Pain perception in 4–6-year-old children following intraoral dental injection with 26 and 31-gauge needles: a randomized controlled trial
Administering anesthesia in dentistry can be distressing for patients, especially those with dental fear and anxiety. Needle pain during local anesthesia is a common concern in intraoral procedures. This study aimed to compare pain perception in 4-6-year-old children following intraoral dental injec...
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| Vydané v: | Journal of dental anesthesia and pain medicine: JDAPM Ročník 24; číslo 2; s. 101 - 108 |
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| Jazyk: | English |
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Korea (South)
대한치과마취과학회
01.04.2024
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| ISSN: | 2383-9309, 2383-9317 |
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| Abstract | Administering anesthesia in dentistry can be distressing for patients, especially those with dental fear and anxiety. Needle pain during local anesthesia is a common concern in intraoral procedures. This study aimed to compare pain perception in 4-6-year-old children following intraoral dental injections with 26- and 31-gauge needles.
Fifty healthy children were divided according to age into Group I (N = 25; 4-5 years) and Group II (N = 25; 5-6 years). Each group was further subdivided according to the needle gauge as follows: Group IA (26 gauge), Group IB (31 gauge), Group IIA (26 gauge), and Group IIB (31 gauge). Using a lottery method, the gauge of the needle to be used at the first visit for local anesthesia administration was selected. Children's reactions to pain were evaluated using a Modified Behavioral Pain Scale. Immediately after administration of local anesthesia, pain perception was evaluated using the Faces pain rating scale. In the subsequent visit, another needle gauge was used to administer local anesthesia, and the previously described evaluations were performed. At the third appointment, the child was shown both syringes and asked to choose one of the syringes they preferred, and the choice was noted.
When local anesthesia was administered using a 31-gauge needle, pain perception was similar between the two groups. In group II, the children demonstrated significantly higher arm and leg movements (P = 0.001). However, the difference was significant in group I alone (P < 0.001).
Irrespective of age, anesthesia with a 31-gauge needle resulted in significantly lower pain perception than anesthesia with a 26-gauge needle. |
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| AbstractList | Administering anesthesia in dentistry can be distressing for patients, especially those with dental fear and anxiety. Needle pain during local anesthesia is a common concern in intraoral procedures. This study aimed to compare pain perception in 4-6-year-old children following intraoral dental injections with 26- and 31-gauge needles.BackgroundAdministering anesthesia in dentistry can be distressing for patients, especially those with dental fear and anxiety. Needle pain during local anesthesia is a common concern in intraoral procedures. This study aimed to compare pain perception in 4-6-year-old children following intraoral dental injections with 26- and 31-gauge needles.Fifty healthy children were divided according to age into Group I (N = 25; 4-5 years) and Group II (N = 25; 5-6 years). Each group was further subdivided according to the needle gauge as follows: Group IA (26 gauge), Group IB (31 gauge), Group IIA (26 gauge), and Group IIB (31 gauge). Using a lottery method, the gauge of the needle to be used at the first visit for local anesthesia administration was selected. Children's reactions to pain were evaluated using a Modified Behavioral Pain Scale. Immediately after administration of local anesthesia, pain perception was evaluated using the Faces pain rating scale. In the subsequent visit, another needle gauge was used to administer local anesthesia, and the previously described evaluations were performed. At the third appointment, the child was shown both syringes and asked to choose one of the syringes they preferred, and the choice was noted.MethodsFifty healthy children were divided according to age into Group I (N = 25; 4-5 years) and Group II (N = 25; 5-6 years). Each group was further subdivided according to the needle gauge as follows: Group IA (26 gauge), Group IB (31 gauge), Group IIA (26 gauge), and Group IIB (31 gauge). Using a lottery method, the gauge of the needle to be used at the first visit for local anesthesia administration was selected. Children's reactions to pain were evaluated using a Modified Behavioral Pain Scale. Immediately after administration of local anesthesia, pain perception was evaluated using the Faces pain rating scale. In the subsequent visit, another needle gauge was used to administer local anesthesia, and the previously described evaluations were performed. At the third appointment, the child was shown both syringes and asked to choose one of the syringes they preferred, and the choice was noted.When local anesthesia was administered using a 31-gauge needle, pain perception was similar between the two groups. In group II, the children demonstrated significantly higher arm and leg movements (P = 0.001). However, the difference was significant in group I alone (P < 0.001).ResultsWhen local anesthesia was administered using a 31-gauge needle, pain perception was similar between the two groups. In group II, the children demonstrated significantly higher arm and leg movements (P = 0.001). However, the difference was significant in group I alone (P < 0.001).Irrespective of age, anesthesia with a 31-gauge needle resulted in significantly lower pain perception than anesthesia with a 26-gauge needle.ConclusionIrrespective of age, anesthesia with a 31-gauge needle resulted in significantly lower pain perception than anesthesia with a 26-gauge needle. Administering anesthesia in dentistry can be distressing for patients, especially those with dental fear and anxiety. Needle pain during local anesthesia is a common concern in intraoral procedures. This study aimed to compare pain perception in 4-6-year-old children following intraoral dental injections with 26- and 31-gauge needles. Fifty healthy children were divided according to age into Group I (N = 25; 4-5 years) and Group II (N = 25; 5-6 years). Each group was further subdivided according to the needle gauge as follows: Group IA (26 gauge), Group IB (31 gauge), Group IIA (26 gauge), and Group IIB (31 gauge). Using a lottery method, the gauge of the needle to be used at the first visit for local anesthesia administration was selected. Children's reactions to pain were evaluated using a Modified Behavioral Pain Scale. Immediately after administration of local anesthesia, pain perception was evaluated using the Faces pain rating scale. In the subsequent visit, another needle gauge was used to administer local anesthesia, and the previously described evaluations were performed. At the third appointment, the child was shown both syringes and asked to choose one of the syringes they preferred, and the choice was noted. When local anesthesia was administered using a 31-gauge needle, pain perception was similar between the two groups. In group II, the children demonstrated significantly higher arm and leg movements (P = 0.001). However, the difference was significant in group I alone (P < 0.001). Irrespective of age, anesthesia with a 31-gauge needle resulted in significantly lower pain perception than anesthesia with a 26-gauge needle. Background: Administering anesthesia in dentistry can be distressing for patients, especially those with dental fear and anxiety. Needle pain during local anesthesia is a common concern in intraoral procedures. This study aimed to compare pain perception in 4–6-year-old children following intraoral dental injections with 26- and 31-gauge needles. Methods: Fifty healthy children were divided according to age into Group I (N = 25; 4–5 years) and Group II (N = 25; 5–6 years). Each group was further subdivided according to the needle gauge as follows: Group IA (26 gauge), Group IB (31 gauge), Group IIA (26 gauge), and Group IIB (31 gauge). Using a lottery method, the gauge of the needle to be used at the first visit for local anesthesia administration was selected. Children’s reactions to pain were evaluated using a Modified Behavioral Pain Scale. Immediately after administration of local anesthesia, pain perception was evaluated using