Effect of vibratory stimulation on pain during local anesthesia injections: a clinical trial
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Objectives This study aimed to assess the effect of DentalVibe on the level of pain experienced during anesthetic injections using 2 different techniques. Materials and Methods This randomized crossover clinical trial evaluated 60 patients who required 2-session endodontic treatment. Labial infiltration (LI) anesthesia was administered in the anterior maxilla of 30 patients, while inferior alveolar nerve block (IANB) was performed in the remaining 30 patients. 1.8 mL of 2% lidocaine was injected at a rate of 1 mL/min using a 27-gauge needle. DentalVibe was randomly assigned to either the first or second injection session. A visual analog scale was used to determine participants' pain level during needle insertion and the anesthetic injection. The paired t-test was applied to assess the efficacy of DentalVibe for pain reduction. Results In LI anesthesia, the pain level was 12.0 ± 15.5 and 38.1 ± 21.0 during needle insertion and 19.1 ± 16.1 and 48.9 ± 24.6 during the anesthetic injection using DentalVibe and the conventional method, respectively. In IANB, the pain level was 14.1 ± 15.9 and 35.1 ± 20.8 during needle insertion and 17.3 ± 14.2 and 39.5 ± 20.8 during the anesthetic injection using DentalVibe and the conventional method, respectively. DentalVibe significantly decreased the level of pain experienced during needle insertion and the anesthetic injection in anterior LI and mandibular IANB anesthesia. Conclusions The results suggest that DentalVibe can be used to reduce the level of pain experienced by adult patients during needle insertion and anesthetic injection.
Abstract
Objectives This study aimed to assess the effect of DentalVibe on the level of pain experienced during anesthetic injections using 2 different techniques. Materials and Methods This randomized crossover clinical trial evaluated 60 patients who required 2-session endodontic treatment. Labial infiltration (LI) anesthesia was administered in the anterior maxilla of 30 patients, while inferior alveolar nerve block (IANB) was performed in the remaining 30 patients. 1.8 mL of 2% lidocaine was injected at a rate of 1 mL/min using a 27-gauge needle. DentalVibe was randomly assigned to either the first or second injection session. A visual analog scale was used to determine participants' pain level during needle insertion and the anesthetic injection. The paired t-test was applied to assess the efficacy of DentalVibe for pain reduction. Results In LI anesthesia, the pain level was 12.0 ± 15.5 and 38.1 ± 21.0 during needle insertion and 19.1 ± 16.1 and 48.9 ± 24.6 during the anesthetic injection using DentalVibe and the conventional method, respectively. In IANB, the pain level was 14.1 ± 15.9 and 35.1 ± 20.8 during needle insertion and 17.3 ± 14.2 and 39.5 ± 20.8 during the anesthetic injection using DentalVibe and the conventional method, respectively. DentalVibe significantly decreased the level of pain experienced during needle insertion and the anesthetic injection in anterior LI and mandibular IANB anesthesia. Conclusions The results suggest that DentalVibe can be used to reduce the level of pain experienced by adult patients during needle insertion and anesthetic injection.
