A Comparison in Patient Comfort Using Conventional Syringe and Needleless Jet Anesthesia Technique in Periodontal Surgery—A Split-Mouth Randomized Clinical Trial

<i>Background and Objectives:</i> Periodontal surgery requires local anesthetic coverage to alleviate patient discomfort. Needles and injections can engender feelings of fear and anxiety in individuals. This study aimed to assess the level of comfort and anxiety in patients during the ad...

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Main Authors: Preethi Shankar, Burnice Nalina Kumari Chellathurai, S. Ashok Kumar, Jaideep Mahendra, Maryam H. Mugri, Mohammed Sayed, Mohammad Almagbol, Mohammed Hussain Dafer Al Wadei, Rajaram Vijayalakshmi, Namasivayam Ambalavanan, A. Thirumal Raj, Shankargouda Patil
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/58/2/278
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author Preethi Shankar
Burnice Nalina Kumari Chellathurai
S. Ashok Kumar
Jaideep Mahendra
Maryam H. Mugri
Mohammed Sayed
Mohammad Almagbol
Mohammed Hussain Dafer Al Wadei
Rajaram Vijayalakshmi
Namasivayam Ambalavanan
A. Thirumal Raj
Shankargouda Patil
author_facet Preethi Shankar
Burnice Nalina Kumari Chellathurai
S. Ashok Kumar
Jaideep Mahendra
Maryam H. Mugri
Mohammed Sayed
Mohammad Almagbol
Mohammed Hussain Dafer Al Wadei
Rajaram Vijayalakshmi
Namasivayam Ambalavanan
A. Thirumal Raj
Shankargouda Patil
author_sort Preethi Shankar
collection DOAJ
description <i>Background and Objectives:</i> Periodontal surgery requires local anesthetic coverage to alleviate patient discomfort. Needles and injections can engender feelings of fear and anxiety in individuals. This study aimed to assess the level of comfort and anxiety in patients during the administration of local anesthesia using needleless jet anesthesia (JA) when compared to a conventional syringe (CS) in periodontal surgery. <i>Method and Materials:</i> 60 sites were designated for injection in a split-mouth design in 30 subjects who required periodontal surgery. Local anesthesia was administered in two appointments scheduled one week apart using either a JA system or a CS. The Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), and Beck’s anxiety inventory were used to report the pain and anxiety levels while injecting local anesthesia. Statistical analysis of the results was performed using the Shapiro–Wilks test and Paired t-test. <i>Results:</i> Patients reported greater comfort with JA. The VAS and VRS values were statistically significant—(<i>p</i> = 0.003) and (<i>p</i> = 0.001), respectively. Patients showed fear and were nervous about receiving a local anesthetic using a CS. A few subjects experienced lingering pain with the CS, whereas greater comfort and no lingering soreness were reported post-operatively at the site of JA administration. <i>Conclusions:</i> This study provides the first comprehensive assessment of using JA for periodontal surgical procedures. Lower pain scores were consistently observed with the use of jet injectors. Patients were at ease and reported lesser anxiety and greater comfort with jet injectors, making it ideally suited for providing local anesthesia in periodontal surgery.
