Pain perception following computer-controlled versus
conventional dental anesthesia: randomized controlled trial

J 2022

Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial

ATTIA, Sameh, Thomas AUSTERMANN, Andreas MAY, Mohamed MEKHEMAR, Jonas CONRAD et. al.

Basic information

Original name

Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial

Authors

ATTIA, Sameh, Thomas AUSTERMANN, Andreas MAY, Mohamed MEKHEMAR, Jonas CONRAD, Michael KNITSCHKE, Sebastian BÖTTGER, Howaldt HANS-PETER and Abanoub RIAD (818 Egypt, guarantor, belonging to the institution)

Edition

BMC Oral Health, London, BMC, 2022, 1472-6831

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30208 Dentistry, oral surgery and medicine

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 2.900

RIV identification code

RIV/00216224:14110/22:00126809

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1186/s12903-022-02454-1

UT WoS

000857026200007

Keywords in English

Computed-controlled local anesthesia; Dental anesthesia; Dental education; Local anesthesia; Nerve block; Pain perception; RCT; Split-mouth

Abstract

V originále

Background The administration of local anesthesia (LA) in dental practice requires an injection which is the leading cause of patients' fear and anxiety. Computer-controlled local anesthetic injector, designed to reduce the pain of performing local anesthesia by controlling the speed of injection. This single-blind randomised control trial aimed to compare the pain perception after computer-controlled local anesthesia (CCLA) and conventional LA. Methods Dental students were both test and operator group versus an experienced dentist as additional operator of the LA. Data were collected regarding gender, age, medical condition, smoking habits. Additionally, operator feedback about the handling, pain at insertion and during infiltration, excitement (Dental Anxiety Scale), and complications were assessed. Results Out of the 60 included participants, the majority were females (n = 41; 68.3%), medically healthy (n = 54; 90%), and did not receive medications (n = 54; 90%). While the participating students administered 62 (51.7%) injections, the experienced dentist administered 58 (48.3%) injections. The difference in pain perception on puncture between CCLA and conventional injections was not statistically significant (Sig. = 0.285); however, pain perception during injection was significantly different (Sig. = 0.029) between CCLA (1.65 +/- 1.93) and conventional injections (2.49 +/- 2.31). Conclusion The professional experience influenced the pain perception while applying the LA. CCLA did not reduce pain on puncture significantly; however, pain perception during the injection was significantly reduced in the case of using CCLA devices compared to the conventional syringe.

Links

MUNI/A/1608/2020, interní kód MU

Name: Prohlubování znalostí v oblasti zdravotních rizik a benefitů výživy, prostředí a životního stylu III

Investor: Masaryk University

MUNI/IGA/1543/2020, interní kód MU

Name: Evidence-based Practice of Healthcare Professionals and Students in the Czech Republic (Acronym: Evidence-Based Practice in Czechia)

Investor: Masaryk University

Citovat

ATTIA, Sameh, Thomas AUSTERMANN, Andreas MAY, Mohamed MEKHEMAR, Jonas CONRAD, Michael KNITSCHKE, Sebastian BÖTTGER, Howaldt HANS-PETER and Abanoub RIAD. Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial. BMC Oral Health. London: BMC, 2022, vol. 22, No 1, p. 1-13. ISSN 1472-6831. Available from: https://dx.doi.org/10.1186/s12903-022-02454-1.

@article{2222494,
   author = {Attia, Sameh and Austermann, Thomas and May, Andreas and Mekhemar, Mohamed and Conrad, Jonas and Knitschke, Michael and Böttger, Sebastian and HansandPeter, Howaldt and Riad, Abanoub},
   article_location = {London},
   article_number = {1},
   doi = {http://dx.doi.org/10.1186/s12903-022-02454-1},
   keywords = {Computed-controlled local anesthesia; Dental anesthesia; Dental education; Local anesthesia; Nerve block; Pain perception; RCT; Split-mouth},
   language = {eng},
   issn = {1472-6831},
   journal = {BMC Oral Health},
   title = {Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial},
   url = {https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-022-02454-1},
   volume = {22},
   year = {2022}
}

TY  - JOUR
ID  - 2222494
AU  - Attia, Sameh - Austermann, Thomas - May, Andreas - Mekhemar, Mohamed - Conrad, Jonas - Knitschke, Michael - Böttger, Sebastian - Hans-Peter, Howaldt - Riad, Abanoub
PY  - 2022
TI  - Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial
JF  - BMC Oral Health
VL  - 22
IS  - 1
SP  - 1-13
EP  - 1-13
PB  - BMC
SN  - 14726831
KW  - Computed-controlled local anesthesia
KW  - Dental anesthesia
KW  - Dental education
KW  - Local anesthesia
KW  - Nerve block
KW  - Pain perception
KW  - RCT
KW  - Split-mouth
UR  - https://bmcoralhealth.biomedcentral.com/articles/10.1186/s12903-022-02454-1
N2  - Background The administration of local anesthesia (LA) in dental practice requires an injection which is the leading cause of patients' fear and anxiety. Computer-controlled local anesthetic injector, designed to reduce the pain of performing local anesthesia by controlling the speed of injection. This single-blind randomised control trial aimed to compare the pain perception after computer-controlled local anesthesia (CCLA) and conventional LA. Methods Dental students were both test and operator group versus an experienced dentist as additional operator of the LA. Data were collected regarding gender, age, medical condition, smoking habits. Additionally, operator feedback about the handling, pain at insertion and during infiltration, excitement (Dental Anxiety Scale), and complications were assessed. Results Out of the 60 included participants, the majority were females (n = 41; 68.3%), medically healthy (n = 54; 90%), and did not receive medications (n = 54; 90%). While the participating students administered 62 (51.7%) injections, the experienced dentist administered 58 (48.3%) injections. The difference in pain perception on puncture between CCLA and conventional injections was not statistically significant (Sig. = 0.285); however, pain perception during injection was significantly different (Sig. = 0.029) between CCLA (1.65 +/- 1.93) and conventional injections (2.49 +/- 2.31). Conclusion The professional experience influenced the pain perception while applying the LA. CCLA did not reduce pain on puncture significantly; however, pain perception during the injection was significantly reduced in the case of using CCLA devices compared to the conventional syringe.
ER  -

ATTIA, Sameh, Thomas AUSTERMANN, Andreas MAY, Mohamed MEKHEMAR, Jonas CONRAD, Michael KNITSCHKE, Sebastian BÖTTGER, Howaldt HANS-PETER and Abanoub RIAD. Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial. \textit{BMC Oral Health}. London: BMC, 2022, vol.~22, No~1, p.~1-13. ISSN~1472-6831. Available from: https://dx.doi.org/10.1186/s12903-022-02454-1.

Detailed Information on Publication Record