Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
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Effect of vibratory stimulation on pain during local anesthesia injections: a clinical trial

  • Ghorbanzadeh, Sajedeh (Department of Endodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences) ;
  • Alimadadi, Hoda (Department of Endodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences) ;
  • Zargar, Nazanin (Department of Endodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences) ;
  • Dianat, Omid (Division of Endodontics, University of Maryland School of Dentistry)
  • Received : 2019.06.02
  • Accepted : 2019.08.16
  • Published : 2019.11.30
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Abstract

Objectives: This study aimed to assess the effect of DentalVibe on the level of pain experienced during anesthetic injections using 2 different techniques. Materials and Methods: This randomized crossover clinical trial evaluated 60 patients who required 2-session endodontic treatment. Labial infiltration (LI) anesthesia was administered in the anterior maxilla of 30 patients, while inferior alveolar nerve block (IANB) was performed in the remaining 30 patients. 1.8 mL of 2% lidocaine was injected at a rate of 1 mL/min using a 27-gauge needle. DentalVibe was randomly assigned to either the first or second injection session. A visual analog scale was used to determine participants' pain level during needle insertion and the anesthetic injection. The paired t-test was applied to assess the efficacy of DentalVibe for pain reduction. Results: In LI anesthesia, the pain level was 12.0 ± 15.5 and 38.1 ± 21.0 during needle insertion and 19.1 ± 16.1 and 48.9 ± 24.6 during the anesthetic injection using DentalVibe and the conventional method, respectively. In IANB, the pain level was 14.1 ± 15.9 and 35.1 ± 20.8 during needle insertion and 17.3 ± 14.2 and 39.5 ± 20.8 during the anesthetic injection using DentalVibe and the conventional method, respectively. DentalVibe significantly decreased the level of pain experienced during needle insertion and the anesthetic injection in anterior LI and mandibular IANB anesthesia. Conclusions: The results suggest that DentalVibe can be used to reduce the level of pain experienced by adult patients during needle insertion and anesthetic injection.

