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. 2019 Summer;13(3):159-165.
doi: 10.15171/joddd.2019.025. Epub 2019 Oct 7.

Cooling the soft tissue and its effect on perception of pain during infiltration and block anesthesia in children undergoing dental procedures: A comparative study

Sagorika Bose  1 , Nishita Garg  2 , Lumbini Pathivada  2 , Ramakrishna Yeluri  2
Affiliations

Cooling the soft tissue and its effect on perception of pain during infiltration and block anesthesia in children undergoing dental procedures: A comparative study

Sagorika Bose et al. J Dent Res Dent Clin Dent Prospects. 2019 Summer.

Abstract

Background. This study assessed the effect of cooling the soft tissue site on the perception of pain in children undergoing local anesthesia for routine dental procedures. Methods. One hundred children, 6‒14 years of age, were assigned to either of the two study groups, i.e., group 1 (infiltration) and group 2 (block anesthesia). One side of the arch served as the test side, where an ice pretreatment (IP) of the soft tissue of the injection site was carried out using a tube of ice for one minute, whereas the opposite side served as the control, where no ice pretreatment (WIP) was carried out. This was followed by the gradual injection of local anesthetic solution. The children's pain perception was assessed by VAS, WB-FPRS and SEM scales. The data were analyzed statistically. Results. WBS, VAS and SEM scores were significantly different between the WIP and IP in both groups, indicating that ice was effective in reducing the pain perception in children. Intergroup comparison revealed no significant differences (P>0.05), indicating that cooling was equally effective in infiltration and block anesthesia. Conclusion. Cooling the soft tissue site helped decrease pain perception during injection in children.

Keywords: Anesthesia; cooling; ice; injection; pain.

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References

    1. O’Brien L, Taddio A, Lyszkiewicz DA, Koren G. A critical review of the topical local anesthetic amethocaine (Ametop) for pediatric pain. Paediatr Drugs. 2005;7(1):41–54. doi: 10.2165/00148581-200507010-00004. - DOI - PubMed
    1. Colaric KB, Overton DT, Moore K. Pain reduction in lidocaine administration through buffering and warming. Am J Emerg Med. 1998;16(4):353–6. doi: 10.1016/S0735-6757(98)90126-7. - DOI - PubMed
    1. Touyz LZ, Lamontagne P, Smith BE. Pain and anxiety reduction using a manual stimulation distraction device when administering local analgesia oro-dental injections: a multi-center clinical investigation. J Clin Dent. 2004;15(3):88–92. - PubMed
    1. Scarfone RJ, Jasani M, Gracely EJ. Pain of local anesthetics: rate of administration and buffering. Ann Emerg Med. 1998;31(1):36–40. doi: 10.1016/S0196-0644(98)70278-1. - DOI - PubMed
    1. Gibson RS, Allen K, Hutfless S, Beiraghi S. The Wand vs traditional injection: a comparison of pain related behaviors. Pediatr Dent. 2000;22(6):458–62. - PubMed

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