Comparing the onset of maxillary infiltration local anaesthesia and pain experience using the conventional technique vs. the Wand in children

Kandiah, Prem; Tahmassebi, J. F.

doi:10.1038/sj.bdj.2012.988

Cited by 31 publications

(38 citation statements)

References 4 publications

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“…Many computer anesthetic systems are marketed, of which much of the reported studies are on Wand ® , Quick Sleeper™, Sleeper One™, and Comfort Control Syringe™. [79101112131415161718] Wand ® has gained popularity; however, clinically the major disadvantages projected with this system are the time taken for LA administration and cost and complexity of the equipment. [10121316] Hence, the EJOA painless dental anesthetic system (designated as CCIS) was selected as an alternative to Wand ® , in the present study, because due to its cost-effectiveness and being user-friendly with reduced complexity.…”

Section: Discussionmentioning

confidence: 99%

“…[71011121617] However, the results are in contrast to the findings observed in other studies with no difference reported in the pain experienced on using these computer systems. [131425]…”

Section: Discussionmentioning

confidence: 99%

“…[9] On the other hand, the reported disadvantages with these systems are the cost, extra time taken for LA administration, space occupied by the equipment, and complexity of the equipment. [1213] Although these systems provide an array of options for the practitioners to manage the pain associated with dental procedures effectively, the dental community is slow in adopting this technology and is satisfied with the traditional methods due to the demerits of the system. However, the most important and challenging aspect for pediatric dentistry, the pain control, i.e., minimizing during dental treatment, is being ignored.…”

Section: Introductionmentioning

confidence: 99%

“…[791112131415161718] Gauge of the needle is reported to influence the pain of an injection;[1113] however, dissimilar needle gauges were selected in some of the studies reported till date,[71219] which can bias the results. Studies on various types of injections such as local infiltrations (including palatal pricks), nerve blocks, periodontal ligament (PDL), and intraosseous injections are available.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of a new auto-controlled injection system with traditional syringe for mandibular infiltrations in children: A randomized clinical trial

et al. 2017

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Background:Pain in the dental operatory can have a profound effect on the behavior of children.Aim:The aim of this study is to evaluate the pain perception while administering local infiltration, in children undergoing dental extractions, using a new auto-controlled injection system.Materials and Methods:Children in the age range of 6–10 years with teeth indicated for extraction were recruited and allocated to either Group I, computer-controlled injection system (auto system with special cartridge and compatible disposable 30-gauge, 10 mm needles), or Group II, traditional system (30-gauge, 10 mm needle and disposable traditional syringe). Local infiltration was administered and extraction performed after 3 min. The time of administration (TOA) of infiltrate was noted whereas anxiety and pain in both groups were assessed using the Modified Child Dental Anxiety Faces Scale simplified (MCDAS(f)), pulse rate, Faces Pain Scale-Revised (FPS-R), and Face, Legs, Activity, Cry, Consolability (FLACC) Scale.Results:The TOA was high in computer group, compared to the traditional system (P < 0.001***); however, anxiety and pain were significantly less in computer group as reported in MCDAS(f), pulse rate, FPS-R, and FLACC (P < 0.001***).Conclusions:Computer system created a positive and comfortable experience for the child, as well as the practitioner. The possibility of using buccal infiltration instead of inferior alveolar nerve block in children below 10 years was also demonstrated.

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Section: Discussionmentioning

confidence: 99%

“…[71011121617] However, the results are in contrast to the findings observed in other studies with no difference reported in the pain experienced on using these computer systems. [131425]…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Comparison of a new auto-controlled injection system with traditional syringe for mandibular infiltrations in children: A randomized clinical trial

et al. 2017

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“…This aspect could be particularly beneficial for patients suffering from systemic diseases that require peculiar treatment during local anesthesia. The increased comfort and better patient's acceptance during STA have been extensively documented on pediatric dentistry research (11)(12)(13)(14)(15). Several comparative studies between CLA and conventional injections have been conducted also in periodontology, endodontics, prosthetics, maxillofacial surgery and restorative dentistry (15)(16)(17)(18)(19).…”

Section: Effectiveness Of Computer-assisted Anesthetic Delivery Systementioning

confidence: 99%

Effectiveness of Computer-Assisted Anesthetic Delivery System (Sta�) in Dental Implant Surgery: A Prospective Study

Grassi

Rapone

Catanzaro³

et al. 2017

ORL

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SUMMARYObjectives. This prospective cohort study aimed to investigate effectiveness of Computerized Local Anesthesia (CLA) on oral implantology through estimation of pain and discomfort and total quantity of injected anesthetic. Methods. Forty-five consecutive patients whose treatment plan included immediate or late dental implants were included in this study. The main inclusion criteria comprised: previous implant intervention under conventional anesthesia (CA) during the past 3 years and no previous treatment of pain relief. All patients reported on a 0-10 scale on previous experience with CA, and new experience with CLA. The same CLA system, namely Single Tooth Anesthesia (STA) was used for all patients with half of the quantity normally used for CA. Data on quantity of anesthetic and reported ratings were collected and described. Potential associations and determinant variables were analysed through correlation analysis and regression models. Results. Out of 45 patients, 27 received post-extractive implant surgery whereas the rest 18 implant surgery on healed sites. The reported pain from STA (mean 1.6, SD 0.7) showed important difference as compared to CA (7.9, SD 1.2; z=5.873; p<0.0001). The comfort perceived during the STA ranged from 7 to 10 (mean 9.5, SD 0.79). A second injection with half of the initial dose was necessary in three cases only. Conclusions. STA system proved to be effective during interventions of dental implantology, by markedly reducing patients' pain and discomfort and the total quantity of necessary anesthetic.

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Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental treatment

Monteiro

Tanday

Ashley

et al. 2020

Cochrane Database of Systematic Reviews

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Comparing the onset of maxillary infiltration local anaesthesia and pain experience using the conventional technique vs. the Wand in children

Cited by 31 publications

References 4 publications

Comparison of a new auto-controlled injection system with traditional syringe for mandibular infiltrations in children: A randomized clinical trial

Comparison of a new auto-controlled injection system with traditional syringe for mandibular infiltrations in children: A randomized clinical trial

Effectiveness of Computer-Assisted Anesthetic Delivery System (Sta�) in Dental Implant Surgery: A Prospective Study

Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental treatment

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