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新型牙科麻醉剂和相关设备:范围审查
1Department of Oral Health, School of Clinical Sciences, Auckland University of Technology, Auckland, New Zealand.
Journal of dental anesthesia and pain medicine
|June 6, 2024
概括
新型牙科麻醉器件旨在减少注射疼痛. 计算机控制局部麻醉输送系统 (CCLAD) 是有前途的,特别是在沉积疼痛方面,而其他方法 (如骨内麻醉和振动装置) 的证据有限或不一致.
科学领域:
- 牙科麻醉学 牙科麻醉学
- 疼痛管理 疼痛管理
- 医疗器械技术 医疗器械技术
背景情况:
- 有效的疼痛管理对于牙科治疗成功和患者合作至关重要.
- 传统的局部牙科麻醉注射可以引起显著的疼痛和不适.
- 牙科麻醉的进步旨在改善患者的体验和遵从性.
研究的目的:
- 对新型牙科麻醉剂和减轻疼痛的设备进行范围审查.
- 提供关于牙科创新疼痛缓解技术的文献的全面概述.
- 分析不同局部麻醉输送系统的有效性.
主要方法:
- 根据乔安娜·布里格斯研究所和PRISMA-ScR指南进行范围审查.
- 搜索了六个数据库和两个灰色文学来源.
- 分析了1994年至2023年间发表的107个来源.
主要成果:
- 计算机控制局部麻醉输送 (CCLAD) 系统在针头插入疼痛方面显示出混合的结果,但在沉积疼痛方面是有效的,特别是在口腔注射中.
- 骨内麻醉 (IOA) 设备在有限的研究中显示出有效的缓解疼痛.
- 振动刺激装置的结果不一致,主要有利于针头插入,而电子牙科麻醉 (EDA) 尽管减少了不适,但应用性有限.
结论:
- 在牙科手术中,CCLAD系统似乎可以减少注射疼痛和不适.
- 对IOA,振动和EDA设备的有效性的证据有限且不一致.
- 为了改善患者护理,需要对创新的牙痛和焦虑减轻技术进行进一步的研究.
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