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spelling doaj.art-b892a96fc4bc420bb3e8c1b9b78149072023-11-23T21:00:51ZengMDPI AGMedicina1010-660X1648-91442022-02-0158227810.3390/medicina58020278A Comparison in Patient Comfort Using Conventional Syringe and Needleless Jet Anesthesia Technique in Periodontal Surgery—A Split-Mouth Randomized Clinical TrialPreethi Shankar0Burnice Nalina Kumari Chellathurai1S. Ashok Kumar2Jaideep Mahendra3Maryam H. Mugri4Mohammed Sayed5Mohammad Almagbol6Mohammed Hussain Dafer Al Wadei7Rajaram Vijayalakshmi8Namasivayam Ambalavanan9A. Thirumal Raj10Shankargouda Patil11Department of Periodontology, Faculty of Dentistry, Meenakshi Ammal Dental College and Hospital, Alapakkam Main Road, Chennai 600095, IndiaDepartment of Periodontology, Faculty of Dentistry, Meenakshi Ammal Dental College and Hospital, Alapakkam Main Road, Chennai 600095, IndiaDepartment of Periodontology, Faculty of Dentistry, Meenakshi Ammal Dental College and Hospital, Alapakkam Main Road, Chennai 600095, IndiaDepartment of Periodontology, Faculty of Dentistry, Meenakshi Ammal Dental College and Hospital, Alapakkam Main Road, Chennai 600095, IndiaDepartment of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan 45412, Saudi ArabiaDepartment of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45412, Saudi ArabiaDepartment of Community and Periodontics, Faculty of Dentistry, King Khalid University, Abha 61421, Saudi ArabiaDepartment of Restorative Dental Science, College of Dentistry, King Khalid University, Abha 61421, Saudi ArabiaDepartment of Periodontology, Faculty of Dentistry, Meenakshi Ammal Dental College and Hospital, Alapakkam Main Road, Chennai 600095, IndiaDepartment of Periodontology, Faculty of Dentistry, Meenakshi Ammal Dental College and Hospital, Alapakkam Main Road, Chennai 600095, IndiaDepartment of Oral Pathology and Microbiology, Sri Venkateswara Dental College and Hospital, Chennai 600130, IndiaDepartment of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia<i>Background and Objectives:</i> Periodontal surgery requires local anesthetic coverage to alleviate patient discomfort. Needles and injections can engender feelings of fear and anxiety in individuals. This study aimed to assess the level of comfort and anxiety in patients during the administration of local anesthesia using needleless jet anesthesia (JA) when compared to a conventional syringe (CS) in periodontal surgery. <i>Method and Materials:</i> 60 sites were designated for injection in a split-mouth design in 30 subjects who required periodontal surgery. Local anesthesia was administered in two appointments scheduled one week apart using either a JA system or a CS. The Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), and Beck’s anxiety inventory were used to report the pain and anxiety levels while injecting local anesthesia. Statistical analysis of the results was performed using the Shapiro–Wilks test and Paired t-test. <i>Results:</i> Patients reported greater comfort with JA. The VAS and VRS values were statistically significant—(<i>p</i> = 0.003) and (<i>p</i> = 0.001), respectively. Patients showed fear and were nervous about receiving a local anesthetic using a CS. A few subjects experienced lingering pain with the CS, whereas greater comfort and no lingering soreness were reported post-operatively at the site of JA administration. <i>Conclusions:</i> This study provides the first comprehensive assessment of using JA for periodontal surgical procedures. Lower pain scores were consistently observed with the use of jet injectors. Patients were at ease and reported lesser anxiety and greater comfort with jet injectors, making it ideally suited for providing local anesthesia in periodontal surgery.https://www.mdpi.com/1648-9144/58/2/278jet injectionslocal anesthesiaperiodontal debridement
spellingShingle Preethi Shankar
Burnice Nalina Kumari Chellathurai
S. Ashok Kumar
Jaideep Mahendra
Maryam H. Mugri
Mohammed Sayed
Mohammad Almagbol
Mohammed Hussain Dafer Al Wadei
Rajaram Vijayalakshmi
Namasivayam Ambalavanan
A. Thirumal Raj
Shankargouda Patil
A Comparison in Patient Comfort Using Conventional Syringe and Needleless Jet Anesthesia Technique in Periodontal Surgery—A Split-Mouth Randomized Clinical Trial
Medicina
jet injections
local anesthesia
periodontal debridement
title A Comparison in Patient Comfort Using Conventional Syringe and Needleless Jet Anesthesia Technique in Periodontal Surgery—A Split-Mouth Randomized Clinical Trial
title_full A Comparison in Patient Comfort Using Conventional Syringe and Needleless Jet Anesthesia Technique in Periodontal Surgery—A Split-Mouth Randomized Clinical Trial
title_fullStr A Comparison in Patient Comfort Using Conventional Syringe and Needleless Jet Anesthesia Technique in Periodontal Surgery—A Split-Mouth Randomized Clinical Trial
title_full_unstemmed A Comparison in Patient Comfort Using Conventional Syringe and Needleless Jet Anesthesia Technique in Periodontal Surgery—A Split-Mouth Randomized Clinical Trial
title_short A Comparison in Patient Comfort Using Conventional Syringe and Needleless Jet Anesthesia Technique in Periodontal Surgery—A Split-Mouth Randomized Clinical Trial
title_sort comparison in patient comfort using conventional syringe and needleless jet anesthesia technique in periodontal surgery a split mouth randomized clinical trial
topic jet injections
local anesthesia
periodontal debridement
url https://www.mdpi.com/1648-9144/58/2/278
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