Pain Perception: Computerized versus Traditional Local Anesthesia in Pediatric Patients

Abstract

It was concluded that pain perception was significantly more during traditional palatal infiltration injection as compared to computerized palatal infiltration, while there was no difference in pain perception during buccal infiltration in both the groups.

Pain and discomfort following insertion of miniscrews and premolar extractions: A randomized controlled trial

“…To use the advantages of local infiltration and reduce the experience of pain and discomfort at the same time, a computerized injection system such as The Wand could be used. 17 An unexpected significant difference in patients' age was found. Nevertheless, all patients had the same dental age because full permanent dentition with the second molar in occlusion was one of the inclusion criteria.…”

Does computerized anaesthesia reduce pain during local anaesthesia in paediatric patients for dental treatment? A systematic review and meta‐analysis

“…The anaesthesia protocol for all studies included the use of topical anaesthetics previously local anaesthesia, except one that did not report . The topic anaesthetic drug was benzocaine in five studies, lidocaine spray in two, one study used lidocaine with prilocaine, another one used lidocaine gel, and nine did not report …”

“…The most used anaesthetic solution for local anaesthesia was lidocaine 2% with epinephrine 1:100 000, which was used in 12 studies; four studies used 2% lidocaine with epinephrine 1:80 000; three studies used 2% mepivacaine with epinephrine 1:100 000, one used 4% articaine with epinephrine 1:100 000, and two studies did not report which anaesthetic solution was used …”

“…As for the anaesthesia site, there was some variation between the studies. Twelve studies carried out local anaesthesia in the maxilla ; three in the mandible, and five in the maxilla and mandible …”

“…There was a great divergence in the methods of evaluation and the presentation of the data between the studies. For pain perception evaluation, eight studies used visual analog scale (VAS) . Other scales used were Eland colour scale, Wong Baker Faces, Faces Pain Scale Revised, FIS Image Scale modified, NVRS (Numerical Visual Rating Scale) …”