Comparison of two dental injection techniques in terms of pain perception in children during dental treatment

Not yet recruiting

• Conditions: Pulpitis,

• Registration Number: CTRI/2023/06/054445
• Lead Sponsor: Dr Manali Khole

Brief Summary

Needle-relatedpain (NRP)/ Blenophobia occurs most frequently during anesthesia in dentistry.In children, the pain from NRPs can produce an emotional and negative cognitiveresponse towards the procedure. Pain haslong been associated with dentistry and has anunusual relation and is the main reason that leads the patient to seek dental treatment.In addition, dental fear and anxiety are the main causes that may leadpatients to bypass dental appointments. Fear-related behaviors have long beenrecognized as the most serious aspect of patient management and can be animpediment to dental care. For invasiveprocedures, pain control is achieved typically by means of injection of localanesthesia. Although this method is highly effective, it is also the dentalprocedure that is most often associated with anxiety and negative responses.For some patients, the injection itself is painful, and thus the procedure thatis designed to reduce pain may itself result in fear and procrastination.In addition,patients often experience more fear at the sight of a needle during theadministration of local anesthetic than from the treatment itself. Therefore,dentists have attempted to minimize the intensity of NRP associated with anydental problem. The objective fear of thechild during administration of localanesthesia ranges from sight of the needle to the pain that might be associatedwith needle injection, which increases the anxiety of the patient resulting infear of receiving local anesthesia in the future. Thus,there is a need for attempting use of  several methods to minimize pain duringadministering local anesthesia. Jet-injectorare needle-free systems that work with the principle of applying anestheticsolution with pressure to penetrate the tissues with spring-loaded devices, ina manner reinforced with pressurized air or gas. To the best of our knowledge, limitedliterature is available on the pain perception of the jet injectors onpediatric population. In this study, we aimed to compare the pain perception ofjet injector method and conventional injection method in a pediatric populationof age 6-12 years.

Primary Objectives: Tocompare the effect of the jet injection and conventional injection method onpain perception in children 6-12 years of age using Wong- Baker scale.

Methodology: Childrencoming in the department of pedodontics and preventive dentistry will beincluded in study and requiring administration of local anesthesia  on both sides of maxilla will be included instudy for various procedures. Basedon inclusion criteria, 50 children of age group 6- 12 years will be selectedfor study. Both the genders will have equal opportunity toparticipate in the study.Each child will be assigned for both the jet injector and conventionalinjection technique. Method to be administered first will be decidedalternately and the side determination will be done by flip the coin technique.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-02-07
• Last Update Posted: 2023-06-22

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Aged between 6 -12 years requiring bilateral maxillary local anesthesia.
• Having sufficient mouth opening.
• Operation only on primary teeth decayed teeth that require anesthesia.
• No history of previous administration of anesthesia.

Exclusion Criteria

• Medically compromised patient.
• Dental phobia.

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Primary outcome is to assess Pain perception using Wong- Baker scale.	Specific time at which the outcome will be assessed/estimated i.e. at baseline single intervention

Secondary Outcome Measures

Name	Time	Method
The secondary outcome is to measure pulse rate.	Specific time at which the outcome will be assessed/estimated i.e. before & after intervention.

Trial Locations

Locations (1)

Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital; 🇮🇳 Nagpur, MAHARASHTRA, India

Swargiya Dadasaheb Kalmegh Smruti Dental College and Hospital

🇮🇳Nagpur, MAHARASHTRA, India

Dr Manali Khole

Principal investigator

8149332558

manalikhole1@gmail.com