Efficacy of external cold and a vibrating device in reducing discomfort of dental injections in children: A split mouth randomised crossover study
Aim To study the discomfort and fear associated with maxillary infiltration injections when using a combination of external cold and a commercially available vibrating device. Methodology A total of 60 children aged 7 years old participated in this split mouth randomised crossover study. The control...
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| Veröffentlicht in: | European archives of paediatric dentistry 2019-04, Vol.20 (2), p.79-84 |
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| creator | Alanazi, K. J. Pani, S. AlGhanim, N. |
| description | Aim
To study the discomfort and fear associated with maxillary infiltration injections when using a combination of external cold and a commercially available vibrating device.
Methodology
A total of 60 children aged 7 years old participated in this split mouth randomised crossover study. The control intervention comprised of the administration of 1.8 ml of 2% lidocaine with 1:100,000 adrenaline using a 24 mm 30 gauge needle, while the test intervention used external cold and a commercially available vibrating device in addition to the control protocol. The heart rate of the child at the time of injection was used as an objective measure and the Wong–Baker pain scale was used as a subjective measure of the child’s discomfort. The face, limbs, arms, cry and consolability (FLACC) scale was used to record the child’s pain as perceived by the dentist.
Results
Children reported a significantly lower Wong–Baker score and the operators observed a significantly lower heart rate and FLACC scores in the test visit than the control visit.
Conclusions
Combining external cold with vibrating devices might be effective in reducing discomfort and fear in children undergoing infiltration dental analgesia.
Clinical trials Identifier
NCT02675387. |
| doi_str_mv | 10.1007/s40368-018-0399-8 |
| format | Article |
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To study the discomfort and fear associated with maxillary infiltration injections when using a combination of external cold and a commercially available vibrating device.
Methodology
A total of 60 children aged 7 years old participated in this split mouth randomised crossover study. The control intervention comprised of the administration of 1.8 ml of 2% lidocaine with 1:100,000 adrenaline using a 24 mm 30 gauge needle, while the test intervention used external cold and a commercially available vibrating device in addition to the control protocol. The heart rate of the child at the time of injection was used as an objective measure and the Wong–Baker pain scale was used as a subjective measure of the child’s discomfort. The face, limbs, arms, cry and consolability (FLACC) scale was used to record the child’s pain as perceived by the dentist.
Results
Children reported a significantly lower Wong–Baker score and the operators observed a significantly lower heart rate and FLACC scores in the test visit than the control visit.
Conclusions
Combining external cold with vibrating devices might be effective in reducing discomfort and fear in children undergoing infiltration dental analgesia.
Clinical trials Identifier
NCT02675387.</description><identifier>ISSN: 1818-6300</identifier><identifier>EISSN: 1996-9805</identifier><identifier>DOI: 10.1007/s40368-018-0399-8</identifier><identifier>PMID: 30519955</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Analgesia ; Anesthetics, Local ; Anxiety ; Child ; Children ; Children & youth ; Cold ; Cross-Over Studies ; Dentistry ; Discomfort ; Females ; Heart rate ; Humans ; Infiltration ; Injections ; Lidocaine ; Males ; Medicine ; Mouth ; Original Scientific Article ; Pain ; Patients ; Pediatrics</subject><ispartof>European archives of paediatric dentistry, 2019-04, Vol.20 (2), p.79-84</ispartof><rights>European Academy of Paediatric Dentistry 2018</rights><rights>European Academy of Paediatric Dentistry 2018.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-2468224655a40a1cc0d7e6c4d5a0e1ffef0138cbb549b39cad4fa1b5e1992c9e3</citedby><cites>FETCH-LOGICAL-c372t-2468224655a40a1cc0d7e6c4d5a0e1ffef0138cbb549b39cad4fa1b5e1992c9e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40368-018-0399-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2933748480?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,21369,21370,27905,27906,33511,33512,33725,33726,41469,42538,43640,43786,51300,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30519955$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alanazi, K. J.</creatorcontrib><creatorcontrib>Pani, S.</creatorcontrib><creatorcontrib>AlGhanim, N.</creatorcontrib><title>Efficacy of external cold and a vibrating device in reducing discomfort of dental injections in children: A split mouth randomised crossover study</title><title>European archives of paediatric dentistry</title><addtitle>Eur Arch Paediatr Dent</addtitle><addtitle>Eur Arch Paediatr Dent</addtitle><description>Aim
To study the discomfort and fear associated with maxillary infiltration injections when using a combination of external cold and a commercially available vibrating device.
Methodology
A total of 60 children aged 7 years old participated in this split mouth randomised crossover study. The control intervention comprised of the administration of 1.8 ml of 2% lidocaine with 1:100,000 adrenaline using a 24 mm 30 gauge needle, while the test intervention used external cold and a commercially available vibrating device in addition to the control protocol. The heart rate of the child at the time of injection was used as an objective measure and the Wong–Baker pain scale was used as a subjective measure of the child’s discomfort. The face, limbs, arms, cry and consolability (FLACC) scale was used to record the child’s pain as perceived by the dentist.
Results
Children reported a significantly lower Wong–Baker score and the operators observed a significantly lower heart rate and FLACC scores in the test visit than the control visit.
Conclusions
Combining external cold with vibrating devices might be effective in reducing discomfort and fear in children undergoing infiltration dental analgesia.
