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The influence of distinct techniques of local dental anesthesia in 9- to 12-year-old children: randomized clinical trial on pain and anxiety.

التفاصيل البيبلوغرافية
العنوان: The influence of distinct techniques of local dental anesthesia in 9- to 12-year-old children: randomized clinical trial on pain and anxiety.
المؤلفون: de Camargo Smolarek P; Dental PostGraduate Program, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Paraná, Ponta Grossa, Brazil., da Silva LS; Dental Undergraduate Program, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Paraná, Ponta Grossa, Brazil., Martins PRD; Dental Undergraduate Program, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Paraná, Ponta Grossa, Brazil., da Cruz Hartman K; Dental Undergraduate Program, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Paraná, Ponta Grossa, Brazil., Bortoluzzi MC; Dental PostGraduate Program, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Paraná, Ponta Grossa, Brazil., Chibinski ACR; Dental PostGraduate Program, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Paraná, Ponta Grossa, Brazil. anachibinski@hotmail.com.
المصدر: Clinical oral investigations [Clin Oral Investig] 2021 Jun; Vol. 25 (6), pp. 3831-3843. Date of Electronic Publication: 2021 Mar 14.
نوع المنشور: Journal Article; Randomized Controlled Trial
اللغة: English
بيانات الدورية: Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 9707115 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1436-3771 (Electronic) Linking ISSN: 14326981 NLM ISO Abbreviation: Clin Oral Investig
أسماء مطبوعة: Publication: Berlin : Springer-Verlag
Original Publication: Berlin : Springer, c1997-
مواضيع طبية MeSH: Anesthesia, Dental* , Anesthesia, Local*, Anesthetics, Local ; Anxiety ; Child ; Dental Anxiety/prevention & control ; Humans ; Pain
مستخلص: Objectives: To evaluate pain, disruptive behavior, and anxiety in children undergoing different local dental anesthetic techniques.
Methods: This randomized/parallel clinical trial analyzed three groups of patients (9-12 years old) (n = 35) who received infiltrative anesthesia using conventional (CA), vibrational (VBA), and computer-controlled techniques (CCLAD). The outcomes were pain self-perception (Wong-Baker Faces Pain Rating Scale (WBF); Numerical Ranting Scale (NRS)), disruptive behavior (Face, Legg, Activity, Crying, Consolability Scale (FLACC)), anxiety (Corah's Dental Anxiety Scale; modified Venham Picture test (VPTm)), and physiological parameters (systolic (SBP)/diastolic pressure (DBP); heart rate (HR); oxygen saturation (SpO2); respiratory rate (RR)). Statistical analysis was accomplished using Kruskall-Wallis test and ANOVA for repeated measures (α = 0.05).
Results: Dental anxiety levels at the baseline were similar for all patients. CA promoted less pain than VBA in WBF (p = 0.018) and NRS (p = 0.006) and CCLAD in WBF (p = 0.029). There were no differences in disruptive behavior (FLACC p = 0.573), anxiety (VPTm p = 0.474), blood pressure (SBP p = 0.954; DBP p = 0.899), heart rate (p = 0.726), oxygen saturation (p = 0.477), and respiratory rate (p = 0.930) between anesthetic techniques.
Conclusion: Conventional technique resulted in less pain perception for dental local anesthesia.
Clinical Relevance: Conventional technique reduces the self-reported pain in children 9-12 years old, and therefore, the use of additional devices or different anesthetic techniques is not justified.
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فهرسة مساهمة: Keywords: Anesthesia, Local; Pain Management; Pediatric Dentistry
المشرفين على المادة: 0 (Anesthetics, Local)
تواريخ الأحداث: Date Created: 20210314 Date Completed: 20210524 Latest Revision: 20210524
رمز التحديث: 20231215
DOI: 10.1007/s00784-020-03713-7
PMID: 33715064
قاعدة البيانات: MEDLINE
الوصف
تدمد:1436-3771
DOI:10.1007/s00784-020-03713-7