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http://dx.doi.org/10.5933/JKAPD.2020.47.2.99

2-Step Needle Insertion Technique to Reduce Pain in Children during Local Anesthesia  

Park, Suyoung (Department of Pediatric Dentistry, School of Dentistry, Chosun University)
Lee, Sangho (Department of Pediatric Dentistry, School of Dentistry, Chosun University)
Lee, Nanyoung (Department of Pediatric Dentistry, School of Dentistry, Chosun University)
Jih, Myeongkwan (Department of Pediatric Dentistry, School of Dentistry, Chosun University)
Publication Information
Journal of the korean academy of Pediatric Dentistry / v.47, no.2, 2020 , pp. 99-108 More about this Journal
Abstract
This study was performed to evaluate the effectiveness of the 2-step needle insertion technique to reduce pain during local anesthesia in children. Local anesthesia was performed bilaterally using conventional technique and a 2-step technique, and to compare the degree of pain using the 2-step with that using the conventional technique during local anesthesia using a pain scale. The pain scores were significantly different between the conventional technique and the 2-step insertion technique at 5.82 ± 2.14 and 2.57 ± 2.09, respectively (p < 0.001). The subjective degree of pain based on gender, age, and Frankl's behavior rating scale was significantly lower in the 2-step insertion technique (p < 0.001). Subjective pain levels in the area of maxilla and mandible, anterior and posterior parts were lower in the group treated using the 2-step insertion technique (p < 0.001). The 2-step insertion technique is a simple and effective way to reduce pain during local anesthesia not only in children with a positive attitude to dental treatment, but also in children with negative attitudes, and is thought to be more effective if combined with application of topical anesthesia or distraction.
Keywords
Local anesthesia; Pain; 2-step needle insertion technique;
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