| Autor: |
Smolarek PC; Departament of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil., da Silva LS; Departament of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil., Martins PRD; Departament of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil., Hartman KDC; Departament of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil., Bortoluzzi MC; Departament of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil., Chibinski ACR; Departament of Dentistry, State University of Ponta Grossa, Ponta Grossa, Paraná, Brazil. |
| Abstrakt: |
Objective: To evaluate the influence of different local anaesthetic techniques in pain, disruptive behaviour and anxiety in children´s dental treatment. Material and methods: This was a randomised and parallel clinical trial. The sample consisted of 105 children (5-8 years old) that were divided into three groups ( n = 35) according to the anaesthetic technique: conventional anaesthesia (CA); vibrational anaesthesia (VBA); computer-controlled local anaesthesia delivery (CCLAD). The outcomes were self-perception of pain (Wong-Baker Faces Pain Rating Scale - WBF; Numerical Rating Scale - NRS); disruptive behaviour (Face, Legg, Activity, Cry, Consolability Scale - FLACC); anxiety (Corah's Dental Anxiety Scale; modified Venham Picture test - VPTm) and physiological parameters (blood pressure - systolic - SBP and diastolic - DBP; heart rate - HR; oxygen saturation - SpO2; respiratory rate - RR). Data were statistically analysed with Kruskall-Wallis test and ANOVA for repeated measures with Tukey post hoc test ( α = 0.05). Results: All the patients exhibited the same level of dental anxiety at baseline (Corah's Dental Anxiety Scale). There was no difference in self-perception pain, irrespective the evaluation tool used (WBF - p = .864; VAS - p = .761). No differences were detected in disruptive behaviour (FLACC - p = .318); anxiety (VPTm - p = .274); blood pressure (SBP - p = .239; DBP - p = .512); heart rate ( p = .728); oxygen saturation ( p = .348) and respiratory rate ( p = .238) between anaesthetic techniques. Conclusion: Different anaesthetic dental local techniques do not affect the levels of pain, disruptive behaviour, anxiety and physiological parameters in children aged 5-8 years old. |
