evaluate the effectiveness of these interventions against a conventional method.

Main Methods:

  • A randomized controlled trial involving 60 children aged 6-12 years, allocated to three groups: conventional, vibrational precooling, and TENS.
  • Anxiety assessed using the Modified Dental Anxiety Scale (MDAS), pulse rate, and oxygen saturation.
  • Pain measured during the procedure using Sound, Motor, Eyes (SEM) and Face, Legs, Activity, Cry, Consolability (FLACC) scores, along with pulse rate, oxygen saturation, and post-procedure discomfort via Visual Analog Scale (VAS).

Main Results:

  • Both vibrational precooling and TENS significantly reduced pain, as indicated by lower FLACC scores compared to the conventional group.
  • SEM scores were significantly lower in both intervention groups versus the conventional group, with the highest scores in the conventional group.
  • Children reported higher comfort levels with the vibrational precooling system, as measured by VAS.

Conclusions:

  • The vibrational precooling system and TENS are effective in alleviating pain during local anesthesia administration in children.
  • These non-pharmacological interventions offer a viable alternative for pain management in pediatric dental settings.
  • Further research may explore combined approaches for enhanced efficacy.
Abstract

Keywords:
Behavior managementPain managementPrecooling vibration deviceTranscutaneous electrical nerve stimulation

More Related Videos

Author Spotlight: Exploring the Effects of Transauricular Vagus Nerve Stimulation04:59

Author Spotlight: Exploring the Effects of Transauricular Vagus Nerve Stimulation

Published on: January 19, 2024

2.1K
Laboratory Administration of Transcutaneous Auricular Vagus Nerve Stimulation taVNS: Technique, Targeting, and Considerations06:31

Laboratory Administration of Transcutaneous Auricular Vagus Nerve Stimulation taVNS: Technique, Targeting, and Considerations

Published on: January 7, 2019

38.5K

Related Concept Videos

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia01:16

Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia

Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
381
Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
423
Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
594