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External cold, Vibrating device may reduce pain in kids undergoing dental anesthesia

Dr. Nandita MohanWritten by Dr. Nandita Mohan Published On 2021-02-09T14:30:14+05:30  |  Updated On 9 Feb 2021 8:53 AM GMT
External cold, Vibrating device may reduce pain in kids undergoing dental anesthesia

Researchers have recently noted that combined external cold and vibrating devices can be an effective alternative in and fear in children undergoing infiltration dental anesthesia, as published in the International Journal of Dentistry.The ''gate control'' theory suggests pain can be reduced by simultaneous activation of larger diameter nerve fibers using appropriate coldness,...

Researchers have recently noted that combined external cold and vibrating devices can be an effective alternative in  and fear in children undergoing infiltration dental anesthesia, as published in the International Journal of Dentistry.

The ''gate control'' theory suggests pain can be reduced by simultaneous activation of larger diameter nerve fibers using appropriate coldness, warmth, rubbing, pressure, or vibration.

Hence, Muhanad AlHareky and colleagues from the Department of Preventive Dental Sciences, College of Dentistry, Imam AbdulRahman Bin Faisal University, Dammam, Saudi Arabia conducted this study to investigate the efficacy of a device combining cold and vibration, for needle-related procedural pain in children.

The authors evaluated a total of 51 children aged 5–12 years in this randomized controlled clinical trial. Half of the children were in the control group and received maxillary buccal infiltration, by injecting 1.8 ml of 2% lidocaine with 1 : 100,000 adrenaline using topical anesthesia 20% benzocaine gel for 15 seconds, while the other half were in the test group and received the same anesthesia using a commercially available external cold and a vibrating device.

A face version of Visual Analogue Scale (VAS) was used as a subjective measure to assess the child's pain experience. The parents were requested to evaluate the child's ability to tolerate pain using a behavioral/observational pain scale. Sound, Eyes, and Motor (SEM) scale and Faces, Legs, Activity, Cry, and Consolability (FLACC) scale were used to record the child's pain as perceived by the external evaluator. T-test or Mann–Whitney U-test was used for scale variables, paired sample T-test or Wilcoxon rank t-test was used for before and after data, and chi-square was used for categorical variable, based on the results of normality test.

The researchers observed that the results showed a statistically significant reduction in pain after the injection for the test group compared with control using VAS scale (mean = 6.68 (1.09) and 8.42 (0.50); ) and FLACC scale (mean = 5.92 (1.05) and 8.16 (0.54); ), but not when using SEM scale (mean 3.22 (0.42) and 4.24 (2.74);).

Therefore, combined external cold and vibrating devices can be an effective alternative in reducing experienced pain and fear in children undergoing infiltration dental anesthesia, the authors concluded.


cold vibrating device alternative pain fear children infiltration dental anesthesia International Journal of Dentistry 
Source : International Journal of Dentistry
Dr. Nandita Mohan
Dr. Nandita Mohan

    BDS, MDS( Pedodontics and Preventive Dentistry)

    Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751

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