The bevel effect: a prospective, randomized investigation into needle design in dental intraligamentary anesthesia
Objectives This in vivo study aimed to assess the impact of needle bevel design on puncture pain, anesthetic success, and mechanical deformations in intraligamentary injection (ILA) cases, comparing a short triple facet cut (STF) to a triple lancet cut (TL) after single or repetitive use. Materials...
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| Veröffentlicht in: | Clinical oral investigations 2024-02, Vol.28 (3), p.170-170, Article 170 |
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| creator | Kämmerer, P. W. Staedt, H. Wesslau, K. Buttchereit, I. Stiller, H. L. Frankenberger, T. Dau, M. |
| description | Objectives
This in vivo study aimed to assess the impact of needle bevel design on puncture pain, anesthetic success, and mechanical deformations in intraligamentary injection (ILA) cases, comparing a short triple facet cut (STF) to a triple lancet cut (TL) after single or repetitive use.
Materials and methods
In a prospective single-blind trial, 200 ILA needles (STF,
n
= 100; TL,
n
= 100) were randomly assigned for dental procedures. Patients received ILA either with STF or TL needles, used once (group A;
n
= 50 each) or repeatedly (group B;
n
= 50). Puncture pain was assessed using a numerical rating scale (NRS). Anesthetic success was determined via cold spray (yes/no), and scanning electron microscopy (SEM) analyzed needle tip deformations.
Results
Puncture pain did not significantly differ between STF and TL, regardless of needle use or injection area. Success rates were comparable in single use (82% STF vs. 79% TL;
p
> 0.05). For repetitive use, STF exhibited a significantly higher success rate (80% vs. 69%;
p
= 0.012). Mechanical deformations were prevalent in 97.5% of needles, with TL showing greater deformations than STF after single and repeated uses. Barbs were more common in TL (90/100) than STF (84/100), with a higher relative risk for barbed-like deformation in TL (RR single use: 1.26;
p
|
| doi_str_mv | 10.1007/s00784-024-05546-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2932015276</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2932015276</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-5e51458ba58b7e02687bce0b560b97ec64c3e25f238072795ccc30a4de333b2e3</originalsourceid><addsrcrecordid>eNp9kU1P3DAQhq0KBNtt_0APlSUuHBqY2LGd9FYhCkgrcVnOluNMdoPysdjZlcqv74RdCuqBw9hjzzPjGb-MfUvhIgUwl5GWPEtAkCmV6QQ-sVmaSZ1IY9Kjd_4p-xzjI0CaaSNP2KnMZaEhK2YsLNfIS9xhy7Gu0Y8_ueObMMQN-c0Of_Dg-mrommeseNPvMI7Nyo3N0NNpHHiPWLXIK4zNaroirx9dOwWDawntpnP4w11PqWvC3Bd2XLs24tfDPmcPv6-XV7fJ4v7m7urXIvFS6DFRqNJM5aUjMwhC56b0CKXSUBYGvc68RKFqIXMwwhTKey_BZRVKKUuBcs7O93VpnKctvW67JnpsW2pl2EYrCikgVcJoQs_-Qx-Hbeipu4mCohBKCKLEnvL0PzFgbTeh6Wg4m4KdFLF7RSwpYl8UsUBJ3w-lt2WH1b-UVwkIkHsgUqhfYXh7-4OyfwGGTZdi</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2930992522</pqid></control><display><type>article</type><title>The bevel effect: a prospective, randomized investigation into needle design in dental intraligamentary anesthesia</title><source>MEDLINE</source><source>Springer Journals</source><creator>Kämmerer, P. W. ; Staedt, H. ; Wesslau, K. ; Buttchereit, I. ; Stiller, H. L. ; Frankenberger, T. ; Dau, M.</creator><creatorcontrib>Kämmerer, P. W. ; Staedt, H. ; Wesslau, K. ; Buttchereit, I. ; Stiller, H. L. ; Frankenberger, T. ; Dau, M.</creatorcontrib><description>Objectives
This in vivo study aimed to assess the impact of needle bevel design on puncture pain, anesthetic success, and mechanical deformations in intraligamentary injection (ILA) cases, comparing a short triple facet cut (STF) to a triple lancet cut (TL) after single or repetitive use.
Materials and methods
In a prospective single-blind trial, 200 ILA needles (STF,
n
= 100; TL,
n
= 100) were randomly assigned for dental procedures. Patients received ILA either with STF or TL needles, used once (group A;
n
= 50 each) or repeatedly (group B;
n
= 50). Puncture pain was assessed using a numerical rating scale (NRS). Anesthetic success was determined via cold spray (yes/no), and scanning electron microscopy (SEM) analyzed needle tip deformations.