Clinical trials Identifier
NCT02675387.</description><subject>Analgesia</subject><subject>Anesthetics, Local</subject><subject>Anxiety</subject><subject>Child</subject><subject>Children</subject><subject>Children & youth</subject><subject>Cold</subject><subject>Cross-Over Studies</subject><subject>Dentistry</subject><subject>Discomfort</subject><subject>Females</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Infiltration</subject><subject>Injections</subject><subject>Lidocaine</subject><subject>Males</subject><subject>Medicine</subject><subject>Mouth</subject><subject>Original Scientific Article</subject><subject>Pain</subject><subject>Patients</subject><subject>Pediatrics</subject><issn>1818-6300</issn><issn>1996-9805</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kc1u3CAUhVGVqknTPkA3FVI23bgFY2zILorSHylSN-0aYbgkjGyYAB5lXqNPHJxJGylSF_yI-50Dl4PQB0o-U0KGL7kjrBcNoXUwKRvxCp1QKftGCsKP6l7USs8IOUZvc94Qwgc29G_QMSO8cpyfoD9XznmjzR5Hh-G-QAp6wiZOFutQB975Meniww22sPMGsA84gV3M45HPJs4uprLKLYRSxT5swBQfQ15Zc-snmyCc4wuct5MveI5LucWp2sfZZ7DYpJhz3EHCuSx2_w69dnrK8P5pPUW_v179uvzeXP_89uPy4roxbGhL03a9aOvEue6IpsYQO0BvOss1AeocOEKZMOPIOzkyabTtnKYjh9p5aySwU_Tp4LtN8W6BXFR9joFp0gHiklVLB9mydhC0omcv0E1c1p-qlGRs6EQnSKXogXpsKIFT2-RnnfaKErUGpg6BqRqYWgNTomo-Pjkv4wz2n-JvQhVoD0CupXAD6fnq_7s-APcaoyU</recordid><startdate>20190401</startdate><enddate>20190401</enddate><creator>Alanazi, K. J.</creator><creator>Pani, S.</creator><creator>AlGhanim, N.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>D1I</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>M0S</scope><scope>PDBOC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20190401</creationdate><title>Efficacy of external cold and a vibrating device in reducing discomfort of dental injections in children: A split mouth randomised crossover study</title><author>Alanazi, K. J. ; Pani, S. ; AlGhanim, N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-2468224655a40a1cc0d7e6c4d5a0e1ffef0138cbb549b39cad4fa1b5e1992c9e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Analgesia</topic><topic>Anesthetics, Local</topic><topic>Anxiety</topic><topic>Child</topic><topic>Children</topic><topic>Children & youth</topic><topic>Cold</topic><topic>Cross-Over Studies</topic><topic>Dentistry</topic><topic>Discomfort</topic><topic>Females</topic><topic>Heart rate</topic><topic>Humans</topic><topic>Infiltration</topic><topic>Injections</topic><topic>Lidocaine</topic><topic>Males</topic><topic>Medicine</topic><topic>Mouth</topic><topic>Original Scientific Article</topic><topic>Pain</topic><topic>Patients</topic><topic>Pediatrics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alanazi, K. J.</creatorcontrib><creatorcontrib>Pani, S.</creatorcontrib><creatorcontrib>AlGhanim, N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Materials Science Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Materials Science Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>European archives of paediatric dentistry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alanazi, K. J.</au><au>Pani, S.</au><au>AlGhanim, N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of external cold and a vibrating device in reducing discomfort of dental injections in children: A split mouth randomised crossover study</atitle><jtitle>European archives of paediatric dentistry</jtitle><stitle>Eur Arch Paediatr Dent</stitle><addtitle>Eur Arch Paediatr Dent</addtitle><date>2019-04-01</date><risdate>2019</risdate><volume>20</volume><issue>2</issue><spage>79</spage><epage>84</epage><pages>79-84</pages><issn>1818-6300</issn><eissn>1996-9805</eissn><abstract>Aim
To study the discomfort and fear associated with maxillary infiltration injections when using a combination of external cold and a commercially available vibrating device.
Methodology
A total of 60 children aged 7 years old participated in this split mouth randomised crossover study. The control intervention comprised of the administration of 1.8 ml of 2% lidocaine with 1:100,000 adrenaline using a 24 mm 30 gauge needle, while the test intervention used external cold and a commercially available vibrating device in addition to the control protocol. The heart rate of the child at the time of injection was used as an objective measure and the Wong–Baker pain scale was used as a subjective measure of the child’s discomfort. The face, limbs, arms, cry and consolability (FLACC) scale was used to record the child’s pain as perceived by the dentist.
Results
Children reported a significantly lower Wong–Baker score and the operators observed a significantly lower heart rate and FLACC scores in the test visit than the control visit.
Conclusions
Combining external cold with vibrating devices might be effective in reducing discomfort and fear in children undergoing infiltration dental analgesia.
Clinical trials Identifier
NCT02675387.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30519955</pmid><doi>10.1007/s40368-018-0399-8</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1818-6300 |
| ispartof | European archives of paediatric dentistry, 2019-04, Vol.20 (2), p.79-84 |
| issn | 1818-6300 1996-9805 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2179232781 |
| source | MEDLINE; ProQuest Central (Alumni Edition); Springer Nature - Complete Springer Journals; ProQuest Central UK/Ireland; ProQuest Central |
| subjects | Analgesia Anesthetics, Local Anxiety Child Children Children & youth Cold Cross-Over Studies Dentistry Discomfort Females Heart rate Humans Infiltration Injections Lidocaine Males Medicine Mouth Original Scientific Article Pain Patients Pediatrics |
| title | Efficacy of external cold and a vibrating device in reducing discomfort of dental injections in children: A split mouth randomised crossover study |
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