Comparing Pain and Anxiety Levels during Local Anesthesia Administration Using Intra- and Extraoral Vibratory Systems
Year: 2025
Type: article
Abstract: of pain during injection.7 Yet, the application and induction of local anesthesia (LA) has always been a stressful task, both for the patient and the dentist which justifies the search for alternative approaches that are accessible and effective.As a routine process for pain reduction, local anesthetic gels are used.These gels numb the surface area where the needle is inserted, which reduces the pain.8 Likewise, children become uncooperative due to the taste of the sprays and gels.Their efficiency also gets reduced when they dissolve with the saliva at the site.Recently, dental professionals have considered the application of gels in conjunction with a vibrating device under cold temperatures."Masking effect of pain" can be achieved using IntroductIonPain is an unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage-International Association for the Study of Pain (IASP). 1 Painless procedure is an essential component of excellent pediatric dental care. 2 It is crucial to manage pain during both invasive and noninvasive dental procedures because it may cause discomfort to the patients who refuse to undergo dental treatment.3 The safest and most effective medications for the management and prevention of pain are local anesthetics, which are used in both prevention and control of pain.An important reason for the avoidance of dental procedures in children is trypanophobia which is an extreme fear and anxiety associated with needles.Dental anxiety (DA) refers to abnormal fear or anxiety of visiting the dentist and anxiety over dental procedures.4 It might be responsible for delaying or avoiding the dental treatment.5 DA can be managed with behavior modification and shaping by various behavior management techniques.A study in behavioral management examines how science aids in comprehending the development of fear, anxiety, and anger in children during dental procedures.It emphasizes establishing communication with the child, fostering their confidence, and ensuring acceptance of dental treatment by creating a comfortable environment for the dental team to operate in.6 Children who suffer from trypanophobia are prone to develop a fear by looking at the healthcare professionals.Historically, techniques such as audio analgesia, hand holding, the use of smaller diameter needles, application of ice packs, icing sprays, and local anesthetic sprays and gels have all been implicated in the reduction 1-3,5,
Authors: Sai Geeta Mamilla, Sampath Reddy Cheruku, Zia Uddin Mohammad, Sarada Penmetcha, Swathi Swarna Silla
Institution: SVS Medical College
Language: English
Subfield: Oral Surgery
Field: Dentistry
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4413413173