the Faces pain rating scale. In the subsequent visit, another needle gauge was used to administer local anesthesia, and the previously described evaluations were performed. At the third appointment, the child was shown both syringes and asked to choose one of the syringes they preferred, and the choice was noted. Results: When local anesthesia was administered using a 31-gauge needle, pain perception was similar between the two groups. In group II, the children demonstrated significantly higher arm and leg movements (P = 0.001). However, the difference was significant in group I alone (P < 0.001). Conclusion: Irrespective of age, anesthesia with a 31-gauge needle resulted in significantly lower pain perception than anesthesia with a 26-gauge needle. KCI Citation Count: 0 |
| Author | N, Sneharaj Subramaniam, Priya Sharma, Akhilesh Siddaiah, Madhusudhan Kempaiah |
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| Cites_doi | 10.15236/ijcpd.2019.15.4.202 10.2344/0003-3006(2005)52[91:FITDOI]2.0.CO;2 10.4103/2321-6646.137690 10.1016/S0300-9785(79)80010-1 10.2334/josnusd.47.91 10.1016/j.cegh.2019.08.003 10.17245/jdapm.2022.22.3.197 10.4103/0972-0707.128063 10.14219/jada.archive.1979.0384 10.1016/S0300-9785(83)80036-2 10.1016/j.jare.2015.10.001 10.1111/j.1365-263X.2007.00860.x 10.1016/0885-3924(95)00058-7 |
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| References_xml | – volume: 3 start-page: 71 year: 2014 ident: 10.17245/jdapm.2024.24.2.101_ref4 publication-title: J Dent Mater Tech – volume: 15 start-page: 202 year: 2019 ident: 10.17245/jdapm.2024.24.2.101_ref6 publication-title: Int J Clin Prev Dent doi: 10.15236/ijcpd.2019.15.4.202 – volume: 52 start-page: 91 year: 2005 ident: 10.17245/jdapm.2024.24.2.101_ref17 publication-title: Anesth Prog doi: 10.2344/0003-3006(2005)52[91:FITDOI]2.0.CO;2 – volume: 2 start-page: 56 year: 2014 ident: 10.17245/jdapm.2024.24.2.101_ref10 publication-title: J Pediatr Dent doi: 10.4103/2321-6646.137690 – volume: 8 start-page: 145 year: 1979 ident: 10.17245/jdapm.2024.24.2.101_ref12 publication-title: Int J Oral Surg doi: 10.1016/S0300-9785(79)80010-1 – start-page: 123 volume-title: Handbook of local anesthesia year: 2020 ident: 10.17245/jdapm.2024.24.2.101_ref8 – volume: 23 start-page: 265 year: 2001 ident: 10.17245/jdapm.2024.24.2.101_ref2 publication-title: Pediatr Dent – volume: 47 start-page: 91 year: 2005 ident: 10.17245/jdapm.2024.24.2.101_ref3 publication-title: J Oral Sci doi: 10.2334/josnusd.47.91 – volume: 8 start-page: 224 year: 2020 ident: 10.17245/jdapm.2024.24.2.101_ref7 publication-title: Clin Epidemiol Glob Health doi: 10.1016/j.cegh.2019.08.003 – volume: 29 start-page: 417 year: 1981 ident: 10.17245/jdapm.2024.24.2.101_ref14 publication-title: Gen Dent – volume: 22 start-page: 197 year: 2022 ident: 10.17245/jdapm.2024.24.2.101_ref19 publication-title: J Dent Anesth Pain Med doi: 10.17245/jdapm.2022.22.3.197 – volume: 17 start-page: 169 year: 2014 ident: 10.17245/jdapm.2024.24.2.101_ref1 publication-title: J Conserv Dent doi: 10.4103/0972-0707.128063 – volume: 34 start-page: 215 year: 1987 ident: 10.17245/jdapm.2024.24.2.101_ref16 publication-title: Anesth Prog – volume: 99 start-page: 822 year: 1979 ident: 10.17245/jdapm.2024.24.2.101_ref13 publication-title: J Am Dent Assoc doi: 10.14219/jada.archive.1979.0384 – volume: 12 start-page: 444 year: 1983 ident: 10.17245/jdapm.2024.24.2.101_ref11 publication-title: Int J Oral Surg doi: 10.1016/S0300-9785(83)80036-2 – volume: 7 start-page: 551 year: 2016 ident: 10.17245/jdapm.2024.24.2.101_ref18 publication-title: J Adv Res doi: 10.1016/j.jare.2015.10.001 – volume: 17 start-page: 383 year: 2007 ident: 10.17245/jdapm.2024.24.2.101_ref9 publication-title: Int J Paediatr Dent doi: 10.1111/j.1365-263X.2007.00860.x – volume: 10 start-page: 456 year: 1995 ident: 10.17245/jdapm.2024.24.2.101_ref5 publication-title: J Pain Symptom Manage doi: 10.1016/0885-3924(95)00058-7 – volume: 55 start-page: 216 year: 2007 ident: 10.17245/jdapm.2024.24.2.101_ref15 publication-title: Gen Dent |
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| Title | Pain perception in 4–6-year-old children following intraoral dental injection with 26 and 31-gauge needles: a randomized controlled trial |
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