Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial
Abstract Background The administration of local anesthesia (LA) in dental practice requires an injection which is the leading cause of patients’ fear and anxiety. Computer-controlled local anesthetic injector, designed to reduce the pain of performing local anesthesia by controlling the speed of inj...
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-022-02454-1 |
| _version_ | 1818016685094862848 |
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| author | Sameh Attia Thomas Austermann Andreas May Mohamed Mekhemar Jonas Conrad Michael Knitschke Sebastian Böttger Hans-Peter Howaldt Abanoub Riad |
| author_facet | Sameh Attia Thomas Austermann Andreas May Mohamed Mekhemar Jonas Conrad Michael Knitschke Sebastian Böttger Hans-Peter Howaldt Abanoub Riad |
| author_sort | Sameh Attia |
| collection | DOAJ |
| description | Abstract Background The administration of local anesthesia (LA) in dental practice requires an injection which is the leading cause of patients’ fear and anxiety. Computer-controlled local anesthetic injector, designed to reduce the pain of performing local anesthesia by controlling the speed of injection. This single-blind randomised control trial aimed to compare the pain perception after computer-controlled local anesthesia (CCLA) and conventional LA. Methods Dental students were both test and operator group versus an experienced dentist as additional operator of the LA. Data were collected regarding gender, age, medical condition, smoking habits. Additionally, operator feedback about the handling, pain at insertion and during infiltration, excitement (Dental Anxiety Scale), and complications were assessed. Results Out of the 60 included participants, the majority were females (n = 41; 68.3%), medically healthy (n = 54; 90%), and did not receive medications (n = 54; 90%). While the participating students administered 62 (51.7%) injections, the experienced dentist administered 58 (48.3%) injections. The difference in pain perception on puncture between CCLA and conventional injections was not statistically significant (Sig. = 0.285); however, pain perception during injection was significantly different (Sig. = 0.029) between CCLA (1.65 ± 1.93) and conventional injections (2.49 ± 2.31). Conclusion The professional experience influenced the pain perception while applying the LA. CCLA did not reduce pain on puncture significantly; however, pain perception during the injection was significantly reduced in the case of using CCLA devices compared to the conventional syringe. |
| first_indexed | 2024-04-14T07:16:07Z |
| format | Article |
| id | doaj.art-88767c8867c446ed8007c77e6e23218e |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-04-14T07:16:07Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-88767c8867c446ed8007c77e6e23218e2022-12-22T02:06:18ZengBMCBMC Oral Health1472-68312022-09-0122111310.1186/s12903-022-02454-1Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trialSameh Attia0Thomas Austermann1Andreas May2Mohamed Mekhemar3Jonas Conrad4Michael Knitschke5Sebastian Böttger6Hans-Peter Howaldt7Abanoub Riad8Department of Oral and Maxillofacial Surgery, Justus-Liebig-UniversityDepartment of Oral and Maxillofacial Surgery, Justus-Liebig-UniversityDepartment of Oral and Maxillofacial Surgery, Justus-Liebig-UniversityClinic for Conservative Dentistry and Periodontology, School of Dental Medicine, Kiel UniversityClinic for Conservative Dentistry and Periodontology, School of Dental Medicine, Kiel UniversityDepartment of Oral and Maxillofacial Surgery, Justus-Liebig-UniversityDepartment of Oral and Maxillofacial Surgery, Justus-Liebig-UniversityDepartment of Oral and Maxillofacial Surgery, Justus-Liebig-UniversityDepartment of Public Health, Faculty of Medicine, Masaryk UniversityAbstract Background The administration of local anesthesia (LA) in dental practice requires an injection which is the leading cause of patients’ fear and anxiety. Computer-controlled local anesthetic injector, designed to reduce the pain of performing local anesthesia by controlling the speed of injection. This single-blind randomised control trial aimed to compare the pain perception after computer-controlled local anesthesia (CCLA) and conventional LA. Methods Dental students were both test and operator group versus an experienced dentist as additional operator of the LA. Data were collected regarding gender, age, medical condition, smoking habits. Additionally, operator feedback about the handling, pain at insertion and during infiltration, excitement (Dental Anxiety Scale), and complications were assessed. Results Out of the 60 included participants, the majority were females (n = 41; 68.3%), medically healthy (n = 54; 90%), and did not receive medications (n = 54; 90%). While the participating students administered 62 (51.7%) injections, the experienced dentist administered 58 (48.3%) injections. The difference in pain perception on puncture between CCLA and conventional injections was not statistically significant (Sig. = 0.285); however, pain perception during injection was significantly different (Sig. = 0.029) between CCLA (1.65 ± 1.93) and conventional injections (2.49 ± 2.31). Conclusion The professional experience influenced the pain perception while applying the LA. CCLA did not reduce pain on puncture significantly; however, pain perception during the injection was significantly reduced in the case of using CCLA devices compared to the conventional syringe.https://doi.org/10.1186/s12903-022-02454-1Computed-controlled local anesthesiaDental anesthesiaDental educationLocal anesthesiaNerve blockPain perception |
| spellingShingle | Sameh Attia Thomas Austermann Andreas May Mohamed Mekhemar Jonas Conrad Michael Knitschke Sebastian Böttger Hans-Peter Howaldt Abanoub Riad Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial BMC Oral Health Computed-controlled local anesthesia Dental anesthesia Dental education Local anesthesia Nerve block Pain perception |
| title | Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial |
| title_full | Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial |
| title_fullStr | Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial |
| title_full_unstemmed | Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial |
| title_short | Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial |
| title_sort | pain perception following computer controlled versus conventional dental anesthesia randomized controlled trial |
| topic | Computed-controlled local anesthesia Dental anesthesia Dental education Local anesthesia Nerve block Pain perception |
| url | https://doi.org/10.1186/s12903-022-02454-1 |
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