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The Effect of Needle-free Injection System During Palatal Anesthesia

Not Applicable
Completed
Conditions
Pediatric Anesthesia
Local Anesthesia
Interventions
Device: Comfort-in injection system
Other: traditional anesthesia
Registration Number
NCT05166291
Lead Sponsor
Okan University
Brief Summary

Needle-free injection systems can contribute to the prevention of needle-related pain during palatal infiltration anesthesia (PIA) in children. Research with this topic on children is required.The purpose of this clinical study was to evaluate the effectiveness of the needle-free system versus traditional anesthesia on pain perception during PIA in children.The study was designed as a randomized, controlled cross-over clinical study with 48 children aged 6 to 12 years requiring dental treatment with PIA in bilateral maxillary primary molars. It has been revealed that the application of a needle-free system during PIA ensured a decrease in pain perception in children.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria
  • In need of treatment of right and left primary molar teeth of maxilla,
  • Does not have any systemic disorder,
  • High level of communication that can provide logical answers to the questions we ask
  • With parental consent,
  • Volunteers who want to participate in the research
  • 6-12 years old patients who are compatible with routine dental treatments in the pediatric clinic
Exclusion Criteria
  • No need for treatment of right and left primary molar teeth of maxilla,
  • Has a systemic condition
  • Low level of communication that cannot provide reasonable answers to the questions we ask
  • Without parental consent
  • Do not want to participate voluntarily in the research
  • Do not attend a check-in
  • Patients not in the 6-12 age group

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
comfort-in injection system (CIS)Comfort-in injection systemcomfort-in injection system (CIS)
traditional anesthesia (TA)traditional anesthesiatraditional anesthesia
Primary Outcome Measures
NameTimeMethod
Wong-Baker Faces Pain Rating Scale (PRS)3 months

The PRS measures the unpleasantness or affective dimension of a child's pain experience and is used in children aged 3-17 years old. The PRS consists of a set of cartoon faces with varying facial expressions ranging from a smile/laughter to tears, and each child is asked to select the facial expression that best represents his/her experience of discomfort. Each face has a numerical value ranging from 0 (smiling face, "no hurt") to 5 (crying/screaming face, "hurts worst").

Face, Legg, Cry, Consolability Scale (FLACC)3 months

The scale comprised the following parameters: (1) Face, (2) Legs, (3) Activity, (4) Cry, and (5) Consolability. Each of the five categories is scored from 0-2, which results in a minimum total score of 0 and maximumof 10. According to this scale: 0=Relaxed and comfortable (no pain); 1-3=Mild discomfort; 4-6=Moderate pain; and 7-10=Severe discomfort or pain \[Willis et al., 2003\]. Behavioural parameters were recorded.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Okan University Faculty of Dentistry

🇹🇷

Istanbul, Turkey

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