Results
Puncture pain did not significantly differ between STF and TL, regardless of needle use or injection area. Success rates were comparable in single use (82% STF vs. 79% TL;
p
> 0.05). For repetitive use, STF exhibited a significantly higher success rate (80% vs. 69%;
p
= 0.012). Mechanical deformations were prevalent in 97.5% of needles, with TL showing greater deformations than STF after single and repeated uses. Barbs were more common in TL (90/100) than STF (84/100), with a higher relative risk for barbed-like deformation in TL (RR single use: 1.26;
p
< 0.001; multiple use: 7.87,
p
< 0.001).
Conclusions
The short triple facet-designed bevel demonstrated significantly less mechanical deformation, suggesting potential advantages in maintaining needle lumen patency.
Clinical relevance
The intraligamentary needle bevel design is linked to mechanical deformation and anesthetic success after repetitive use, but not to puncture pain.</description><identifier>ISSN: 1436-3771</identifier><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-024-05546-0</identifier><identifier>PMID: 38396049</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Anesthesia ; Anesthesia, Dental ; Anesthetics ; Clinical trials ; Deformation ; Dental health ; Dentistry ; Humans ; Medicine ; Needles ; Pain ; Pain management ; Prospective Studies ; Scanning electron microscopy ; Single-Blind Method ; Success</subject><ispartof>Clinical oral investigations, 2024-02, Vol.28 (3), p.170-170, Article 170</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-5e51458ba58b7e02687bce0b560b97ec64c3e25f238072795ccc30a4de333b2e3</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/s00784-024-05546-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-024-05546-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38396049$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kämmerer, P. W.</creatorcontrib><creatorcontrib>Staedt, H.</creatorcontrib><creatorcontrib>Wesslau, K.</creatorcontrib><creatorcontrib>Buttchereit, I.</creatorcontrib><creatorcontrib>Stiller, H. L.</creatorcontrib><creatorcontrib>Frankenberger, T.</creatorcontrib><creatorcontrib>Dau, M.</creatorcontrib><title>The bevel effect: a prospective, randomized investigation into needle design in dental intraligamentary anesthesia</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives
This in vivo study aimed to assess the impact of needle bevel design on puncture pain, anesthetic success, and mechanical deformations in intraligamentary injection (ILA) cases, comparing a short triple facet cut (STF) to a triple lancet cut (TL) after single or repetitive use.
Materials and methods
In a prospective single-blind trial, 200 ILA needles (STF,
n
= 100; TL,
n
= 100) were randomly assigned for dental procedures. Patients received ILA either with STF or TL needles, used once (group A;
n
= 50 each) or repeatedly (group B;
n
= 50). Puncture pain was assessed using a numerical rating scale (NRS). Anesthetic success was determined via cold spray (yes/no), and scanning electron microscopy (SEM) analyzed needle tip deformations.
Results
Puncture pain did not significantly differ between STF and TL, regardless of needle use or injection area. Success rates were comparable in single use (82% STF vs. 79% TL;
p
> 0.05). For repetitive use, STF exhibited a significantly higher success rate (80% vs. 69%;
p
= 0.012). Mechanical deformations were prevalent in 97.5% of needles, with TL showing greater deformations than STF after single and repeated uses. Barbs were more common in TL (90/100) than STF (84/100), with a higher relative risk for barbed-like deformation in TL (RR single use: 1.26;
p
< 0.001; multiple use: 7.87,
p
< 0.001).
Conclusions
The short triple facet-designed bevel demonstrated significantly less mechanical deformation, suggesting potential advantages in maintaining needle lumen patency.
Clinical relevance
The intraligamentary needle bevel design is linked to mechanical deformation and anesthetic success after repetitive use, but not to puncture pain.</description><subject>Anesthesia</subject><subject>Anesthesia, Dental</subject><subject>Anesthetics</subject><subject>Clinical trials</subject><subject>Deformation</subject><subject>Dental health</subject><subject>Dentistry</subject><subject>Humans</subject><subject>Medicine</subject><subject>Needles</subject><subject>Pain</subject><subject>Pain management</subject><subject>Prospective Studies</subject><subject>Scanning electron microscopy</subject><subject>Single-Blind Method</subject><subject>Success</subject><issn>1436-3771</issn><issn>1432-6981</issn><issn>1436-3771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1P3DAQhq0KBNtt_0APlSUuHBqY2LGd9FYhCkgrcVnOluNMdoPysdjZlcqv74RdCuqBw9hjzzPjGb-MfUvhIgUwl5GWPEtAkCmV6QQ-sVmaSZ1IY9Kjd_4p-xzjI0CaaSNP2KnMZaEhK2YsLNfIS9xhy7Gu0Y8_ueObMMQN-c0Of_Dg-mrommeseNPvMI7Nyo3N0NNpHHiPWLXIK4zNaroirx9dOwWDawntpnP4w11PqWvC3Bd2XLs24tfDPmcPv6-XV7fJ4v7m7urXIvFS6DFRqNJM5aUjMwhC56b0CKXSUBYGvc68RKFqIXMwwhTKey_BZRVKKUuBcs7O93VpnKctvW67JnpsW2pl2EYrCikgVcJoQs_-Qx-Hbeipu4mCohBKCKLEnvL0PzFgbTeh6Wg4m4KdFLF7RSwpYl8UsUBJ3w-lt2WH1b-UVwkIkHsgUqhfYXh7-4OyfwGGTZdi</recordid><startdate>20240224</startdate><enddate>20240224</enddate><creator>Kämmerer, P. W.