Insulin Syringe: A Gimmick in Pediatric Dentistry

Abstract

Aim:The management of pain and anxiety in dentistry encompasses a number of procedural issues, including the delivery of anesthetic solution. One of the most important ways to manage the behavior of children is pain control. Trypanophobia is very common among dental patients and the most important goal of guidelines on behavior guidance for pediatric dental patient is to ease fear and anxiety in dental procedures in children. For the stated reasons, the purpose of the present study was to record child's pain sensation both objectively and subjectively while receiving dental local anesthesia using conventional syringes and diabetic needles. Materials and methods:Twenty children of age group 6 to 12 years undergoing routine dental procedures participated in the study. Every child acted as one's own control, while receiving treatment on the opposite side of the same arch. Each patient was randomly assigned to receive the injection either with conventional syringe or diabetic needle for the first visit, while the injection with the other needle was administered during the second visit. Rating scales were used for objective and subjective evaluations.Results: Statistical analysis of the measurements were made using Wilcoxon signed U test and Mann-Whitney U test which showed the mean sound, eye, motor (SEM) score difference using insulin syringe. The outcome was statistically significant when compared using the mean ranks between male and female patients with that of control group. Conclusion:It can be concluded that diabetic syringes exhibit clinical advantage and its use in pediatric dentistry for local anesthetics (LA) infiltration can prove beneficial.

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

“…In the current study there was no significant difference in pain perceived by male and female patients. This was the same in the study by Kaur et al 7 and Janani and Kumar 15 where no significant differences were found between pain scores for men and women receiving dental anesthesia. However another study shows that gender has an important role to play in pain perception with women more likely to experience more pain with the same stimulus than men 16 .…”

“…Recent literature shows a comparison of 30 gauge needles (ultrashort disposable insulin syringes) with conventional needles (27 G, 26 G) in pediatric patients. In 2017 Kaur et al 7 reported a significantly lower pain score with use of a 30 G disposable syringe. Same was observed by Alexander et al 6 .…”

“…Same was observed by Alexander et al 6 . Ghasemi 13 reported a significant difference in pain perceived by patients undergoing intraoral local anesthesia using 30 G needles when compared to 27 G. The studies by Kaur et al 7 , Alexander et al 6 and Ghasemi 13 were however carried out on pediatric patients. A study by Puri 14 in 2018 also gave better pain scores with a 30 G superfine needle when used to administer the greater palatine and nasopalatine block but attributed this to syringe design rather than gauge difference.…”

“…Needle gauge has been under debate since a long time, and continues to be a cause of conflicting opinions and preferences among clinicians. While some authors suggest that using a larger needle gauge has significantly lower pain scales 6,7 in different areas of the oral cavity, there is equally strong evidence that suggests that needle gauge has no impact on pain perception 8 .…”

Çocuk Hastalarda Lokal Anestezi̇ Uygulamasinda Kullanilan Güncel Tekni̇kler

“…Wand ve geleneksel enjeksiyon tekniklerinin karşılaştırıldığı bir başka çalışmada ise 21 , yaş ortalaması 14,8 (12,(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)8) olan 17'si kız (%61) 28 hastanın ağrı değerlendirilmesinde görsel analog skalası kullanılarak, Wand'ın daha az kaygıya neden olduğu belirlenmiştir. 2018 yılında Libonati ve ark.…”