Effectiveness of a needle-free local anesthetic technique compared to the traditional syringe technique for the restoration of young permanent molars: a single-blind randomized clinical trial.

Autor:	Albar NH; Restorative Dentistry Department, College of Dentistry, Jazan University, 45142 Jazan, Kingdom of Saudi Arabia., Maganur PC; Department of Preventive Dental Sciences, Division of Pediatric Dentistry, College of Dentistry, Jazan University, 45142 Jazan, Kingdom of Saudi Arabia., Alsaeedi AAH; College of Dentistry, Jazan University, 45142 Jazan, Kingdom of Saudi Arabia., Mahdi BHA; College of Dentistry, Jazan University, 45142 Jazan, Kingdom of Saudi Arabia., Almasoudi SA; College of Dentistry, Jazan University, 45142 Jazan, Kingdom of Saudi Arabia., Panda S; Department of Preventive Dental Sciences, Division of Pediatric Dentistry, College of Dentistry, Jazan University, 45142 Jazan, Kingdom of Saudi Arabia., Gharawi AHM; College of Dentistry, Jazan University, 45142 Jazan, Kingdom of Saudi Arabia., Modrba HT; College of Dentistry, Jazan University, 45142 Jazan, Kingdom of Saudi Arabia., Kelani RH; College of Dentistry, Jazan University, 45142 Jazan, Kingdom of Saudi Arabia., Muthaffar LY; College of Dentistry, Jazan University, 45142 Jazan, Kingdom of Saudi Arabia., Hakami MB; College of Dentistry, Jazan University, 45142 Jazan, Kingdom of Saudi Arabia., Vishwanathaiah S; Department of Preventive Dental Sciences, Division of Pediatric Dentistry, College of Dentistry, Jazan University, 45142 Jazan, Kingdom of Saudi Arabia.
Jazyk:	angličtina
Zdroj:	The Journal of clinical pediatric dentistry [J Clin Pediatr Dent] 2024 Nov; Vol. 48 (6), pp. 107-116. Date of Electronic Publication: 2024 Nov 03.
DOI:	10.22514/jocpd.2024.131
Abstrakt:	The sensation of pain can elevate anxiety levels, establishing a cyclical pattern that may result in the avoidance or premature termination of dental procedures. Previous endeavors employing various methods and products have produced varied outcomes. Jet injection systems, employing high pressure and velocity to deliver anesthesia without needles, offer a non-invasive option for local anesthesia administration. To assess and measure pain perception levels in a pediatric population during the restoration of young permanent teeth, comparing a needle-free injection system with the traditional dental needle method. Sixty participants with young permanent first molars requiring indirect pulp capping were enrolled, all under the care of a single operator. A simple randomization method was employed, utilizing sequentially numbered, opaque, sealed envelopes to allocate participants into two intervention groups: Group 1 and Group 2. Group 1 received traditional needle syringe anesthesia, while Group 2 received the needle-less injection system, Injex (INJEX Pharma AG, Germany). Following topical anesthesia application, local anesthesia was administered, and indirect pulp capping was performed. The Face, Legs, Activity, Cry, Consolability Scale (FLACC), Wong-Baker Scale, Time of local anesthesia (LA) Administration, Frankl Behavior Rating Scale (FBRS), and Pulse rate were evaluated and recorded at various intervals. The needle-less injection system required approximately 26.2 seconds for anesthesia administration, significantly less time than the traditional syringe ( p < 0.001). FBRS score analysis revealed no significant differences between groups at all intervals. FLACC score analysis during anesthesia administration indicated lower scores in the needle-free injection group ( p < 0.001). Evaluation of Wong Baker Scale (WBS) scores showed higher values in the traditional syringe needle group ( p < 0.05). Using the Injex system presents a promising alternative for dental anesthesia administration, enhancing patient comfort and alleviating fear associated with traditional injections. Competing Interests: The authors declare no conflict of interest. (©2024 The Author(s). Published by MRE Press.)
Databáze:	MEDLINE
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