Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Cairo University
Cairo, 11559, Egypt
NCT Number: NCT06290531
Local anesthetic injection is considered one of the most annoying dental procedures. The use of topical anesthesia is considered a routine procedure in the dental clinic especially for children. However, the taste and application procedure of the topical gel may not be pleasant for all children.
The introduction of the Buzzy device is considered a distraction measure in the medical field. Alanazi et al., 2019, studied the effect of using the Buzzy device with cold and vibration compared to the conventional infiltration technique using 30-gauge needle. They concluded that the use of the Buzzy device resulted in better patients' acceptance and significantly lower Wong-Baker scores.
Ballard et al., 2019, mentioned in their systematic review the efficacy of the Buzzy device for pain management during needle-related procedures, they concluded that the use of the device may be promising. Ghaderi et al., 2013, evaluated the effect of cooling the injection site on pain perception before infiltration of local anesthetics. They found that cooling the injection site before infiltration of local anesthetics in the buccal mucosa for 1 min, reduced pain perceived by pediatric patients.
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Notify Me6 year–12 year
All sexes
Interventional
Not applicable
Cairo, 11559, Egypt
The investigators used the topical anesthesia, Buzzy device (using vibration only and using cold and vibration) or precooling on pain during buccal infiltration local anesthesia injection.
Healthy volunteers accepted: Yes
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
The device produces cold and vibration to act on the gate control theory and provide painless injection by nerve distraction
The device produces vibration to act on the gate control theory and provide painless injection by nerve distraction
Ice cubes used for applying coolness at the injection area
Topical anesthetic gel
Time frame: Immediately post injection
Patient was asked to choose from the faces on the Wong Baker faces pain rating scale (0-10) with 10 is the worst score
Time frame: Immediately during injection
Child behaviour during needle injection was recorded using Sound-eye-motor scale (0-9) with 9 is the worst score
Time frame: Immediately post injection
Heart rate was recorded using pulse oximetry (beats/minute)
Time frame: Immediately post injection
Oxygen saturation was recorded using pulse oximetry
Time frame: Immediately post injection
By asking questions to both child and their parent on a likert scale for children ( positive, neutral and negative) for parents ( strongly agree, agree, no opinion, disagree and strongly disagree)
Cairo University
Other
Different Methods for Reducing Buccal Infiltration Local Anesthesia Injection Pain in Children: A Randomized Controlled Study.
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