Effectiveness of Anesthesia Using Electronic Syringe in Children in the Context of Endotopy Treatment
Conditions
Keywords
Pediatric Dental Anesthesia Pulpitis Pain Management in Pediatric Dentistry Primary Teeth Endodontic Treatment
Brief summary
This randomized clinical study aims to evaluate the efficacy and pain response of two local anesthesia techniques in pediatric dental treatment using an electronic syringe: ligament anesthesia and inferior alveolar nerve block (IANB). The study applies both techniques to the same sample, where each child undergoes pulpectomy for two different teeth, each under the influence of a different anesthesia technique, during two separate visits. This study comes in the context of technological advancements in dentistry, which led to the development of computerized syringes as an alternative to traditional syringes. These devices are characterized by precise control of the anesthetic flow rate, as well as containing musical and auditory systems aimed at distracting the child and reducing feelings of fear and anxiety associated with dental treatment. Additionally, computerized syringes provide audible indicators showing the amount of anesthetic injected and support multiple injection modes such as rapid injection, slow injection, and ligament injection, allowing for more efficient and comfortable anesthetic delivery. Pain intensity will be assessed during three stages of the treatment procedure: during anesthesia administration, during placement of the rubber dam, and during opening of the pulp chambers. Post-procedure pain will also be evaluated using an age-appropriate validated pain scale, along with assessing the satisfaction level of both the children and their parents regarding the use of the electronic syringe as an alternative anesthesia tool. These combined measures aim to provide a comprehensive understanding of the child's experience during dental treatment and contribute to improving anesthesia practices in pediatric dentistry.
Interventions
DEVICEElectronic Syringe Intraligament Technique
Use of an electronic syringe device to deliver local anesthesia using the periodontal ligament (PDL) technique in pediatric dental patients
DEVICEElectronic syringe IANB Technique
Use of an electronic syringe device to deliver local anesthesia via the Inferior Alveolar Nerve Block Technique in pediatric dental patients
Sponsors
Tishreen University
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 10 Years
Healthy volunteers
Yes
Inclusion criteria
* Cooperative children based on Frankl Behavior Rating Scale (Positive or Definitely Positive) * No clinical signs or symptoms indicating irreversible pulpitis * No periodontal ligament inflammation of the tooth to be treated * Children aged between 5 and 9 years * Children without systemic health problems
Exclusion criteria
* Children who are uncooperative based on Frankl Behavior Rating Scale (Negative or Definitely Negative) * Presence of spontaneous or nocturnal pain * Clinical signs and symptoms indicating irreversible pulpitis * Presence of periodontal ligament inflammation of the treated tooth * Child age older than 10 years or younger than 3 years * Children with systemic health problems
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate of electronic syringe anesthesia in pediatric dental procedures | During procedure (From the start of ligation anesthesia (30 seconds) and block anesthesia (3 to 5 minutes) until reaching the stage of pulp chamber opening) |
| Success rate of anesthesia technique | During procedure (From the start of ligation anesthesia (30 seconds) and block anesthesia (3 to 5 minutes) until reaching the stage of pulp chamber opening.) |
Countries
Syria
Contacts
CONTACTAbdul Wahab Nourallah, Prof.Dr
STUDY_CHAIRAbdul Wahab Nourallah, Prof.Dr
Faculty of Pediatric Dentistry,Tishreen university
Outcome results
None listed