</creator><creator>Staedt, H.</creator><creator>Wesslau, K.</creator><creator>Buttchereit, I.</creator><creator>Stiller, H. L.</creator><creator>Frankenberger, T.</creator><creator>Dau, M.</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>K9.</scope><scope>7X8</scope></search><sort><creationdate>20240224</creationdate><title>The bevel effect: a prospective, randomized investigation into needle design in dental intraligamentary anesthesia</title><author>Kämmerer, P. W. ; Staedt, H. ; Wesslau, K. ; Buttchereit, I. ; Stiller, H. L. ; Frankenberger, T. ; Dau, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-5e51458ba58b7e02687bce0b560b97ec64c3e25f238072795ccc30a4de333b2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Anesthesia</topic><topic>Anesthesia, Dental</topic><topic>Anesthetics</topic><topic>Clinical trials</topic><topic>Deformation</topic><topic>Dental health</topic><topic>Dentistry</topic><topic>Humans</topic><topic>Medicine</topic><topic>Needles</topic><topic>Pain</topic><topic>Pain management</topic><topic>Prospective Studies</topic><topic>Scanning electron microscopy</topic><topic>Single-Blind Method</topic><topic>Success</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kämmerer, P. W.</creatorcontrib><creatorcontrib>Staedt, H.</creatorcontrib><creatorcontrib>Wesslau, K.</creatorcontrib><creatorcontrib>Buttchereit, I.</creatorcontrib><creatorcontrib>Stiller, H. L.</creatorcontrib><creatorcontrib>Frankenberger, T.</creatorcontrib><creatorcontrib>Dau, M.</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 Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical oral investigations</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kämmerer, P. W.</au><au>Staedt, H.</au><au>Wesslau, K.</au><au>Buttchereit, I.</au><au>Stiller, H. L.</au><au>Frankenberger, T.</au><au>Dau, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The bevel effect: a prospective, randomized investigation into needle design in dental intraligamentary anesthesia</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2024-02-24</date><risdate>2024</risdate><volume>28</volume><issue>3</issue><spage>170</spage><epage>170</epage><pages>170-170</pages><artnum>170</artnum><issn>1436-3771</issn><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives
This in vivo study aimed to assess the impact of needle bevel design on puncture pain, anesthetic success, and mechanical deformations in intraligamentary injection (ILA) cases, comparing a short triple facet cut (STF) to a triple lancet cut (TL) after single or repetitive use.
Materials and methods
In a prospective single-blind trial, 200 ILA needles (STF,
n
= 100; TL,
n
= 100) were randomly assigned for dental procedures. Patients received ILA either with STF or TL needles, used once (group A;
n
= 50 each) or repeatedly (group B;
n
= 50). Puncture pain was assessed using a numerical rating scale (NRS). Anesthetic success was determined via cold spray (yes/no), and scanning electron microscopy (SEM) analyzed needle tip deformations.
Results
Puncture pain did not significantly differ between STF and TL, regardless of needle use or injection area. Success rates were comparable in single use (82% STF vs. 79% TL;
p
> 0.05). For repetitive use, STF exhibited a significantly higher success rate (80% vs. 69%;
p
= 0.012). Mechanical deformations were prevalent in 97.5% of needles, with TL showing greater deformations than STF after single and repeated uses. Barbs were more common in TL (90/100) than STF (84/100), with a higher relative risk for barbed-like deformation in TL (RR single use: 1.26;
p
< 0.001; multiple use: 7.87,
p
< 0.001).
Conclusions
The short triple facet-designed bevel demonstrated significantly less mechanical deformation, suggesting potential advantages in maintaining needle lumen patency.
Clinical relevance
The intraligamentary needle bevel design is linked to mechanical deformation and anesthetic success after repetitive use, but not to puncture pain.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38396049</pmid><doi>10.1007/s00784-024-05546-0</doi><tpages>1</tpages></addata></record> |
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| issn | 1436-3771 1432-6981 1436-3771 |
| language | eng |
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| source | MEDLINE; Springer Journals |
| subjects | Anesthesia Anesthesia, Dental Anesthetics Clinical trials Deformation Dental health Dentistry Humans Medicine Needles Pain Pain management Prospective Studies Scanning electron microscopy Single-Blind Method Success |
| title | The bevel effect: a prospective, randomized investigation into needle design in dental intraligamentary anesthesia |
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