Abstract
Background: Pain experienced during dental procedures evolves into negative attitude towards dentistry, which is projected as anxiety and fear of the child. Administration of local anesthesia (L.A) although an intervention to render painless procedures, in itself causes pain by its conveyance. Wand® (Milestone Scientific, Livingston, NJ, USA) is a system introduced to decrease soreness in the course of anesthetic conveyance. Owing to the sparse information comparing conventional systems with those of Wand, the present study evaluated pain related behavior in children exhibiting pre-assessed variant levels of anxiety midst administration of local anesthesia.
 Aim: To correlate pain related behavior amidst delivery of local anesthesia using conventional syringe and the Wand® STA system in children exhibiting variant anxiety levels.
 Methodology: The In vivo study embodied 32 children aged between 6 to 8 years. The volunteered participants were pre-categorized into low and high anxiety using the Modified Child Dental Anxiety Scale. They were further divided using the SNOSE technique – receiving L.A the conventional syringe (group A) and those receiving L.A using the C.C.L.A.D (group B). Pain reactions and perceptions to the two delivery methods were calculated using subjective scales and objective physiological parameters.
 Results: Comparing pain perception in pre-assessed anxiety categories affirmed a remarkable difference with the use of C.C.L.A.D and appeared to bestow effortless, pain-free delivery over the traditional cartridge delivery.
 Conclusion: C.C.L.A.D builds a refined acclivity for dispersal of the solution, ergo an utilitarian tool in pediatric dentistry.
Highlights
Pain, an odious perceptible sentiment induced by a pernicious-stimuli is a convoluted and multidimensional happening that vitalizes the entity, heedless of factual or ostensible impairment, to interpose in mitigating its existence [1,2]
Pain experienced during dental procedures leads to the development of negative attitude towards dentistry, which is projected as anxiety and fear in follow-up visits of the child
Both the categories of low and high dental anxiety were allocated into 2 groups and pain related behaviour was monitored using subjective evaluation and objective physiological parameters at both baseline and after administration of local anaesthesia
Summary
An odious perceptible sentiment induced by a pernicious-stimuli is a convoluted and multidimensional happening that vitalizes the entity, heedless of factual or ostensible impairment, to interpose in mitigating its existence [1,2]. Mucosal piercing resulting in tissue damage and second, by the increase in pressure during infiltration of anesthetic agent Approaches such as behavioral modulation techniques (reframing, distraction) and different painless delivery techniques like anesthetic-patches or gel, have been invented and attempted to ease the discomfort. These approaches have not been able to totally eliminate the pain experienced while injecting. Owing to the sparse information comparing conventional systems with those of Wand, the present study evaluated pain related behavior in children exhibiting pre-assessed variant levels of anxiety midst administration of local anesthesia. The volunteered participants were pre-categorized into low and high anxiety using the Modified Child
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