Effect of Pre-Cooling the Injection Site on Pain Perception in Paediatric Dentistry

Islam, Shahid; Rashid, Saqib; Shaikh, Abubakar A.; Ali, Muhammad; Hosein, Tasleem; Askary, Syed Hussain

doi:10.51253/pafmj.v71i1.2834

Cited by 7 publications

(5 citation statements)

References 17 publications

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“…The VAS facial expressions were shown to children prior to anesthetic injection for the purpose of acquaintance. 33 The MBPS as a behavioral scale assesses three behaviors of facial expression, cry, and body movements. 34 Immediately after the injection of the anesthetic agent, the children were requested to pick one of the VAS facial expressions that best described the level of pain they experienced during the anesthetic injection (Figure 1).…”

Section: Outcome Variables and Clinical Measurementmentioning

confidence: 99%

Effect of Photobiomodulation Therapy With an 810-nm Diode Laser on Pain Perception Associated With Dental Injections in Children: A Double-Blind Randomized Controlled Clinical Trial

Seraj,

Bavaghar,

Hakimiha

et al. 2023

J Lasers Med Sci

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Introduction: This study investigated the photobiomodulation effect of an 810-nm diode laser in adjunction with topical anesthesia on pain perception during infiltration anesthesia of primary maxillary molars in children. Methods: This double-blind randomized controlled clinical trial was conducted on 64 children (aged 5-9 years) requiring extraction or stainless steel crown for their primary maxillary molars. The patients were randomly allocated into two groups (n=32) of laser and control. In the laser group, the injection site (buccal and palatal mucosa) was irradiated with an 810-nm laser (200 mW, 5.2 J/cm2 ) after 20% benzocaine topical anesthetic application, while the control group received a placebo laser following topical anesthesia. The pain intensity experienced by children during needle insertion into the buccal and palatal mucosa was determined using a visual analog scale (VAS) and modified behavioral pain scale (MBPS). Results: According to the results of the VAS and MBPS, no significant difference was detected in pain scores between the laser and control groups neither in the buccal nor in the palatal mucosa (P>0.05). Conclusions: Photobiomodulation therapy with an 810-nm laser with the current setting adjunct to topical anesthesia did not promote significant additional effects on the pain intensity.

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Section: Outcome Variables and Clinical Measurementmentioning

confidence: 99%

Effect of Photobiomodulation Therapy With an 810-nm Diode Laser on Pain Perception Associated With Dental Injections in Children: A Double-Blind Randomized Controlled Clinical Trial

Seraj,

Bavaghar,

Hakimiha

et al. 2023

J Lasers Med Sci

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show abstract

“…Both before and after therapy, patients assessed their fatigue levels using the Borg Rating of Perceived Exertion Scale, the Visual Analogue Scale (VAS), and the modified Medical Research Council (mMRC) dyspnea scale [24][25][26]. Importantly, previous studies have confirmed the effectiveness of using these scales in children [27][28][29].…”

Section: Rating Scales For Dyspnea and Fatiguementioning

confidence: 99%

Effectiveness of Autogenic Drainage in Improving Pulmonary Function in Patients with Cystic Fibrosis

Żak¹,

Gauchez²,

Boberski

et al. 2023

IJERPH

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The use of autogenic drainage (AD) in patients with cystic fibrosis (CF) has been officially approved; therefore, the purpose of this study was to compare the efficiency of the leading therapeutic techniques based on AD in patients with CF; Among patients with CF assessments were made of spirometric parameters, percent blood oxygen saturation, and the general feeling of the patients (Borg, VAS, and mMRC dyspnea scale) before and after therapy using AD, using AD in connection with a belt or a Simeox device and AD in combination with both a belt and Simeox device simultaneously. The best therapeutic effects were generated by the combination of AD with the belt and with the Simeox device. The greatest improvements were observed for FEV1, FVC, PEF, FET, saturation, and patient comfort. In patients <10.5 years of age, the increase in the level of FEV3 and FEV6 was significant in comparison to older patients. Due to their efficacy, therapies connected with AD should be applied not only in hospital departments but also during daily patient care. Given the particular benefits observed in patients <10.5 years of age, it is important to guarantee real accessibility to this form of physiotherapy, especially in this age group.

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“…literature has shown encouraging results of cooling tissue before procedure. 7 Some dental studies also used this cooling technique to evaluate its efficacy in reducing the pain of local anesthesia injection administration. Harbert et al in 1989 evaluated that precooling of palatal area before injection reduced pain perception… Kosaraju et al compared refrigerant and two minutes application of topical anesthesia gel (20% benzocaine gel) in the posterior palatal area before injection.…”

Section: Introductionmentioning

confidence: 99%

Effect of pre-cooling injection site along with topical 20% Benzocaine on pain perception in pediatric dentistry: “A randomized clinical trial”.

Rabia Zafar,

Muhammad Athar Khan,

Basil Khalid

et al. 2023

TPMJ

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Objective: To evaluate the effect of pre-cooling the soft tissue of injection sites along with topical 20 Benzocaine on the pain perception of pediatric patients. Study Design: Randomized Clinical Trial. Setting: Department of Pediatric, Ibn-e-Sina Hospital. Period: September 2021 to January 2022. Material & Methods: The study participants were divided into two groups by using lottery method, each group consisting of 40 participants. The first group was given local anesthetic gel and ice applied at site for two minutes before infiltration at the site of injection and the second group was given plain 20% benzocaine at site of injection before giving injection (control group). Pain response assessed by SEM (sound, eye, motor). Results: The present study group (topical anesthesia gel with ice + infiltration) had 40 children 23 boys and 17 girls with mean age 6.3 years and control group (plain topical anesthesia + infiltration) 40 children 21 boys and 19 girls with mean age 6.6 years. No statistically significant difference was found between the two groups in univariate analysis and multivariate analysis showed significant difference between two groups. No adverse events were reported in both groups. Conclusion: Topical anesthetic gel along with ice is more effective in reducing pain experience during local anesthetic injection administration during dental procedures.

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Effect of Pre-Cooling the Injection Site on Pain Perception in Paediatric Dentistry

Cited by 7 publications

References 17 publications

Effect of Photobiomodulation Therapy With an 810-nm Diode Laser on Pain Perception Associated With Dental Injections in Children: A Double-Blind Randomized Controlled Clinical Trial

Effect of Photobiomodulation Therapy With an 810-nm Diode Laser on Pain Perception Associated With Dental Injections in Children: A Double-Blind Randomized Controlled Clinical Trial

Effectiveness of Autogenic Drainage in Improving Pulmonary Function in Patients with Cystic Fibrosis

Effect of pre-cooling injection site along with topical 20% Benzocaine on pain perception in pediatric dentistry: “A randomized clinical trial”.

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