Intrapocket topical anesthetic versus injected anesthetic for pain control during scaling and root planing in adult patients

Wambier, Letícia Maíra; Geus, Juliana Larocca de; Boing, Thaynara Faelly; Chibinski, Ana Cláudia Rodrigues; Wambier, Denise Stadler; Rêgo, Rodrigo Otávio; Loguércio, Alessandro Dourado; Reis, Alessandra

doi:10.1016/j.adaj.2017.06.019

Cited by 14 publications

(6 citation statements)

References 33 publications

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“…Although adequate anesthesia is imperative for pain control in clinical dentistry, it is the most common trigger for dental pain and anxiety in children [9,10]. Using topical anesthesia instead of infiltration anesthesia for SSC tooth preparation can avoid needle-related pain and anxiety [11]. Topical anesthetics have been used in clinical dentistry for minor dental procedures such as orthodontic separator placement, mini-implant placement, rubber dam clamp placement, and scaling and root planing, which can evoke pain in the absence of anesthesia.…”

Section: Introductionmentioning

confidence: 99%

Topical anesthesia for stainless steel crown tooth preparation in primary molars: a pilot study

Padminee

Hemalatha

Shankar

et al. 2020

J Dent Anesth Pain Med

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Background: Placement of full-coverage restorations such as stainless steel crowns (SSCs) for pulpectomy treated primary molars is essential for successful outcomes. The tooth preparation process for SSCs can cause discomfort to gingival tissues since the crown should be seated 1 mm subgingivally. The purpose of this prospective trial was to compare the effectiveness of subgingival and transmucosal application of topical anesthetics on dental pain during SSC tooth preparation among 6-to 8-year-old children. Methods: A consecutive sample of 27 children, aged 6-8 years, who required an SSC after pulp therapy in primary molars were randomly divided into three groups. Group A received infiltration anesthesia before tooth preparation for SSC placement, whereas in Group B and C, only topical anesthesia was applied subgingivally and transmucosally. Wong-Bakers Faces pain rating scale (WBFPS) scores were recorded after tooth preparation. Faces, Legs, Activity, Cry and Consolability (FLACC) scores were evaluated by two blinded and calibrated investigators through video recordings of the patient during tooth preparation. Data were tabulated, and inter-group comparisons were performed using the Kruskal-Wallis and analysis of variance tests. Results: Out of the 27 participants, 48% were boys and 52% were girls, with an overall mean age of 6.83 years. Group A showed the least pain scores according to both the scales, followed by Group B and Group C. The pain intensity was statistically significant on both the pain scales with P = 0.003 for FLACC and P < 0.001 for WBFPS. Conclusion: Subgingival application of topical anesthesia reduced pain to a certain extent but not as effectively as infiltration anesthesia during SSC tooth preparation in primary molars. Transmucosal application of topical anesthesia did not reduce discomfort when compared to the other two interventions.

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Section: Introductionmentioning

confidence: 99%

Topical anesthesia for stainless steel crown tooth preparation in primary molars: a pilot study

Padminee

Hemalatha

Shankar

et al. 2020

J Dent Anesth Pain Med

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“…Indirect state-orientated factors comprise variables that have the potential to affect treatment compliance, but are less directly attributed to characteristics of the treatment setting. Anxieties regarding treatment needs for example to be managed [ 29 ], otherwise patients will not continue attending treatment appointments [ 30 ]. The indirect trait-oriented factors are relatively stable psychological variables that serve as general, distal risk-factors in health-behavior, for example psychological attachment insecurity.…”

Section: Discussionmentioning

confidence: 99%

Periodontal maintenance: individual patient responses and discontinuations

et al. 2022

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Aim There is a lack of data on long-term impact of different psychological variables on periodontitis. Aim of the current study was to investigate the impact of psychological factors in patients with chronic periodontitis (CP; according to the 1999 Classification of Periodontal Diseases) to explain adherence to or discontinuation of supportive periodontal therapy (SPT) in a university setting. Methods A sample of n = 119 patients were examined in a questionnaire-based, cross-sectional survey. All patients had received active periodontal treatment (APT) and were reevaluated in a university setting (Kiel) before 2016 [T1: start SPT]. Patients who showed sufficient adherence to SPT of ≥ 2 years (maximum ± 6 months of deviation between SPT intervals, last visit and questionnaire at T2) were assigned to the adherence group (AG: n = 58), or, if they interrupted SPT or stopped treatment altogether, to the non-adherence group (NAG: n = 61). In addition to dental parameters, we assessed socio-demographic, treatment-related (critical attitudes/complaints), dental as well as psychological variables (especially psychological attachment, but also dental fear, patient participation style, personality functioning) and examined between-group differences as well as possible mediating factors of non-adherence to treatment continuation. Results For both groups we found similar average observation time (NAG/AG: 15.9(8.9)/14.9(10.6)years). There were significant differences in age, critical attitudes, dental fear, and patient participation style between the groups. With the help of exploratory sequential mediation models, we found a significant indirect pathway of the impact of attachment anxiety on discontinuation of treatment mediated through dental fear and number of critical attitudes/complaints. Conclusion Considering the limitations, dentists should be aware of personality-related risk-factors such as attachment anxiety as well as their interplay with levels of dental fear and critical attitudes which may influence adherence to SPT. Trial registration: The clinical trial was retrospectively registered in the DRKS—German Clinical Trials Register (https://www.drks.de) with registration DRKS00030092 (26/08/2022).

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“…A anestesia injetável apresenta maior duração em comparação com a anestesia tópica, (DERMAN et al, 2014;WAMBIER et al, 2017;SADOVE et al, 1951;AAPD, 2016) e também produz um efeito vasoconstritor, pois as anestesias infiltrativas possuem o vasoconstritor em sua composição (adrenalina/felipressina), que aumenta o tempo da ação anestésica, (BECKER E REED, 2012;HAAS, 2002) enquanto os anestésicos tópicos têm uma capacidade limitada de penetração, uma vez que precisam ultrapassar as células queratinizadas que protegem a camada externa da mucosa oral. (GARG et al, 2016) Ainda apresentam um curto tempo de ação, (MILGROM et al, 1997;AAPD, 2016) em torno de 15 a 20 minutos, enquanto a anestesia infiltrativa permanence por mais de uma hora.…”

Section: Discussionunclassified

“…Na prática clínica, os pacientes podem ser informados sobre as vantagens e desvantagens de cada método anestésico como o uso de anestesia infiltrativa e o uso de diferentes anestésicos tópicos. (WAMBIER et al, 2018;WAMBIER et al, 2017).…”

Section: Discussionunclassified

Análise Epidemiológica Do Câncer De Boca (Carcinoma Espinocelular)

Neto¹

2021

Ações Que Ampliam O Acesso E a Qualidade Na Atenção Odontológica 2

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Direitos para esta edição cedidos à Atena Editora pelos autores. Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição-Não-Comercial-NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0).O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação.A Atena Editora é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação. Situações suspeitas de má conduta científica serão investigadas sob o mais alto padrão de rigor acadêmico e ético.

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Intrapocket topical anesthetic versus injected anesthetic for pain control during scaling and root planing in adult patients

Cited by 14 publications

References 33 publications

Topical anesthesia for stainless steel crown tooth preparation in primary molars: a pilot study

Topical anesthesia for stainless steel crown tooth preparation in primary molars: a pilot study

Periodontal maintenance: individual patient responses and discontinuations

Análise Epidemiológica Do Câncer De Boca (Carcinoma Espinocelular)

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