Effects of a vibratory device on pain from anesthetic injections.

Autor:	DiFelice MG; Major, United States Air Force, DC, General Dentistry, Aviano Air Force Base, Aviano, Italy., Vandewalle KS; Colonel, United States Air Force, DC, Director, Dental Research, Advanced Education in General Dentistry Residency Program, Dunn Dental Clinic, Joint Base, San Antonio-Lackland, Texas; Air Force Postgraduate Dental School, Uniformed Services University of the Health Sciences, Bethesda, Maryland., Maller SC; Colonel (Ret), United States Air Force, DC. Formerly: Director of Periodontics, Advanced Education in General Dentistry Residency Program, Dunn Dental Clinic, Joint Base, San Antonio-Lackland, Texas; Air Force Postgraduate Dental School, Uniformed Services University of the Health Sciences, Bethesda, Maryland. Currently: Private Practice, San Antonio, Texas., Hancock RH; Colonel (Ret), United States Air Force, DC, Clinical Instructor, Periodontics, Advanced Education in General Dentistry Residency Program, Dunn Dental Clinic, Joint Base, San Antonio-Lackland, Texas; Air Force Postgraduate Dental School, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Jazyk:	angličtina
Zdroj:	Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995) [Compend Contin Educ Dent] 2014 Apr; Vol. 35 (4), pp. 246, 248, 250-1 passim.
Abstrakt:	Background: A randomized block, split-mouth design was used to determine the effectiveness of a vibratory device with topical anesthetic compared to topical anesthetic only in reducing the pain experienced during an inferior alveolar nerve block. Methods: Twenty participants each received two inferior alveolar injections with a 5-minute interval between injections, one with topical anesthetic and one with topical anesthetic and a vibratory device. Each injection included a 2-minute application of topical anesthetic gel at the injection site. Local anesthetic was administered bilaterally using a 27-gauge needle with or without the vibratory device. Participants rated the pain they experienced after each injection by using a visual analog scale (VAS). A mean VAS score and standard deviation was determined per group. Data was analyzed with a paired t test (α = 0.05). Results: The group receiving the vibratory device with topical anesthetic had a mean VAS score of 21.2 mm ± 18.6 mm, and the group receiving the topical anesthetic alone had a VAS score of 38.7 mm ± 23.3 mm. Conclusion: The use of the vibratory device and topical anesthetic significantly reduced the pain experienced during the administration of a local anesthetic injection compared with the use of topical anesthetic alone (P = 0.006).
Databáze:	MEDLINE
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