Use of Pre-Injection Diffusion of Local Anaesthetic as a Means of Reducing Needle Penetration Discomfort
| Autor: | Esber Caglar, Ozgur Onder Kuscu, John G. Meechan, Nuket Sandalli |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Anesthesia
Dental Needles Pain Anesthetics Local Unbearable Pain Local anaesthetic Lidocaine business.industry Visual analogue scale medicine.medical_treatment Dentistry Penetration (firestop) Bevel lcsh:RK1-715 lcsh:Dentistry anestezija u stomatologiji igle bol anestetici lokalni medicine business General Dentistry Saline Research Article Gingival margin medicine.drug |
| Zdroj: | Acta Stomatologica Croatica, Vol 48, Iss 3, Pp 193-198 (2014) Acta stomatologica Croatica : International journal of oral sciences and dental medicine Volume 48 Issue 3 |
| ISSN: | 1846-0410 0001-7019 |
| DOI: | 10.15644/asc48/3/3 |
| Popis: | Svrha rada: Željelo se odrediti utječe li topikalna uporaba otopine lokalnog anestetika na neugodnu senzaciju pri ubodu igle u nepce. Metode: Provedeno je nasumično, dvostruko slijepo istraživanje uz sudjelovanje placebo-skupine. Odabrano je 25 zdravih dobrovoljaca koji su bili podvrgnuti dvostrukom ubodu igle tijekom jednog posjeta stomatologu. Mjesto uboda nalazilo se centimetar od marginalne gingive prvih maksilarnih premolara sa svake strane usta. Korištene su 13-milimetarske igle koje su bile pričvršćene na štrcaljke napunjene 2-postotnim lidokainom s 0,125mg/ml epinefrina ili fiziološkom otopinom. Prije svakog uboda stomatolog je istisnuo kap otopine na vrh igle te je 20 sekundi prislonio na nepce i vrh igle i kap. Neugodna senzacija ocijenjena je na 100 milimetarskoj vizualnoj ljestvici na kojoj su krajnje vrijednosti označene s bez boli i nepodnošljiva bol. Rezultati: Pri ubodu nije bilo statistički značajne razlike između dviju otopina na razini neugode (prosječna vrijednost = 26 80 ± 19,36 mm za lidokain i 26 20 ± 18,39 mm za fiziološku otopinu), iako su ispitanici naveli da je drugi ubod bio bolniji od prvoga (prosječna vrijednost = 31,00 ± 19,84 mm za lidokain i 22,00 ± 16,65 mm za fiziološku otopinu). Zaključak: Topikalna primjena otopine lokalnog anestetika nije utjecala na razinu boli nakon uboda iglom u nepce. Aim: To determine if pre-injection diffusion of local anaesthetic solution influences the discomfort of needle penetration in the palate. Methods: A placebo-controlled, randomised, doubleblind split-mouth investigation was conducted. 25 healthy adult volunteers were recruited and each received two needle penetrations in a random order during one visit. The penetration sites were 1 cm from the gingival margin of the first maxillary premolars on each side of the mouth. 30 gauge-13 mm needles which were attached to syringes that contained either 2% lidocaine with 0.125mg/ml epinephrine or physiological saline were used. For each penetration an operator encouraged a drop of solution to appear at the end of the needle and placed this drop with the bevel of the needle flat on the palate for 20 seconds. The discomfort was noted on a 100 mm visual analogue scale with end points marked “No pain” and “Unbearable pain”. Results: There was no significant difference in penetration discomfort between solutions, (mean VAS = 26.80±19.36mm for lidocaine and 26.20±18.39mm for saline) however the 2nd penetration was significantly more uncomfortable than the first (mean VAS = 31.00±19.84 mm and 22.00±16.65 mm respectively). Conclusion: Pre-injection diffusion of local anaesthetic solution did not influence the discomfort of needle penetration in the palate. |
| Databáze: | OpenAIRE |
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