Comparison of Pain Perceived by Patients Undergoing Intra Oral Local Anesthesia Using Different Needle Gauges

Abstract

Objective: To compare the difference in pain perceived by patients undergoing intra-oral local anesthesia withdifferent gauge needles.
 Study Design: Qausi experimental study.
 Place and Duration of Study: Oral and Maxillofacial surgery department of Institute of Dentistry, CombinedMilitary Hospital, Lahore Medical College, Lahore, from July 2019 to August 2019.
 Methodology: One hundred patients were selected by consecutive sampling from the oral surgery OPD clinic.They were divided into two groups A and B randomly. Twenty three gauge needle on a 3cc disposable syringewas used for inferior alveolar nerve block and buccal nerve block for group A and 27 gauge needle on a metaldental syringe was used for the same in group B. Patients gave a verbal pain score, from 0-10 for each injection.
 Results: One Hundred participants were included in study, 37 (37%) males and 63 (63%) females. Mean painscore for group A for the inferior alveolar nerve block was 4.50 ± 2.1 and group B was 3.86 ± 2. The mean painscore for the buccal nerve block in group A was 4.02 ± 1.7, while that of group B was 3.94 ± 1.8. There was nosignificant difference (p=0.167 & 0.855) in pain perceived by patients undergoing intra oral local anesthesia using needles of different gauges.
 Conclusion: There is no difference in pain perceived by patients undergoing intra oral local anesthesia usingneedles of different gauges.

The feasibility of needleless jet injection versus conventional needle local anesthesia during dental procedures: a systematic review

“…Several techniques have been developed to administer painless anesthesia and address this problem, such as topical anesthetic gel or injection site pre-cooling, using vibration or pressure at the injection site, using slower injections with computer-controlled anesthesia delivery systems, and needleless jet injections 2 . Jet injections can be used in dental clinics as a less invasive approach to deliver dental anesthesia with significantly reduced pain for the patient.…”

“…The idea of receiving an injection is fear-inducing for many individuals, both children and adults. Although such fears are outside the control of dentists, some treatment aspects can be modified to increase patient comfort 2 .…”