Comparative evaluation of pain perception with a new needle-free system and dental needle method in children: a randomized clinical trial

Abstract Background Pain control during dental procedures is one of the most important topics related to behavior management in children. This study aims to compare the pain perception associated with a needle-free system (Comfort-In™) and the dental needle method during filling and pulpotomy treatm...

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Autores principales:	Halenur Altan, Melek Belevcikli, Alem Coşgun, Osman Demir
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Children Dental needle Needle-free injection system Pain Pulpotomy Anesthesiology RD78.3-87.3
Acceso en línea:	https://doaj.org/article/7e77d89d0b4d413f87e938864902a8d7
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spelling	oai:doaj.org-article:7e77d89d0b4d413f87e938864902a8d72021-12-05T12:08:01ZComparative evaluation of pain perception with a new needle-free system and dental needle method in children: a randomized clinical trial10.1186/s12871-021-01524-11471-2253https://doaj.org/article/7e77d89d0b4d413f87e938864902a8d72021-12-01T00:00:00Zhttps://doi.org/10.1186/s12871-021-01524-1https://doaj.org/toc/1471-2253Abstract Background Pain control during dental procedures is one of the most important topics related to behavior management in children. This study aims to compare the pain perception associated with a needle-free system (Comfort-In™) and the dental needle method during filling and pulpotomy treatments in children. Methods The study included teeth that required treatment (pulpotomy or filling treatment) in 56 patients aged 4 to 11 years with no systemic problems or history of allergy. Patients were randomly divided into the needle-free system group (filling treatment, n = 13; pulpotomy, n = 15) and dental needle method group (filling treatment, n = 14; pulpotomy, n = 14). For pulpotomy and filling treatment performed with 0.3 mL anesthesia, the active ingredient of which is 2% lidocaine and 1/80000 epinephrine. The patients’ behavior before the procedure was evaluated by a pediatric dentist using the Frankl Behavior Scale. The pain intensity was assessed Immediately after injection (induction), during treatment (treatment), and at the end of the treatment (post treatment) by the Wong-Baker Faces Pain Scale. Results The median (IQR-InterQuartile Range) induction pain value was 6[3-8] and 2[0-4] in dental needle method and needle-free system respectively, p < 0.001). In filling and pulpotomy treatment group, no difference between the needle and needle-free group for treatment and post-treatment pain values. Conclusions For pulpotomy and filling treatment, needle-free system performed with 0.3 mL anesthesia was found as effective as infiltrative anesthesia with a dental needle method. Trial registration ClinicalTrials.gov , NCT04653974 . Registered 4 December 2020 – Retrospectively registered.Halenur AltanMelek BelevcikliAlem CoşgunOsman DemirBMCarticleChildrenDental needleNeedle-free injection systemPainPulpotomyAnesthesiologyRD78.3-87.3ENBMC Anesthesiology, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Children Dental needle Needle-free injection system Pain Pulpotomy Anesthesiology RD78.3-87.3
spellingShingle	Children Dental needle Needle-free injection system Pain Pulpotomy Anesthesiology RD78.3-87.3 Halenur Altan Melek Belevcikli Alem Coşgun Osman Demir Comparative evaluation of pain perception with a new needle-free system and dental needle method in children: a randomized clinical trial
description	Abstract Background Pain control during dental procedures is one of the most important topics related to behavior management in children. This study aims to compare the pain perception associated with a needle-free system (Comfort-In™) and the dental needle method during filling and pulpotomy treatments in children. Methods The study included teeth that required treatment (pulpotomy or filling treatment) in 56 patients aged 4 to 11 years with no systemic problems or history of allergy. Patients were randomly divided into the needle-free system group (filling treatment, n = 13; pulpotomy, n = 15) and dental needle method group (filling treatment, n = 14; pulpotomy, n = 14). For pulpotomy and filling treatment performed with 0.3 mL anesthesia, the active ingredient of which is 2% lidocaine and 1/80000 epinephrine. The patients’ behavior before the procedure was evaluated by a pediatric dentist using the Frankl Behavior Scale. The pain intensity was assessed Immediately after injection (induction), during treatment (treatment), and at the end of the treatment (post treatment) by the Wong-Baker Faces Pain Scale. Results The median (IQR-InterQuartile Range) induction pain value was 6[3-8] and 2[0-4] in dental needle method and needle-free system respectively, p < 0.001). In filling and pulpotomy treatment group, no difference between the needle and needle-free group for treatment and post-treatment pain values. Conclusions For pulpotomy and filling treatment, needle-free system performed with 0.3 mL anesthesia was found as effective as infiltrative anesthesia with a dental needle method. Trial registration ClinicalTrials.gov , NCT04653974 . Registered 4 December 2020 – Retrospectively registered.
format	article
author	Halenur Altan Melek Belevcikli Alem Coşgun Osman Demir
author_facet	Halenur Altan Melek Belevcikli Alem Coşgun Osman Demir
author_sort	Halenur Altan
title	Comparative evaluation of pain perception with a new needle-free system and dental needle method in children: a randomized clinical trial
title_short	Comparative evaluation of pain perception with a new needle-free system and dental needle method in children: a randomized clinical trial
title_full	Comparative evaluation of pain perception with a new needle-free system and dental needle method in children: a randomized clinical trial
title_fullStr	Comparative evaluation of pain perception with a new needle-free system and dental needle method in children: a randomized clinical trial
title_full_unstemmed	Comparative evaluation of pain perception with a new needle-free system and dental needle method in children: a randomized clinical trial
title_sort	comparative evaluation of pain perception with a new needle-free system and dental needle method in children: a randomized clinical trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/7e77d89d0b4d413f87e938864902a8d7
work_keys_str_mv	AT halenuraltan comparativeevaluationofpainperceptionwithanewneedlefreesystemanddentalneedlemethodinchildrenarandomizedclinicaltrial AT melekbelevcikli comparativeevaluationofpainperceptionwithanewneedlefreesystemanddentalneedlemethodinchildrenarandomizedclinicaltrial AT alemcosgun comparativeevaluationofpainperceptionwithanewneedlefreesystemanddentalneedlemethodinchildrenarandomizedclinicaltrial AT osmandemir comparativeevaluationofpainperceptionwithanewneedlefreesystemanddentalneedlemethodinchildrenarandomizedclinicaltrial
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Comparative evaluation of pain perception with a new needle-free system and dental needle method in children: a randomized clinical trial

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