Intraosseous anaesthesia in children with 4 % articaine and epinephrine 1:400,000 using computer-assisted systems

Sixou, Jean-Louis; Marie-Cousin, A.

doi:10.1007/s40368-015-0197-5

Cited by 15 publications

(7 citation statements)

References 23 publications

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“…Previous papers about studies performed in children and adults using computer‐controlled needle rotation and injection suggested that IOA could be selected instead of CIA because the anaesthetic agent is injected directly in the cancellous bone close to the tooth needing to be anaesthetized, even for hot teeth such as MIH teeth . Although the difference in pain scores between IOA and CIA was statistically significant, it corresponded to less than one unit on the VAS, which limits its clinical relevance.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of intraosseous computerized injection system (QuickSleeper™) vs conventional infiltration anaesthesia in paediatric oral health care: A multicentre, single‐blind, combined split‐mouth and parallel‐arm randomized controlled trial

Smaïl-Faugeron

Muller‐Bolla

Sixou

et al. 2019

Int J Paed Dentistry

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Background Conventional infiltration anaesthesia (CIA) is the most frequently used in paediatric oral health care. However, other techniques are available, such as intraosseous anaesthesia (IOA), that can beneficiate from newly developed technologies. Aim To compare the pain caused by CIA and IOA delivered by the computerized system (QuickSleeper™) in children. Design We used an innovative design consisting in simultaneously conducting a multicentre split‐mouth and parallel‐arm randomized controlled trial (RCT) to allow for increased power. The primary outcome was pain reported by the patient on a visual analogue scale (0‐10 cm) concerning the insertion of the needle and injection. Results A total of 30 children were included in the split‐mouth RCT and 128 in the parallel‐arm RCT. We combined treatment effect estimates by using an inverse‐variance weighting meta‐analysis approach. Pain scores were significantly decreased with IOA vs CIA (mean difference −0.69 cm, 95% confidence intervals −1.13 to −0.25 cm). For each patient enrolled in the split‐mouth RCT, about five were enrolled in the parallel‐arm RCT, which allowed for not losing any eligible patients. Conclusion Pain during the insertion of the needle and injection was less with IOA vs CIA in children. The design of this study allowed for increasing statistical power and using all generated evidence. (ClinicalTrials.gov NCT02084433).

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Section: Discussionmentioning

confidence: 99%

Evaluation of intraosseous computerized injection system (QuickSleeper™) vs conventional infiltration anaesthesia in paediatric oral health care: A multicentre, single‐blind, combined split‐mouth and parallel‐arm randomized controlled trial

Smaïl-Faugeron

Muller‐Bolla

Sixou

et al. 2019

Int J Paed Dentistry

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“…To lessen the pain of the anesthetic effect's injection, anesthesia is administered using this approach at a steady velocity and pressure [42]. It consists of a handpiece and a control box; by depressing the pedal, signals are transmitted through Bluetooth to the main control box.…”

Section: Quicksleepermentioning

confidence: 99%

Recent Advances in Local Anesthesia: A Review of Literature

Patel¹,

Surana²,

Patel³

2023

Cureus

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Even if local anesthetic is still the mainstay of pain management in dentistry, research will keep striving for novel and effective pain management techniques. The majority of research efforts are focused on improving anesthetic medications, delivery systems, and related methods. There are more recent technologies available that can assist the dentist in providing better pain relief with fewer unpleasant injections and fewer negative adverse effects. The purpose of the current review of the literature is to compile evidence that will convince dentists to employ modern local anesthetics, as well as other methods and techniques to reduce patient discomfort while administering anesthesia.

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“…В отечественной стоматологии традиционно выделяют проводниковую анестезию (ориентированную на дентальное сплетение и нервные стволы) и, в противовес ей, инфильтрационную, или, точнее, супрапериостальную (ориентированную на нервные окончания), дополняя классификацию альтернативными/вспомогательными техниками с анатомическими названиями -внутрикостной/транскортикальной 6 , интралигаментарной, интрасептальной (часто эти четыре техники объединяют термином «внутрикостные»), внутрипульпарной [1], а также интрапапиллярной [10]. В последние годы предложено 6 Внутрикостная анестезия здесь не будет описана подробно, так как ее классический вариант в практике не востребуется, а компьютеризированные системы для внутрикостной анестезии малодоступны; в детской стоматологии описан положительный опыт применения последних в двух пилотных исследованиях: получен высокий эффект анестезии пульпы постоянных и временных моляров нижней челюсти малым объемом артикаина 4% (до 0,9 мл) с А в высоком разведении (1:400 000) [27]; доказана эффективность технологии при лечении нижнечелюстных постоянных моляров с гипоминерализацией (MIH) [29].…”

Section: техники/виды инъекционной анестезии с применением иглы для л...unclassified

Local Anesthesia in Outpatient Dental Therapeutic Care for Children. Part II

Попруженко¹,

Быкова²

2022

Стоматология. Эстетика. Инновации

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В статье изложены современные представления о возможностях эффективного и безопасного контроля боли во время лечения зубов. Сделан акцент на особенностях выбора метода анальгезирующего пособия, лекарственных средств и оснащения, выполнения местной анестезии различными методами, а также на организационных и психологических аспектах применения местной анестезии на детском терапевтическом приеме. В первой части обсуждаются механизмы боли и анальгезии, доступные стратегии анальгезии, полезные и нежелательные реакции на лекарственные средства для местной анестезии, во второй части – технологические и организационные аспекты применения местной анестезии в полости рта. The article outlines the modern ideas about the possibilities of effective and safe pain control during dental treatment. Emphasis is placed on the features of the choice of the method of analgesic aids, medicines and equipment, the implementation of local anesthesia by various methods, as well as on the organizational and psychological aspects of the use of local anesthesia in children’s therapeutic dental treatment. In the first part, the authors describe the mechanisms of pain and analgesia, available analgesic strategies, and beneficial and adverse reactions to drugs for local anesthesia, in the second part, the technological and organizational aspects of the practice of local anesthesia in the oral cavity are discussed.

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Intraosseous anaesthesia in children with 4 % articaine and epinephrine 1:400,000 using computer-assisted systems

Cited by 15 publications

References 23 publications

Evaluation of intraosseous computerized injection system (QuickSleeper™) vs conventional infiltration anaesthesia in paediatric oral health care: A multicentre, single‐blind, combined split‐mouth and parallel‐arm randomized controlled trial

Evaluation of intraosseous computerized injection system (QuickSleeper™) vs conventional infiltration anaesthesia in paediatric oral health care: A multicentre, single‐blind, combined split‐mouth and parallel‐arm randomized controlled trial

Recent Advances in Local Anesthesia: A Review of Literature

Local Anesthesia in Outpatient Dental Therapeutic Care for Children. Part II

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