Anesthesia, Local
Conditions
Keywords
Dental injection, Palatal injection, Indirect palatal injection
Brief summary
Local anesthesia injections are sometimes painful, resulting in antagonistic cooperation, fear, and anxiety in children. This study aims to investigate the effectiveness of vibratory and cold stimulation before the injection to reduce pain. Purpose of the study: Evaluate the effectiveness of Buzzy® in pain reduction during local anesthesia administration compared to the traditional topical anesthetic gel in pediatric patients.
Interventions
OTHERBuccal and direct palatal injection with the aid of Buzzy
Children are assigned to local anesthesia after using the Buzzy vibration unit extraorally for 2 minutes using buccal and direct palatal injection
OTHERBuccal and indirect palatal injection with the aid of Buzzy
Children are assigned to local anesthesia after using the Buzzy vibration unit extraorally for 2 minutes using buccal and indirect palatal injection
OTHERBuccal and direct palatal injection without Buzzy
Children are assigned to local anesthesia after using topical analgesic gel (benzocaine 20%) intraorally for 1 minute using buccal and direct palatal injection
OTHERBuccal and indirect palatal injection without Buzzy
Children are assigned to local anesthesia after using topical analgesic gel (benzocaine 20%) intraorally for 1 minute using buccal and indirect palatal injection
Sponsors
Alexandria University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Subject)
Intervention model description
The Participants will be randomly and equally allocated into 2 groups with 2 subgroups each
Eligibility
Sex/Gender
ALL
Age
5 Years to 8 Years
Healthy volunteers
No
Inclusion criteria
* Patients who are in need of extraction of maxillary posterior teeth. * Children free of any systemic disease or special health care needs (ASA I). * Children with no learning disabilities. * Positive or definitely positive behavior during preoperative assessments according to the Frankl Scale. * Patients whose parents will give consent to participate.
Exclusion criteria
* Having active sites of pathosis in the area of injection that could affect the anesthetic assessment. * Signs of reversible pulpitis. * Restorable tooth. * Patients allergic to local anesthesia or having a family history of allergy to local anesthesia. * Patients with acute oral or facial infection (swelling and/or cellulites )
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain scores | Baseline and up to 1 hour | Visual Analogue Scale is used and it ranges from 0 to 10. the ''0'' point indicates ''no pain'' and ''10'' point indicates the worst possible pain. |
| Change in child's behavior | During the procedure | Sound, eye,motor (SEM) scale is used. it assess child's pain perception by observing discomfot levels on SEM during injections. Total scores for SEM range from 0 to 9 based on 0-3 score for each parameter. Score 0: Comfort Score 1: Mild disocomfort Score 2: Moderate discomfort Score 3: Severe discomfort |
Countries
Egypt
Outcome results
None listed