Comparative evaluation of pain perception following topical application of clove oil, betel leaf extract, lignocaine gel, and ice prior to intraoral injection in children aged 6-10 years: a randomized control study.

Autor: Havale R; Department of Pediatric and Preventive Dentistry, Academy of Medical Education Dental College and Hospital, Raichur, India., Rao DG; Department of Pediatric and Preventive Dentistry, Academy of Medical Education Dental College and Hospital, Raichur, India., S P S; Department of Pediatric and Preventive Dentistry, Academy of Medical Education Dental College and Hospital, Raichur, India., M Tuppadmath K; Department of Pediatric and Preventive Dentistry, Academy of Medical Education Dental College and Hospital, Raichur, India., Tharay N; Department of Pediatric and Preventive Dentistry, Academy of Medical Education Dental College and Hospital, Raichur, India., Mathew I; Department of Pediatric and Preventive Dentistry, Academy of Medical Education Dental College and Hospital, Raichur, India., Taj KE; Department of Pediatric and Preventive Dentistry, Academy of Medical Education Dental College and Hospital, Raichur, India.
Jazyk: angličtina
Zdroj: Journal of dental anesthesia and pain medicine [J Dent Anesth Pain Med] 2021 Aug; Vol. 21 (4), pp. 329-336. Date of Electronic Publication: 2021 Jul 30.
DOI: 10.17245/jdapm.2021.21.4.329
Abstrakt: Background: In the field of dentistry, topical anesthetics play an important role in reducing pain during needle pricks. The anesthetic property of betel leaves remain unexplored, even though they have been widely used for the treatment of various ailments. The purpose of this study was to compare and evaluate pain perception following topical application of lignocaine gel, clove gel, ice, and newly developed betel leaf extract gel during intraoral injection in children.
Methods: Sixty children aged 6-10 years who met the inclusion criteria were divided into four groups. Topical anesthetic agents, 2% lignocaine (Lox-2% Jelly, Neon, Mumbai, India), 4.7% clove gel (Pain Out Dental Gel, Colgate Palmolive India Ltd, Solan, India), 10% betel leaf extract gel, and ice were applied to each group for one min, followed by administration of infiltration anesthesia. Pain perception was analyzed during needle insertion. The Wong Bakers FACES pain rating scale (WBFPRS) was used for subjective assessment and the Sound, Eye, Motor (SEM) scale for objective assessment. Recorded values were tabulated and subjected to appropriate statistical analysis using SPSS software with a P value set at 0.05.
Results: The clove oil and betel leaf groups demonstrated the highest WBFPRS scores, followed by the ice and lignocaine groups. The clove, betel leaf extract, and ice groups showed equal and highest SEM scores, followed by the lignocaine group. The mean WBFPRS and mean SEM scores were statistically significant.
Conclusion: Betel leaf extract gel is effective in reducing pain and can act as an alternative topical anesthetic agent.
Competing Interests: DECLARATION OF INTEREST: There are no conflicts of interest to declare.
(Copyright © 2021 Journal of Dental Anesthesia and Pain Medicine.)
Databáze: MEDLINE