Abstract
IntroductionUsually discomfort and pain are associated with dental work, especially for young patients. Pain control can be achieved by using anesthesia. Sight of injection can terrify any patient and if the patient is a child it is really difficult to convince them for injections. Alternatives to injections have been explored. Pediatric dentists are using anesthesia in the form of jelly and patch. Recently, the concept of mucosal vibration has been put forward to enhance the effectiveness of local anesthesia.AimThe aim of the present study was to compare and evaluate the effectiveness of lignocaine jelly and mucosal vibration in reducing pain during administration of local anesthesia in pediatric dental patients.Materials and methodsThirty children in the age group 6 to 11 years who required bilateral anesthesia for dental treatment in mandible were selected for this study. Pain was compared using Wilcoxon signed-rank test at the time of injection using Sound, Eye, Motor (SEM) scale as objective criteria and facial pain rating (FPR) scale as subjective criteria after administration of injection by a trained assistant who was blinded to the procedure.ResultsLocal anesthetic injection along with mucosal vibration resulted in significantly less pain (p = 0.001) in comparison with the injections without the use of mucosal vibration.ConclusionThe result shows that mucosal vibration can be used as an effective means to reduce the intensity of pain during local anesthetic injection in dentistry.How to cite this article: Tandon S, Kalia G, Sharma M, Mathur R, Rathore K, Gandhi M. Comparative Evaluation of Mucosal Vibrator with Topical Anesthetic Gel to reduce Pain during Administration of Local Anesthesia in Pediatric Patients: An in vivo Study. Int J Clin Pediatr Dent 2018;11(4):261-265.
Highlights
Discomfort and pain are associated with dental work, especially for young patients
Pain was compared using Wilcoxon signed-rank test at the time of injection using Sound, Eye, Motor (SEM) scale as objective criteria and facial pain rating (FPR) scale as subjective criteria after administration of injection by a trained assistant who was blinded to the procedure
Local anesthetic injection along with mucosal vibration resulted in significantly less pain (p = 0.001) in comparison with the injections without the use of mucosal vibration
Summary
Discomfort and pain are associated with dental work, especially for young patients. Stimulation of the larger diameter fibers through touch signal mechanoreceptors (e.g., massage techniques, rubbing, pressure, ice packs, acupuncture, or vibration) causes activation of inhibitory neurons, which prevent the activation of projection neurons at the synaptic junction in the dorsal horn of the spinal cord This results in a closure of the gate causing pain sensation.[5] A decrease in pain intensity during vibratory stimulation was observed in patients suffering from acute or chronic musculoskeletal pain of various origins in the study conducted by Lundeberg et al.[5] Earlier use of Vibraject, attached to a traditional syringe to transfer a vibrating stimulus to the needle, did not result in a significant reduction of pain scores during needle insertion.[6,7] Recently, Dr Steven Goldberg introduced Dental vibe® (Dental Vibe Inc.), which delivers
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