The Effect of 2 Injection Speeds on Local Anesthetic Discomfort During Inferior Alveolar Nerve Blocks

Melo, Marcelo Rodrigo de Souza; Sabey, Mark Jon Santana; Lima, Carla Juliane; Souza, Liane Maciel de Almeida; Groppo, Francisco Carlos

doi:10.2344/11-00037.1

Cited by 11 publications

(7 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar results have been reported in different studies that do conclude females suffer from greater levels of pain. 23,24 Furthermore, in our study, there was no significant relation of pain scores with age. However, literature does suggest that young adults and paediatric patients tend to suffer from greater levels of pain.…”

Section: Discussioncontrasting

confidence: 68%

Cryoanesthesia with ethyl chloride spray versus 5% lidocaine gel in alleviating oral local anesthetic injection pain for buccal anaesthesia: A randomized clinical (controlled) trial

Abbasi

Ali

Aslam

et al. 2023

J Dent Res Dent Clin Dent Prospects

View full text Add to dashboard Cite

Background. Numbing the area of oral mucosa with cold application prior to administration of regional anesthesia has been widely used by various dentists in alleviating pain caused by needle prick. Cryoanesthesia using Endo-ice as topical anesthesia has been studied as a replacement to prevail the fallibility of topical anaesthetics. This study aimed to evaluate and compare effectiveness of ethyl chloride spray with 5% lidocaine gel in alleviating buccal anesthesia injection pain. Methods. Total of 90 outpatients were randomly divided into 3 groups as follows: Group 1 – cryotherapy with ethyl chloride at the anesthetic site preceding before administration of local anesthesia; Group 2 – topical application of 5% LIDOCAINE GEL preceding before administration of local anesthesia; and group 3 – control that did not receive any topical agent preceding before administration of local anesthesia. Visual analogue scale (VAS) was used to document pain immediately after injection prick. Results. About comparison of pain scores, significant difference was found between group 1 (ethyl chloride) and group 2 (topical lidocaine) patients (P=0.001). For group 1, about 15 (50%) patients suffered from mild pain, followed by 14 (46.67%) patients suffering from moderate pain. However, majority of the 21 (70%) patients in group 2 suffered from moderate pain. All the patients in group 3 suffered from severe pain. Conclusion. Importance of alleviating fear of needle injection phobia amongst patients is of paramount importance. Ethyl chloride was found to be more effective than topical lidocaine in alleviating needle injection pain before administration of local anesthetic injection.

show abstract

Section: Discussioncontrasting

confidence: 68%

Cryoanesthesia with ethyl chloride spray versus 5% lidocaine gel in alleviating oral local anesthetic injection pain for buccal anaesthesia: A randomized clinical (controlled) trial

Abbasi

Ali

Aslam

et al. 2023

J Dent Res Dent Clin Dent Prospects

View full text Add to dashboard Cite

show abstract

“…In our study, similar to some previous studies, sodium thiosulfate was used to neutralize the effects of sodium hypochlorite remaining in the canal. 34,35 This was done to eliminate the antibacterial effects of sodium hypochlorite remaining in dentinal tubules, which could serve as a confounding factor. However, it is less commonly used in the clinical setting and has been disregarded in some studies.…”

Section: Discussionmentioning

confidence: 99%

Effect of Apical Size and Taper on the Efficacy of Root Canal Disinfection With LED Photodynamic Therapy as an Adjunct to Irrigation With Sodium Hypochlorite