Keywords

References

  1. Pain terms: a list with definitions and notes on usage. Recommended by the IASP Subcommittee on Taxonomy. Pain 1979;6:249.
  2. Locker D, Grushka M. Prevalence of oral and facial pain and discomfort: preliminary results of a mail survey. Community Dent Oral Epidemiol 1987;15:169-172. https://doi.org/10.1111/j.1600-0528.1987.tb00508.x
  3. Malamed SF. Emergency medicine: beyond the basics. J Am Dent Assoc 1997;128:843-854. https://doi.org/10.14219/jada.archive.1997.0334
  4. Quarnstrom F, Libed EN. Electronic anesthesia versus topical anesthesia for the control of injection pain. Quintessence Int 1994;25:713-716.
  5. Dau M, Buttchereit I, Ganz C, Frerich B, Anisimova EN, Daublander M, Kammerer PW. Influence of needle bevel design on injection pain and needle deformation in dental local infiltration anaesthesia - randomized clinical trial. Int J Oral Maxillofac Surg 2017;46:1484-1489. https://doi.org/10.1016/j.ijom.2017.06.013
  6. Flanagan T, Wahl MJ, Schmitt MM, Wahl JA. Size doesn't matter: needle gauge and injection pain. Gen Dent 2007;55:216-217.
  7. Ghaderi F, Ghaderi R, Davarmanesh M, Bayani M, Arabzade Moghadam S. Pain management during needle insertion with low level laser. Eur J Paediatr Dent 2016;17:151-154.
  8. de Souza Melo MR, Sabey MJ, Lima CJ, de Almeida Souza LM, Groppo FC. The effect of 2 injection speeds on local anesthetic discomfort during inferior alveolar nerve blocks. Anesth Prog 2015;62:106-109. https://doi.org/10.2344/11-00037.1
  9. Aravena PC, Barrientos C, Troncoso C, Coronado C, Sotelo-Hitschfeld P. Effect of warming anesthetic on pain perception during dental injection: a split-mouth randomized clinical trial. Local Reg Anesth 2018;11:9-13. https://doi.org/10.2147/LRA.S147288
  10. Phero JA, Nelson B, Davis B, Dunlop N, Phillips C, Reside G, et al. Buffered versus non-buffered lidocaine with epinephrine for mandibular nerve block: clinical outcomes. J Oral Maxillofac Surg 2017;75:688-693. https://doi.org/10.1016/j.joms.2016.09.055
  11. Natu VP, Dubey N, Loke GC, Tan TS, Ng WH, Yong CW, Cao T, Rosa V. Bioactivity, physical and chemical properties of MTA mixed with propylene glycol. J Appl Oral Sci 2015;23:405-411. https://doi.org/10.1590/1678-775720150084
  12. Meechan JG. Effective topical anesthetic agents and techniques. Dent Clin North Am 2002;46:759-766. https://doi.org/10.1016/S0011-8532(02)00035-6
  13. Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965;150:971-979. https://doi.org/10.1126/science.150.3699.971
  14. Sivanesan E, Maher DP, Raja SN, Linderoth B, Guan Y. Supraspinal mechanisms of spinal cord stimulation for modulation of pain: five decades of research and prospects for the future. Anesthesiology 2019;130:651-665. https://doi.org/10.1097/ALN.0000000000002353
  15. Shilpapriya M, Jayanthi M, Reddy VN, Sakthivel R, Selvaraju G, Vijayakumar P. Effectiveness of new vibration delivery system on pain associated with injection of local anesthesia in children. J Indian Soc Pedod Prev Dent 2015;33:173-176. https://doi.org/10.4103/0970-4388.160343
  16. Tung J, Carillo C, Udin R, Wilson M, Tanbonliong T. Clinical performance of the DentalVibe(R) injection system on pain perception during local anesthesia in children. J Dent Child (Chic) 2018;85:51-57.
  17. Shaefer JR, Lee SJ, Anderson NK. A vibration device to control injection discomfort. Compend Contin Educ Dent 2017;38:e5-e8.
  18. Raslan N, Masri R. A randomized clinical trial to compare pain levels during three types of oral anesthetic injections and the effect of $Dentalvibe^{(R)}$ on injection pain in children. Int J Paediatr Dent 2018;28:102-110. https://doi.org/10.1111/ipd.12313
  19. Elbay M, Sermet Elbay U, Yildirim S, Ugurluel C, Kaya C, Baydemir C. Comparison of injection pain caused by the DentalVibe injection system versus a traditional syringe for inferior alveolar nerve block anaesthesia in paediatric patients. Eur J Paediatr Dent 2015;16:123-128.
  20. Ungor C, Tosun E, Dayisoylu EH, Taskesen F, Senel FC. The effects of vibration on pain and anxiety during local anesthesia administration. JSM Dent 2014;2:1022.
  21. Nanitsos E, Vartuli R, Forte A, Dennison PJ, Peck CC. The effect of vibration on pain during local anaesthesia injections. Aust Dent J 2009;54:94-100. https://doi.org/10.1111/j.1834-7819.2009.01100.x
  22. Roeber B, Wallace DP, Rothe V, Salama F, Allen KD. Evaluation of the effects of the VibraJect attachment on pain in children receiving local anesthesia. Pediatr Dent 2011;33:46-50.
  23. Saijo M, Ito E, Ichinohe T, Kaneko Y. Lack of pain reduction by a vibrating local anesthetic attachment: a pilot study. Anesth Prog 2005;52:62-64. https://doi.org/10.2344/0003-3006(2005)52[62:LOPRBA]2.0.CO;2
  24. Yoshikawa F, Ushito D, Ohe D, Shirasishi Y, Fukayama H, Umino M. Vibrating dental local anesthesia attachment to reduce injection pain. J Jpn Dent Soc Anesthesiol 2003;31:194-195.
  25. DiFelice MG, Vandewalle KS, Maller SC, Hancock RH. Effects of a vibratory device on pain from anesthetic injections. Compend Contin Educ Dent 2014;35:246, 248, 250-251 passim.
  26. Johnson J, Primosch RE. Influence of site preparation methods on the pain reported during palatal infiltration using the Wand Local Anesthetic System. Am J Dent 2003;16:165-169.
  27. Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J. Effect of two storage solutions on surface topography of two root-end fillings. Aust Endod J 2009;35:147-152. https://doi.org/10.1111/j.1747-4477.2008.00137.x
  28. Zilinsky I, Bar-Meir E, Zaslansky R, Mendes D, Winkler E, Orenstein A. Ten commandments for minimal pain during administration of local anesthetics. J Drugs Dermatol 2005;4:212-216.
  29. Primosch RE, Brooks R. Influence of anesthetic flow rate delivered by the Wand Local Anesthetic System on pain response to palatal injections. Am J Dent 2002;15:15-20.
  30. McGrath PA. Pain control in dentistry: psychologic factors that modify the perception of pain. Compend Contin Educ Dent 1985;6:574, 576-577, 580-585.
  31. Nusstein J, Lee S, Reader A, Beck M, Weaver J. Injection pain and postinjection pain of the anterior middle superior alveolar injection administered with the Wand or conventional syringe. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;98:124-131. https://doi.org/10.1016/j.tripleo.2004.02.064
  32. Price DD, McGrath PA, Rafii A, Buckingham B. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain 1983;17:45-56. https://doi.org/10.1016/0304-3959(83)90126-4

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