Pain perception and efficacy of local analgesia using 2% lignocaine, buffered lignocaine, and 4% articaine in pediatric dental procedures

M.M, Afsal; Khatri, Amit; Kalra, Namita; Tyagi, Rishi; Khandelwal, Deepak

doi:10.17245/jdapm.2019.19.2.101

Cited by 21 publications

(4 citation statements)

References 18 publications

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“…A total of seven RCTs fulfilled the inclusion criteria and were analyzed in our review ( 11 - 17 ). Thirteen studies were excluded due to the following reasons: one study each for reporting duplicate data, not reporting relevant outcome, and comparing only IANB ( 18 ). Others were conducted only on adults ( 19 - 22 ) or were comparing only infiltration techniques ( 23 - 28 ).…”

Section: Resultsmentioning

confidence: 99%

Can buccal infiltration of articaine replace traditional inferior alveolar nerve block for the treatment of mandibular molars in pediatric patients?: A systematic review and meta-analysis

Liu²,

Zhang³

2021

Med Oral

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Background It is unclear if buccal articaine infiltration can be used as an alternative to standard inferior alveolar nerve block (IANB) for treating mandibular molars in pediatric patients. Therefore, this study aimed to pool evidence to compare the efficacy of buccal infiltration of articaine vs IANB with lignocaine for pediatric dental procedures. Material and Methods We searched the PubMed, Embase, ScienceDirect, CENTRAL, and Google Scholar databases for randomized controlled trials (RCTs) comparing the two techniques in pediatric patients and reporting the success of anesthesia and/or pain during treatment. PRISMA guidelines were followed. Results Seven RCTs were included. Pooled analysis of five studies indicated no statistically significant difference in the success rates of the two anesthetic techniques (OR: 1.02; 95% CI: 0.13, 7.96; I2=69%, p =0.98). Meta-analysis of data from the four studies demonstrated no statistically significant difference in pain during the procedure with buccal infiltration of articaine or IANB with lignocaine (SMD: 0.62; 95% CI: -1.37, 0.12; I2=88%, p =0.10). Conclusions Evidence suggests that buccal infiltration of articaine is a viable alternative to IANB with lignocaine in pediatric patients for treating mandibular molars. Based on the confidence intervals, there may be a tendency of higher success rates with buccal infiltration of articaine. Key words: Lignocaine, articaine, primary dentition, children, molars.

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Section: Resultsmentioning

confidence: 99%

Can buccal infiltration of articaine replace traditional inferior alveolar nerve block for the treatment of mandibular molars in pediatric patients?: A systematic review and meta-analysis

Liu²,

Zhang³

2021

Med Oral

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“…Pain, an unavoidable component of many dental operations, is also one of the main causes of such dental operations [ 2 ]. Many treatments, particularly in pediatric dentistry, require local anesthesia to manage pain [ 3 ]. The paradox of this scenario is that local anesthetics, which are the best medications for alleviating and avoiding pain, are also associated with pain [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of cryoanesthesia and sweet tasting solution in reducing injection pain in pediatric patients aged 7–10 years: a randomized controlled trial

