The effect of pre-anesthesia with a needle-free system versus topical anesthesia on injection pain of the inferior alveolar nerve block: a randomized clinical trial

dc.authorid Tokuc, Muge/0000-0002-3933-9998
dc.authorid yildirim, sinem/0000-0002-8647-0534
dc.authorscopusid 56732551000
dc.authorscopusid 57210359918
dc.authorscopusid 57195517021
dc.authorwosid Tokuc, Muge/GXG-4479-2022
dc.contributor.author Yildirim, Sinem
dc.contributor.author Tokuc, Muge
dc.contributor.author Aydin, Merve Nur
dc.date.accessioned 2024-05-25T12:29:59Z
dc.date.available 2024-05-25T12:29:59Z
dc.date.issued 2020
dc.department Okan University en_US
dc.department-temp [Yildirim, Sinem; Tokuc, Muge; Aydin, Merve Nur] Istanbul Okan Univ, Fac Dent, Dept Pediat Dent, Istanbul, Turkey en_US
dc.description Tokuc, Muge/0000-0002-3933-9998; yildirim, sinem/0000-0002-8647-0534 en_US
dc.description.abstract Objective The aim of this study was to compare the effectiveness of pain control between a needle-free system and topical anesthesia applied prior to inferior alveolar nerve block (IANB). Materials and methods The present study was designed as a randomized controlled cross-over clinical study on 60 children (aged 6 to 12 years) requiring dental treatment with IANB in bilateral mandibular molars. As pre-anesthesia, topical anesthesia (TA) was applied on one side and the Comfort-in (TM) injection system (CIS) on the other side in two separate sessions before IANB. The injection pain during IANB, at both the needle insertion and solution deposition phases, was analyzed using the Wong-Baker Faces Pain Rating Scale (PRS) and the Face, Legs, Activity, Cry, Consolability Scale (FLACC). The data were analyzed using the Wilcoxon signed-rank test, Spearman correlation, and Mann-Whitney U test. Results There were statistically significant differences between TA and CIS in subjective and objective pain evaluations during both the needle insertion and solution deposition. The use of a needle-free system in pre-anesthesia yielded a significant decrease in subjective and objective pain scores (p < 0.001). No statistical difference was found between TA and CIS in terms of patient preference, but patient preference for CIS was significantly higher in older patients (p < 0.01). Conclusions It was determined that the use of a needle-free system in pre-anesthesia yielded a decrease in injection pain of IANB. en_US
dc.identifier.citationcount 6
dc.identifier.doi 10.1007/s00784-020-03301-9
dc.identifier.endpage 4361 en_US
dc.identifier.issn 1432-6981
dc.identifier.issn 1436-3771
dc.identifier.issue 12 en_US
dc.identifier.pmid 32382924
dc.identifier.scopus 2-s2.0-85084967084
dc.identifier.scopusquality Q1
dc.identifier.startpage 4355 en_US
dc.identifier.uri https://doi.org/10.1007/s00784-020-03301-9
dc.identifier.uri https://hdl.handle.net/20.500.14517/2167
dc.identifier.volume 24 en_US
dc.identifier.wos WOS:000530982800006
dc.identifier.wosquality Q2
dc.institutionauthor Tokuç M.
dc.language.iso en
dc.publisher Springer Heidelberg en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/closedAccess en_US
dc.scopus.citedbyCount 8
dc.subject Local anesthesia en_US
dc.subject Injection pain en_US
dc.subject Inferior alveolar nerve block en_US
dc.subject Pain management en_US
dc.title The effect of pre-anesthesia with a needle-free system versus topical anesthesia on injection pain of the inferior alveolar nerve block: a randomized clinical trial en_US
dc.type Article en_US
dc.wos.citedbyCount 9

Files