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Comparative Evaluation of Pain Perception with Conventional and Septoject XL Needle in 6-8-year-old Children: A
Sukhdeep Singh1, Dhirja Goel1, Neha Awasthi1
1Department of Pediatric and Preventive Dentistry, School of Dental Sciences, Sharda University, Greater Noida, Uttar Pradesh, India.
Insights
This study found no significant difference in pain perception between Septoject XL and conventional needles for dental injections in children aged 6-8. Both needle types offered comparable pain experiences during local anesthetic administration.
Area of Science:
- Pediatric Dentistry
- Pain Management
- Anesthesiology
Background:
- Assessing pain perception in pediatric dental patients is crucial for treatment acceptance.
- Needle design and gauge can influence patient discomfort during local anesthetic injections.
Purpose of the Study:
- To compare pain perception in 6-8-year-old children receiving local anesthetic injections with Septoject XL needles versus conventional needles.
- To evaluate the efficacy of Septoject XL needles in potentially reducing injection pain in pediatric patients.
Main Methods:
- A split-mouth, single-blind, randomized controlled trial was conducted with 24 children aged 6-8 years.
- Children received local anesthetic injections in different quadrants using either Septoject XL or conventional needles during separate visits.
- Pain was assessed using the objective Sound Eye Motor (SEM) scale and the subjective Wong-Baker Faces Rating Scale (FRS).
Main Results:
- No statistically significant difference was found in objective pain scores (SEM scale) between Septoject XL (3.3 ± 2.01) and conventional needles (3.8 ± 2.35) (p = 0.3).
- Subjective pain ratings (FRS) also showed no significant difference between the two needle types (p = 0.524).
- No significant age difference was observed between male and female participants (p = 0.873).
Conclusions:
- Septoject XL needles and conventional needles elicit similar levels of pain perception in 6-8-year-old children during local anesthetic administration.
- The findings suggest that needle choice may not be a primary factor in modulating injection pain in this age group.
Aims And Background:
To evaluate and compare pain perception with Septoject XL and conventional needles in 6-8 years old children.
Materials And Methods:
In this split-mouth randomized controlled trial, a single-blinded study, 24 children (6-8 years) were assigned at random to receive the local anesthetic (LA) injection for treatment needs either with Septoject XL or conventional needle for the first visit in one of the quadrants, while during the second visit in a different quadrant with the other one. Children's pain levels were assessed during each visit using an objective sound eye motor (SEM) scale and subjective Wong-Baker faces rating scale (FRS).
Results:
The mean objective score rating using SEM for the conventional needle (3.8 ± 2.35) and Septoject XL needle (3.3 ± 2.01) was not found to be statistically significant among the two study groups Septoject XL or conventional needle (Z score-0.996, p = 0.3). Using the Wilcoxon test, the mean subjective rating score was not found to be statistically significant among the two study groups [Z score = 0.636 and p-value = 0.524, nonsignificant (NS)]. In the gender-wise comparison of male (n =15), (6.8667 ± 91548) and female (n = 9), (6.8889 ± 1.05409), NS mean ages of male and female study participants was observed (p = 0.873).
Conclusion:
Statistically, NS difference was observed in the pain perception while administration of LA using Septoject XL or conventional needle in 6-8-year-old children.
Clinical Significance:
This research can be useful in the selection of the gauge of the needle to be used while planning the treatment for different behavior groups.
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