Davangere Padmanabh,

Gangurde,

Jhamb

et al. 2024

J Dent Anesth Pain Med

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Background The delivery of profound local anesthetics helps children receive successful treatment by reducing fear, anxiety, and discomfort during dental procedures. Local anesthetic injections are the most anticipated stimuli in dental surgery. Children's perceptions of pain can be altered by applying cryotherapy to precool the oral mucosa or by diverting their minds through taste distractions before administering local anesthetic injections. This study aimed to evaluate the efficacy of cryoanesthesia and xylitol sweet-tasting solution at the injection site in 7–10-year-old children. Methods A total of 42 participants, aged 7–10 years, who underwent dental treatment requiring local anesthesia, were enrolled in the study. The children were randomly divided into three groups. In group I, sterile water was held in the mouth for 2 minutes before anesthetic administration, similar to group II, and in group III, a xylitol sweet-tasting solution was used for 2 minutes before needle insertion. The analysis of pain perception was carried out based on the Visual Analog Scale (VAS) and the Sound, Eyes, and Motor (SEM) scale. For VAS analysis, a one-way analysis of variance (ANOVA) was performed for intergroup comparison, and a post hoc Tukey test was performed for subgroup analysis. For the categorical SEM scale, the Kruskal–Wallis test followed by the post hoc test was performed for intergroup comparison. Where a P value of <0.05 was considered statistically significant at 95% confidence intervals. Results Cryoanesthesia significantly reduced pain scores on VAS (4.21 ± 1.42) when compared to those on VAS with xylitol sweet-tasting solution (5.50 ± 1.40) and that with sterile water (6.14 ± 2.47). Intergroup comparison of the VAS scores among the three groups was performed using one-way ANOVA, which demonstrated statistically significant differences (P value <0.026) on the VAS scale. Intergroup comparison of the SEM scale was performed using the Kruskal–Wallis test, followed by post hoc comparison, which exhibited statistically significant differences (P < 0.007) among the three groups for the SEM scale. Conclusion Cryoanesthesia demonstrated higher efficacy in reducing injection pain than that exhibited by the xylitol sweet-tasting solution.

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“…Pain is an inevitable factor during various dental procedures and is one of the major reasons for fear of dental treatment in children. The use of local anesthesia for pain control is a requisite for many procedures, especially in pediatric dentistry [ 1 ]. Despite considerable improvements in local anesthetic delivery, injection needle pain remains a common concern, especially in children.…”

Section: Introductionmentioning

confidence: 99%

Sucrose solution for alleviating needle pain during inferior alveolar nerve block in children aged 7–10 years: a randomized clinical trial

Thambireddy,

SVSG,

Nuvvula

2023

J Dent Anesth Pain Med

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Background Intraoral local anesthesia is essential for delivering dental care; however, injection of this local anesthetic is perceived as the most painful and distressing agent for children, parents, and healthcare providers. Reducing pain as much as possible is essential to ensure smooth subsequent treatment procedures, especially in pediatric dentistry. In clinical practice, oral sucrose administration has been reported to decrease the pain during heel lance and cold pressor tests in neonates and children. This study aimed to determine whether the prior administration of a 30% sucrose solution reduced the pain related to inferior alveolar nerve block in children. Methods A total of 42 healthy children aged 7–10 years requiring dental treatment of mandibular molars involving inferior alveolar nerve block were recruited. The participants’ demographic details were recorded, height and weight were measured, and the anesthetic injection was delivered after receiving the respective intraoral sucrose solution and distilled water by the intervention (group 1) and control (group 2) group participants for 2 min. The subjective pain perceived during injection was measured using an animated emoji scale. The pain scores between the groups were compared using the Mann–Whitney U test. Results The median pain score and range for the intervention and control groups were 4 (2 – 6) and 6 (4 – 8), respectively, and statistically significant differences (P < 0.001) were observed in the intervention group. Age, sex, height, and weight did not influence the analgesic effect of the sucrose solution. Conclusion Oral administration of sucrose may relieve pain associated with inferior alveolar nerve block in children.

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Pain perception and efficacy of local analgesia using 2% lignocaine, buffered lignocaine, and 4% articaine in pediatric dental procedures

Cited by 21 publications

References 18 publications

Can buccal infiltration of articaine replace traditional inferior alveolar nerve block for the treatment of mandibular molars in pediatric patients?: A systematic review and meta-analysis

Can buccal infiltration of articaine replace traditional inferior alveolar nerve block for the treatment of mandibular molars in pediatric patients?: A systematic review and meta-analysis

Effect of cryoanesthesia and sweet tasting solution in reducing injection pain in pediatric patients aged 7–10 years: a randomized controlled trial

Sucrose solution for alleviating needle pain during inferior alveolar nerve block in children aged 7–10 years: a randomized clinical trial

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