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http://dx.doi.org/10.17245/jdapm.2019.19.3.135

Making inferior alveolar nerve block more comfortable via computer-controlled local anesthetic delivery: A prospective clinical study  

Gajendragadkar, Kunal (Department of Oral & Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth)
Bhate, Kalyani (Department of Oral & Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth)
Jagtap, Bhagyashree (Department of Oral & Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth)
Santhoshkumar, S.N (Department of Oral & Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth)
Kshirsagar, Kapil (Department of Oral & Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth)
Magoo, Surabhi (Department of Oral & Maxillofacial Surgery, Dr. D. Y. Patil Vidyapeeth)
Publication Information
Journal of Dental Anesthesia and Pain Medicine / v.19, no.3, 2019 , pp. 135-141 More about this Journal
Abstract
Background: The fear of needle insertion and pain during anesthesia is a source of patient dissatisfaction in dentistry. Inferior alveolar nerve block (IANB) remains the most common type of block and is in itself painful. Computer-controlled local anesthetic delivery (CCLAD) has been proven to reduce the pain associated with injection of anesthetics in various blocks. However, the efficacy of CCLAD for IANB in adults remains unknown. Methods: Sixty-four adult patients requiring bilateral IANB were selected and divided into two groups: group A (50 patients receiving IANB via CCLAD) and group B (50 patients receiving IANB using a conventional cartridge syringe). Pain perception and patient comfort were assessed using the visual analog scale and the 5-point semantic scale, respectively. Results: The pain perception was compared between the two groups using the Mann-Whitney U-test, and the P value was 0.003. The patient comfort was also compared using the same test, and the P value was 0.484. Conclusion: A significant difference was observed in the pain perception of the patients during CCLAD. The patient comfort was grossly equal for both techniques.
Keywords
Computer-Controlled Local Anesthetic Delivery; Inferior Alveolar Nerve Block; Patient Comfort;
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