Evaluating the Impact of Acupressure and Xylitol Solutions on Reducing Pain Perception in Children Undergoing Local...

Area of Science:

• Pediatric Dentistry
• Pain Management
• Acupressure Therapy

Background:

• Local anesthesia (LA) administration in children can cause significant pain and anxiety.
• Effective pain management strategies are crucial for positive pediatric dental experiences.
• Non-pharmacological interventions are increasingly explored to complement traditional methods.

Purpose of the Study:

• To compare the efficacy of acupressure using the Aculief device versus xylitol solution in reducing pain perception during LA in children aged 6-9 years.
• To evaluate the impact of these interventions on physiological responses, including pulse rate and SpO2.

Main Methods:

• A randomized, parallel-group study involving 54 children (aged 6-9 years).
• Participants were allocated to either the Aculief (LI4 acupoint stimulation) or xylitol (30% solution) group.
• Pain perception was assessed using the Wong-Baker Faces Pain Rating Scale; pulse rate and SpO2 were measured pre- and post-intervention.

Main Results:

• The Aculief group showed significant reductions in pulse rate, respiratory rate, and pain scores.
• The xylitol group demonstrated a significant reduction in pain scores only.
• Intergroup analysis indicated significant differences favoring acupressure in pulse rate, SpO2, and pain scores.

Conclusions:

• Acupressure with the Aculief device appears more effective than xylitol solution in managing pain and physiological distress during LA administration in pediatric dental patients.
• The findings suggest acupressure as a valuable non-pharmacological adjunct for pain control in pediatric dentistry.
• Further research can explore long-term effects and broader applications of acupressure in pediatric care.