Pain Perception During Local Anesthesia Administration in Pediatric Dental Patients and The Impact of Pre-Cooling The Injection Site: An in-vivo Study

Author:

Shah Nishith M1,Gulati Ruchi2,Rasalkar Tejaswi3,Nasha Divya4,Arya Ashtha5,Tekam Deepashri6

Affiliation:

1. Consultant Oral and Maxillofacial Surgeon, Dr Mukesh Shah Surgical Hospital, Ahmedabad, Gujarat, India

2. Department of Dentistry, Atal Bihari Vajpayee Government Medical College, Vidisha, Madhya Pradesh, India

3. Consultant Pediatric Dentist, Partha Dental Clinic, Bangalore, Karnataka, India

4. Department of Pedodontics and Preventive Dentistry, RKDF Dental College and Research Centre, Bhopal, Madhya Pradesh, India

5. Department of Conservative Dentistry and Endodontics, SGT Dental College, Hospital and Research Institute, SGT University, Gurugram, Haryana, India

6. Department of Dentistry, AIIMS, Bhopal, Madhya Pradesh, India

Abstract

ABSTRACT Aim: Examining how pre-cooling affects children’s experience of pain during local anesthetic administration is the primary goal of this study. Material and Methods: This study was conducted in vivo and involved 60 child patients who required local anesthetic in order to undergo dental procedures. Patients were divided into two groups based on a random chance: Group I was the control group, which did not receive any pre-cooling. Group II was the pre-cooling group, which allowed the injection site to be chilled with an ice pack for one minute prior to the administration of anesthesia. The Wong-Baker FACES Pain Rating Scale was used to evaluate the participants’ level of pain perception immediately following the administration of the anesthetic injection. Results: The group that received pre-cooling showed a reduction in pain levels that was statistically significant when compared to the group that received control (P < 0.05). Conclusion: Pediatric dental patients may decrease local anesthesia pain by pre-cooling the injection site. This technique can be simply used in dental practices to improve patient experience, especially for children with dental anxiety or needle phobia.

Publisher

Medknow

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