دورية أكاديمية
The influence of distinct techniques of local dental anesthesia in 9- to 12-year-old children: randomized clinical trial on pain and anxiety.
العنوان: | The influence of distinct techniques of local dental anesthesia in 9- to 12-year-old children: randomized clinical trial on pain and anxiety. |
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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 |
تدمد: | 1436-3771 |
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DOI: | 10.1007/s00784-020-03713-7 |