et al. 2021

View full text Add to dashboard Cite

Introduction: This study assessed the effect of apical size and taper on the efficacy of root canal disinfection with LED photodynamic therapy (PDT) as an adjunct to irrigation with sodium hypochlorite. Methods: A total of 126 extracted human mandibular molars were divided into 4 groups. The mesiobuccal canal was prepared to size 25/4% in group 1, 25/6% in group 2, 30/4% in group 3, and 30/6% in group 4 using the iRaCe rotary system. A 21-day Enterococcus faecalis biofilm was prepared and used for inoculation of the canals. Each group was randomly divided into 3 subgroups for canal disinfection with 2.5% sodium hypochlorite, sodium hypochlorite plus LED PDT and saline (positive control). Samples from the root canals were obtained with rotary files and cultured. Microbiologic data were analyzed using the Poisson regression test. Results: The bacterial count significantly decreased following disinfection with sodium hypochlorite with/without PDT in all sizes and tapers of preparation compared with the control group (P<0.05). Increasing the apical taper or apical size and the use of PDT as an adjunct did not have a significant effect on the reduction of the bacterial count (P>0.05). However, the apical size and PDT had a significant effect on the number of residual bacteria (P<0.05), and increasing the apical size and conduction of PDT significantly decreased the number of residual bacteria. Conclusion: The apical size and taper and the use of PDT as an adjunct did not have a significant effect on the reduction of the bacterial count. However, increasing the apical size and conduction of PDT as an adjunct to sodium hypochlorite irrigation significantly decreased the number of residual bacteria in the root canal system.

show abstract

“…Although vibration decreased the pain score during needle insertion and anesthetic injection in the current study, several factors can affect the severity of pain during anesthetic injection, including the type, amount, and speed of the anesthetic injection and the dental clinician's experience and expertise [45678910]. In addition to treatment-related factors, psychological variables such as fear and anxiety also affect pain severity.…”

Section: Discussionmentioning

confidence: 74%

“…Furthermore, some strategies have been proposed to decrease the level of pain experienced during the injection of an anesthetic agent, such as injecting the anesthetic agent slowly and warming or buffering the anesthetic agent. However, the results of studies regarding the efficacy of these strategies have been controversial [8910].…”

Section: Introductionmentioning

confidence: 99%

Effect of vibratory stimulation on pain during local anesthesia injections: a clinical trial

et al. 2019

View full text Add to dashboard Cite

Objectives: This study aimed to assess the effect of DentalVibe on the level of pain experienced during anesthetic injections using 2 different techniques. Materials and Methods: This randomized crossover clinical trial evaluated 60 patients who required 2-session endodontic treatment. Labial infiltration (LI) anesthesia was administered in the anterior maxilla of 30 patients, while inferior alveolar nerve block (IANB) was performed in the remaining 30 patients. 1.8 mL of 2% lidocaine was injected at a rate of 1 mL/min using a 27-gauge needle. DentalVibe was randomly assigned to either the first or second injection session. A visual analog scale was used to determine participants' pain level during needle insertion and the anesthetic injection. The paired t-test was applied to assess the efficacy of DentalVibe for pain reduction. Results: In LI anesthesia, the pain level was 12.0 ± 15.5 and 38.1 ± 21.0 during needle insertion and 19.1 ± 16.1 and 48.9 ± 24.6 during the anesthetic injection using DentalVibe and the conventional method, respectively. In IANB, the pain level was 14.1 ± 15.9 and 35.1 ± 20.8 during needle insertion and 17.3 ± 14.2 and 39.5 ± 20.8 during the anesthetic injection using DentalVibe and the conventional method, respectively. DentalVibe significantly decreased the level of pain experienced during needle insertion and the anesthetic injection in anterior LI and mandibular IANB anesthesia. Conclusions: The results suggest that DentalVibe can be used to reduce the level of pain experienced by adult patients during needle insertion and anesthetic injection.

show abstract

The Effect of 2 Injection Speeds on Local Anesthetic Discomfort During Inferior Alveolar Nerve Blocks

Cited by 11 publications

References 13 publications

Cryoanesthesia with ethyl chloride spray versus 5% lidocaine gel in alleviating oral local anesthetic injection pain for buccal anaesthesia: A randomized clinical (controlled) trial

Cryoanesthesia with ethyl chloride spray versus 5% lidocaine gel in alleviating oral local anesthetic injection pain for buccal anaesthesia: A randomized clinical (controlled) trial

Effect of Apical Size and Taper on the Efficacy of Root Canal Disinfection With LED Photodynamic Therapy as an Adjunct to Irrigation With Sodium Hypochlorite

Effect of vibratory stimulation on pain during local anesthesia injections: a clinical trial

Contact Info

Product

Resources

About