Local Anesthesia Infiltration
Conditions
Keywords
local anesthesia, local infiltration, massager, vibrating device, Topical Benzocaine
Brief summary
Abstract * Background: Local anesthesia is a primary source of anxiety in pediatric dentistry. * Objective: To evaluate if mechanical vibration from a low-cost facial massager reduces pain and anxiety during injections using the Gate Control Theory. * Design: Prospective Randomized Controlled Trial .
Detailed description
Methodology & Study Design * Setting: Pediatric Dental Department, Kadapa, Andhra Pradesh. * Inclusion Criteria: Children aged 4-12 years requiring local anesthesia, cooperative (frankl 3,4) * Exclusion Criteria: History of allergy to benzocaine, acute infection at the site, or special healthcare needs affecting sensory perception, Medically compromised, unco-operative children, those who do not consent. Intervention Protocol 1. Group 1: Application of 20% Benzocaine gel for 2 minutes followed by a standard local anesthetic injection. 2. Group 2: Application of Facial Massager on the buccal mucosa 30 seconds prior to and during the injection. 3. Group 3: Application of 20% Benzocaine gel for 2 minutes + Facial Massager applied to the buccal mucosa 30 seconds prior to and during the injection. 4. Infection Control & Sterilization To ensure patient safety, the following protocol for the non-medical T-massager will be implemented: * Barrier Protection: The device will be encased in a single-use, disposable polyethylene sleeve (Digital Sensor Sleeve) and secured with tape. * Disinfection: After barrier removal, a "Double-Wipe" method using 70% Isopropyl Alcohol wipe will be used.
Interventions
vibrating facial T massager used to apply on mucosa for mechanical stimulation and gate control
topical application of mucopain gel for 30 seconds
Sponsors
Study design
Eligibility
Inclusion criteria
* Children aged 4-12 years requiring local anesthesia * Cooperative behaviour (frankl rating 3,4)
Exclusion criteria
* History of allergy to benzocaine * acute infection at the site * special healthcare needs affecting sensory perception * Medically compromised children * unco-operative children * those who do not consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| self reort of pain | after injection | wong-baker faces pain rating scale with face emoji rating no pain as score zero to score ten as that huts worst. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| physiologic parameter | pre and during administration of local anesthesia | measuring heart rate pre and during injection of local Anesthesia |