참고문헌 (32)
- "Pain terms: a list with definitions and notes on usage. Recommended by the IASP Subcommittee on Taxonomy", Pain, 6, pp.249~ (1979)
- Locker D, "Prevalence of oral and facial pain and discomfort : preliminary results of a mail survey", Community Dent Oral Epidemiol, 15, pp.169~172 (1987)
- Malamed SF, "Emergency medicine : beyond the basics", J Am Dent Assoc, 128, pp.843~854 (1997)
- Quarnstrom F, "Electronic anesthesia versus topical anesthesia for the control of injection pain", Quintessence Int, 25, pp.713~716 (1994)
- Dau M, "Influence of needle bevel design on injection pain and needle deformation in dental local infiltration anaesthesia-randomized clinical trial", Int J Oral Maxillofac Surg, 46, pp.1484~1489 (2017)
- Flanagan T, "Size doesn't matter : needle gauge and injection pain", Gen Dent, 55, pp.216~217 (2007)
- Ghaderi F, "Pain management during needle insertion with low level laser", Eur J Paediatr Dent, 17, pp.151~154 (2016)
- de Souza Melo MR, "The effect of 2 injection speeds on local anesthetic discomfort during inferior alveolar nerve blocks", Anesth Prog, 62, pp.106~109 (2015)
- Aravena PC, "Effect of warming anesthetic on pain perception during dental injection : a split-mouth randomized clinical trial", Local Reg Anesth, 11, pp.9~13 (2018)
- Phero JA, "Buffered versus non-buffered lidocaine with epinephrine for mandibular nerve block : clinical outcomes", J Oral Maxillofac Surg, 75, pp.688~693 (2017)
- Natu VP, "Bioactivity, physical and chemical properties of MTA mixed with propylene glycol", J Appl Oral Sci, 23, pp.405~411 (2015)
- Meechan JG, "Effective topical anesthetic agents and techniques", Dent Clin North Am, 46, pp.759~766 (2002)
- Melzack R, "Pain mechanisms : a new theory", Science, 150, pp.971~979 (1965)
- Sivanesan E, "Supraspinal mechanisms of spinal cord stimulation for modulation of pain : five decades of research and prospects for the future", Anesthesiology, 130, pp.651~665 (2019)
- Shilpapriya M, "Effectiveness of new vibration delivery system on pain associated with injection of local anesthesia in children", J Indian Soc Pedod Prev Dent, 33, pp.173~176 (2015)
- Tung J, "Clinical performance of the DentalVibe® injection system on pain perception during local anesthesia in children", J Dent Child(Chic), 85, pp.51~57 (2018)
- Shaefer JR, "A vibration device to control injection discomfort", Compend Contin Educ Dent, 38, pp.e5~e8 (2017)
- Raslan N, "A randomized clinical trial to compare pain levels during three types of oral anesthetic injections and the effect of Dentalvibe® on injection pain in children", Int J Paediatr Dent, 28, pp.102~110 (2018)
- Elbay M, "Comparison of injection pain caused by the DentalVibe injection system versus a traditional syringe for inferior alveolar nerve block anaesthesia in paediatric patients", Eur J Paediatr Dent, 16, pp.123~128 (2015)
- Ungor C, "The effects of vibration on pain and anxiety during local anesthesia administration", JSM Dent, 2, pp.1022~ (2014)
- Nanitsos E, "The effect of vibration on pain during local anaesthesia injections", Aust Dent J, 54, pp.94~100 (2009)
- Roeber B, "Evaluation of the effects of the VibraJect attachment on pain in children receiving local anesthesia", Pediatr Dent, 33, pp.46~50 (2011)
- Saijo M, "Lack of pain reduction by a vibrating local anesthetic attachment : a pilot study", Anesth Prog, 52, pp.62~64 (2005)
- Yoshikawa F, "Vibrating dental local anesthesia attachment to reduce injection pain", J Jpn Dent Soc Anesthesiol, 31, pp.194~195 (2003)
- DiFelice MG, "Effects of a vibratory device on pain from anesthetic injections", Compend Contin Educ Dent, 35, pp.246~ (2014)
- Johnson J, "Influence of site preparation methods on the pain reported during palatal infiltration using the Wand Local Anesthetic System", Am J Dent, 16, pp.165~169 (2003)
- Asgary S, "Effect of two storage solutions on surface topography of two root-end fillings", Aust Endod J, 35, pp.147~152 (2009)
- Zilinsky I, "Ten commandments for minimal pain during administration of local anesthetics", J Drugs Dermatol, 4, pp.212~216 (2005)
- Primosch RE, "Influence of anesthetic flow rate delivered by the Wand Local Anesthetic System on pain response to palatal injections", Am J Dent, 15, pp.15~20 (2002)
- McGrath PA, "Pain control in dentistry : psychologic factors that modify the perception of pain", Compend Contin Educ Dent, 6, pp.574~ (1985)
- Nusstein J, "Injection pain and postinjection pain of the anterior middle superior alveolar injection administered with the Wand or conventional syringe", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 98, pp.124~131 (2004)
- Price DD, "The validation of visual analogue scales as ratio scale measures for chronic and experimental pain", Pain, 17, pp.45~56 (1983)
