JIDAM
"An Official Journal of IDA - Madras
Branch" ©2019.
Available online
Background: Administration of local anesthesia (LA) is vital in invasive dental procedures, particularly in children as it invokes pain leading to uncooperative behavior and ensures future compliance. Inadequate anesthesia can lead to procedure failure, heightening fear and anxiety. Techniques to minimize pain include application of topical anesthesia, buffering with sodium bicarbonate, using fine needles, and delivery of LA agent slowly. The recent studies are focusing on effect of adjusting temperature of LA solution and its effects on pain. The observations showed there is decrease of pain during administration. Aim: To evaluate pain perception and onset of action on administration of local anesthetic solution (LA) at different temperatures. Settings and Design: The study has been conducted in patients attended the Department of Pediatric and Preventive Dentistry. It is randomized, control, three arm study. The research group comprises individuals in the age group of 6 to 12 years. Material and Methods: Group 1: Lignocaine at 45oC. Group 2: Lignocaine at 4oC. Group 3: Lignocaine stored at room temperature 25-30 oC. Pain was assessed using WONG-BAKERS FACES PAIN SCALE. Statistical analysis: One Way Anova tests and Post-Hoc Tukey Tests were used. Results: Pre-warmed and cooled local anesthetic solutions resulted in less pain on injection (P<0.001, P<0.017) and faster onset of action (P=0.062, P=0.045) when compared with conventional local anesthesia. Conclusions: Pre-warming and pre-cooling the anesthetic solution reduced pain on administration and during the procedures in children.
Pain, Pre-cooled LA, warm LA
Volume No: 12, Issue No: 1