Behavioral response and pain perception to computer controlled local anesthetic delivery system and cartridge syringe

Kumar, TD Yogesh; John, Joseph; Asokan, Sharath; Priya, P R Geetha; Punithavathy, R; PrabuRajan, Vilvanathan

doi:10.4103/0970-4388.160394

Cited by 13 publications

(7 citation statements)

References 1 publication

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“…15 The available literature shows that the majority of previous studies conducted to compare the computer-controlled injection systems with conventional syringes for pain during injection showed results in favor of computer-controlled injection systems. 2,16,17 These results were contradicted in a study by Goodell et al, 19 where the conventional atraumatic syringe injection technique was found to be superior to a controlled injection pressure system in pain perception and procedure tolerance and in reducing post-injection dental anxiety. 18 The present study did not show any difference between the computercontrolled and self-aspirating syringe in the pain during injection.…”

Section: Discussionmentioning

confidence: 94%

“…The possible reason stated was the injection pressure with cartridge syringe, which is difficult to control. 16,17 Saloum et al 19 reported that injection with self-aspirating syringe was more painful than injection with computer-controlled devices. 19 The operator technique and tactile skill in syringe injections and site of injection (right or left) were the possible reasons for differences in pain perception in the study by Saloum et al Pain differed significantly between the conventional and CCLADS and between the conventional and selfaspirating syringe 24 hours after injection.…”

Section: Discussionmentioning

confidence: 99%

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Assessment of computer-controlled local anesthetic delivery system for pain control during restorative procedures: A randomized controlled trial

Saoji

Nainan

Nanjappa

et al. 2019

J Dent Res Dent Clin Dent Prospects

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Background. Local anesthesia is given to decrease pain perception during dental treatments, but it may itself be a reason for pain and aggravate the dental fear. Computer-controlled local anesthetic delivery system (CCLADS) is one of the alternatives for decreasing the patients’ pain during local anesthesia. This study compared the time required for the recovery from anesthesia, pain/discomfort during injection and pain/discomfort 24 hours after administering local anesthesia with CCLADS, a standard self-aspirating syringe and a conventional disposable 2-mL syringe. Methods. The study was conducted on 90 subjects (an age group of 20-40 years), who suffered from sensitivity during cavity preparation. They were randomly divided into three groups of 30 individuals each to receive intraligamentary anesthesia (2% lignocaine with 1:80,000 adrenaline) using either of the three techniques: CCLADS, a standard self-aspirating syringe, or a conventional disposable 2-mL syringe. The onset of anesthesia, time required for recovery from anesthesia (in minutes), pain/discomfort during injection and pain/discomfort 24 hours after administering local anesthesia were recorded. Results. The time required for the onset of anesthesia and recovery from anesthesia was shorter with CCLADS (4.83±2.31 and 34.2±1.895, respectively) as compared to the standard self-aspirating group (10.83±1.90 and 43.5±7.581, respectively) and the conventional group (11.00±2.03 and 43.5±6.453, respectively) (P<0.001). The patients in the CCLADS group experienced no pain during local anesthesia administration as compared to the patients in the self-aspirating and conventional groups. The CCLADS and self-aspirating groups showed lower pain response as compared to the conventional group for pain after 24 hours. Conclusion. CCLADS can be an effective and pain-free alternative to conventional local anesthetic procedures.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Assessment of computer-controlled local anesthetic delivery system for pain control during restorative procedures: A randomized controlled trial

Saoji

Nainan

Nanjappa

et al. 2019

J Dent Res Dent Clin Dent Prospects

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show abstract

“…Most of the released researches support the efficacy of using these delivery systems in reducing the pain of local anesthesia injection. [ 43 44 45 46 ]…”

Section: Resultsmentioning

confidence: 99%

A brief review on the efficacy of different possible and nonpharmacological techniques in eliminating discomfort of local anesthesia injection during dental procedures

et al. 2016

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Dental anxiety and fear of needle injection is one of the most common problems encountered by dental practitioners, especially in the pediatric patient. In consequences, it might affect the patient's quality of life. Several methods are suggested to lower the discomfort of local anesthesia injection during dental procedures. Desensitization of injection site is one of the recommended strategies. Among chemical anesthetic topical agents that are effective but might have allergic side effects, using some nonpharmacological and safe techniques might be useful. This study aimed to overview the efficacy of using cooling techniques, mostly by ice or popsicles, warming or pH buffering of drug, and using modern devices to diminish the discomfort of local anesthesia injection during dental procedures.

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“…The flow of injection is adjusted to, among others, tissue resistance so the patient does not feel the expansion of anesthetic solution. Both children and adult patients can benefit from the advantages of these devices [ 8 , 13 ]. Since the introduction of computer-controlled local anesthetic delivery systems, studies have compared its effectiveness to traditional methods of local anesthesia.…”

Section: Discussionmentioning

confidence: 99%

Computer-Controlled Local Anesthesia Complication: Surgical Retrieval of a Broken Dental Needle in Noncooperative Autistic Paediatric Patient

Chybicki

Lipczyńska-Lewandowska

Torbicka

et al. 2020

Case Reports in Dentistry

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The article describes an unusual case of retrieval of 8 mm fragment of a broken 30-gauge 21 mm dental needle in a 6 y.o. noncooperative autistic male patient. The needle of a computer-controlled local anesthesia device was broken during an attempt to administer local anesthetic, in order to perform conservative treatment of teeth 55 and 54 by a pedodontist. Despite the fact that the patient was under nitrous oxide sedation, an unexpected movement of the patient occurred and resulted in needle breakage. Due to the lack of patient cooperation, the surgical retrieval of a broken needle was performed under general anesthesia as part of one-day surgery procedures. The purpose of the article is to emphasize careful decision-making in proper choice of dental instruments during treatment of noncooperative paediatric patients even under sedation and to suggest dentists to carry out treatment of such patients under general anesthesia.

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Behavioral response and pain perception to computer controlled local anesthetic delivery system and cartridge syringe

Abstract: Usage of techniques which enhance behavioral response in children like injections with CCLAD can be considered as a possible step toward achieving a pain-free pediatric dental practice.

Cited by 13 publications

References 1 publication

Assessment of computer-controlled local anesthetic delivery system for pain control during restorative procedures: A randomized controlled trial

Assessment of computer-controlled local anesthetic delivery system for pain control during restorative procedures: A randomized controlled trial

A brief review on the efficacy of different possible and nonpharmacological techniques in eliminating discomfort of local anesthesia injection during dental procedures

Computer-Controlled Local Anesthesia Complication: Surgical Retrieval of a Broken Dental Needle in Noncooperative Autistic Paediatric Patient

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