Local Anesthesia in Pediatric Dentistry: A Literature Review on Current Alternative Techniques and Approaches

Elicherla, Sainath Reddy; Sahithi, Varada; Saikiran, Kanamarlapudi Venkata; Nunna, Mahesh; Challa, Ramasubba Reddy; Nuvvula, Sivakumar

doi:10.5005/jp-journals-10077-3076

Cited by 6 publications

(2 citation statements)

References 68 publications

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“…Hence, the topical administration of cold would stimulate pain-inhibitory pain pathways and excite myelinated A-fibers. By reducing the threshold of tissue nociceptors and pain-carrying conduction nerve signals, cooling leads to neuropraxia [18]. According to Hindocha et al [19], 5% lidocaine gel during needle insertion has the same effect as applying ice to the oral mucosa as a topical anesthetic prior to injection.…”

Section: Cryoanesthesiamentioning

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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Section: Cryoanesthesiamentioning

confidence: 99%

Recent Advances in Local Anesthesia: A Review of Literature

Patel¹,

Surana²,

Patel³

2023

Cureus

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“…Infiltration local anesthesia administration was done after applying topical anesthetic gel for 1 min. [ 13 ] For all children, one visit was sufficient to complete the entire dental procedure, which lasted approximately 20–30 min to be completed.…”

Section: Aterials and M Ethodsmentioning

confidence: 99%

The efficacy of little lovely dentist and tell show do in alleviating dental anxiety in Iraqi Children: A Randomized Clinical Trial

Aziz,

Jafar

2023

JISPCD

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Aim: Behavior management approaches in treating children are generally viewed as techniques to enhance communication with patients to promote positive attitudes. Patients, particularly children, consider visiting a dental clinic to be a difficult and painful experience, so a dentist who treats children should have a variety of behavior management techniques. This study aimed to evaluate and compare the efficacy of Tell Show Do (TSD) and a mobile app in reducing dental anxiety among children patients. Materials and Methods: A clinical trial study with 66 children aged 6–8 years was divided into three groups by the randomization method, which was performed in two steps: the first step used a random group generator template for excel to distribute the 66 children into three groups (each group 22), and the second step by excel function (RAND) to make the sequence for children. The sample was divided into three groups; each group has 22 children: Group I (TSD), Group II mobile app (Little Lovely Dentist), and Group III control. ClI fillings of the primary molars were provided to all participants. Anxiety levels were measured using physiological methods (heart rate and oxygen saturation by pulse oximeter) and psychological methods (Venham picture test) before treatment, during the education stage, and after treatment. The statistical tests were the paired t test for intragroup comparison and one-way analysis of variance (ANOVA) for intercomparison. Results: One-way ANOVA showed a significantly lower pulse rate in the mobile app group after treatment, significantly higher SPO2 saturation in the mobile app group than in the TSD and control groups, and significantly lower Venham scores in the mobile app group than in the control group. Conclusion: The use of the Little Lovely Dentist mobile app decreased dental anxiety levels in children’s first dental visit more than both the TSD technique and control groups when compared.

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Can computerized intraosseous anaesthesia replaces the inferior alveolar nerve block in children? A randomized controlled clinical trial

Alkhouli,

Al‐Nerabieah,

Dashash

2024

Oral Surgery

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ObjectivesThis study aimed to compare the efficacy of computerized intraosseous anaesthesia (CIOA) administered through the QuickSleeper 5™ system with conventional inferior alveolar nerve block (IANB) in paediatric dental patients. The primary objective was to assess pain perception, efficacy, anaesthesia onset time and duration of anaesthesia between the two techniques.Materials and MethodsA total of 52 paediatric participants were enrolled in this study. Using a split‐mouth design, each child received CIOA on one side and IANB on the other to perform pulpotomy for lower primary second molars. Pain perception was measured by the Face, Legs, Activity, Cry, and Consolability (FLACC) scale. Efficacy of anaesthesia was measured by FLACC scale during the pulpotomy procedure. Onset time and duration of anaesthesia for anaesthesia was recorded in minutes for both techniques.ResultsCIOA demonstrated significantly lower pain scores compared to IANB (mean pain score = 3.5, 5.75, respectively). IANB showed a success rate of 77%, whereas CIOA showed a success rate of 92%. Moreover, CIOA exhibited a faster onset of anaesthesia (the mean onset time of IANB and CIOA was 3.4 min ±1.1 and 0.2 min ±0.5, respectively). There was no significant difference regarding the duration of anaesthesia between the two techniques (p‐value >0.05).ConclusionIt was concluded that CIOA causes less pain than IANB. The success rates of both CIOA and IANB were 92% and 77%, respectively. The onset time of anaesthesia was faster in CIOA compared to IANB. However, there was no difference between the two studied techniques regarding the duration of anaesthesia.

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Local Anesthesia in Pediatric Dentistry: A Literature Review on Current Alternative Techniques and Approaches

Cited by 6 publications

References 68 publications

Recent Advances in Local Anesthesia: A Review of Literature

Recent Advances in Local Anesthesia: A Review of Literature

The efficacy of little lovely dentist and tell show do in alleviating dental anxiety in Iraqi Children: A Randomized Clinical Trial

Can computerized intraosseous anaesthesia replaces the inferior alveolar nerve block in children? A randomized controlled clinical trial

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