Dental Caries in Children
Conditions
Keywords
Local Anesthesia, Buzzy, Topical Anesthesia, Pain, precooling
Brief summary
Local anesthetic injection is considered one of the most annoying dental procedures. The use of topical anesthesia is considered a routine procedure in the dental clinic especially for children. However, the taste and application procedure of the topical gel may not be pleasant for all children. The introduction of the Buzzy device is considered a distraction measure in the medical field. Alanazi et al., 2019, studied the effect of using the Buzzy device with cold and vibration compared to the conventional infiltration technique using 30-gauge needle. They concluded that the use of the Buzzy device resulted in better patients' acceptance and significantly lower Wong-Baker scores. Ballard et al., 2019, mentioned in their systematic review the efficacy of the Buzzy device for pain management during needle-related procedures, they concluded that the use of the device may be promising. Ghaderi et al., 2013, evaluated the effect of cooling the injection site on pain perception before infiltration of local anesthetics. They found that cooling the injection site before infiltration of local anesthetics in the buccal mucosa for 1 min, reduced pain perceived by pediatric patients.
Detailed description
The investigators used the topical anesthesia, Buzzy device (using vibration only and using cold and vibration) or precooling on pain during buccal infiltration local anesthesia injection.
Interventions
DEVICEBuzzy device (cold and vibration)
The device produces cold and vibration to act on the gate control theory and provide painless injection by nerve distraction
DEVICEBuzzy device (vibration only)
The device produces vibration to act on the gate control theory and provide painless injection by nerve distraction
OTHERprecooling
Ice cubes used for applying coolness at the injection area
OTHERFlavored Benzocaine topical anesthetic gel 20%
Topical anesthetic gel
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Masking description
The statistician was only blinded for data analysis. But it was not feasible to blind the participant, investigator or the outcome assessor due to the nature of the study.
Eligibility
Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
* Children in the mixed dentition stage, * Age range 6-12 years old, * Need extraction to a maxillary molar, * Cooperative and medically free.
Exclusion criteria
* Exclusion will be performed if the parent refused the participation of their children in the research.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient reported pain during needle injection | Immediately post injection | Patient was asked to choose from the faces on the Wong Baker faces pain rating scale (0-10) with 10 is the worst score |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Heart rate | Immediately post injection | Heart rate was recorded using pulse oximetry (beats/minute) |
| Oxygen saturation | Immediately post injection | Oxygen saturation was recorded using pulse oximetry |
| Child behaviour during needle injection | Immediately during injection | Child behaviour during needle injection was recorded using Sound-eye-motor scale (0-9) with 9 is the worst score |
| Child and parent satisfaction | Immediately post injection | By asking questions to both child and their parent on a likert scale for children ( positive, neutral and negative) for parents ( strongly agree, agree, no opinion, disagree and strongly disagree) |
Countries
Egypt
Outcome results
None listed