Research Article

DOI :10.26650/eor.20241409206 IUP :10.26650/eor.20241409206 Full Text (PDF)

External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial

Reyhaneh Faghihian, Mohammad Moin Tofighi, Sanaz Ziaei, Sayed Lotfollah Afzali

Purpose: A way to reduce the pain of injection is applying of external cold or vibrations with BUZZY, along with spinal cord gate control systems. We aimed to evaluate the effectiveness of this method in reducing children’s pain and anxiety during infiltrative anesthesia.

Subjects and Methods: This was a double-blinded, randomized, split-mouth, controlled, trial. Thirty 6 to 12-year-old children with decayed first permanent molar tooth on both sides of their maxilla were enrolled. Each side of the children's mouths was randomly allocated to either BUZZY or topical anesthetic gel prior to infiltrative anesthesia. Pain and anxiety during infiltrative anesthesia were measured with the Baker-Wong (BWS), FLACC (Face, Leg, Activity, Cry, Consolability), and heart rate (HR) scales.

Results: A generalized estimating equation (GEE) adjusted for age and baseline HR, indicated, significantly-lower intra-procedural HRs associated with BUZZY (aOR [95%CI]: 0.02 [0.00, 0.91], p=0.04). GEEs adjusted for age revealed the BWS (aOR [95%CI]: 0.59 [0.30, 1.14], p=0.12) and FLACC (aOR [95%CI]: 0.82 [0.62, 1.09], p=0.17) scores to be comparable between the study arms.

Conclusion: Our study failed to demonstrate the superiority of BUZZY over anesthetic gels regarding WBS and FLACC measures of pain and anxiety, but demonstrated a decrease in HR associated with BUZZY.

Keywords: pediatric dentistry, dental anxiety, behavioral control, pain, vibration

DOI :10.26650/eor.20241409206 IUP :10.26650/eor.20241409206 Full Text (PDF)

Pediatrik diş hekimliğinde infiltratif anestezi ile ilişkili ağrı ve anksiyete için topikal anestezik jelle BUZZY ile dışsal soğuk ve titreşim yönteminin karşılaştırıkması: çift kör, split mouth, randomize, kontrollü çalışma

Reyhaneh Faghihian, Mohammad Moin Tofighi, Sanaz Ziaei, Sayed Lotfollah Afzali

Amaç: Enjeksiyon ağrısını azaltmanın bir yolu, omurilik kapı kontrol sistemleriyle birlikte BUZZY ile dışsal soğuk veya titreşim uygulamaktır. Bu yöntemin çocukların infiltratif anestezi sırasında ağrı ve anksiyetelerini azaltmada etkinliğini değerlendirmeyi amaçladık.

Denekler ve Yöntem: Bu, çift kör, randomize, split mouth, kontrollü bir çalışmaydı. Maksillalarının her iki tarafında çürümüş birinci daimi molar dişi olan 6 ila 12 yaş arasındaki otuz çocuk çalışmaya dahil edildi. Çocukların ağızlarının her iki tarafı, infiltratif anesteziden önce rastgele olarak ya BUZZY ya da topikal anestezik jel gruplarına ayrıldı. İnfiltratif anestezi sırasında ağrı ve anksiyete, Baker-Wong (BWS), FLACC (Yüz, Bacak, Aktivite, Ağlama, Teselli Edilebilirlik) ve kalp atış hızı (HR) ölçekleri ile ölçüldü.

Sonuçlar: Yaşa ve başlangıç HR'sine göre ayarlanan genelleştirilmiş tahmin denklemi (GEE), BUZZY ile ilişkili olarak anlamlı derecede daha düşük işlem içi HR'ler olduğunu gösterdi (aOR [95%CI]: 0.02 [0.00, 0.91], p=0.04). Yaşa göre düzeltilmiş GEE'ler, BWS (aOR [95%CI]: 0.59 [0.30, 1.14], p=0.12) ve FLACC (aOR [95%CI]: 0.82 [0.62, 1.09], p=0.17) puanlarının çalışma kolları arasında karşılaştırılabilir olduğunu ortaya koydu.

Sonuç: Çalışmamız, ağrı ve anksiyetenin BWS ve FLACC ölçümleri açısından BUZZY'nin anestezik jeller karşısındaki üstünlüğünü gösteremedi, ancak BUZZY ile ilişkili olarak HR'de bir azalma gösterdi

Keywords: pediatrik diş hekimliği, diş anksiyetesi, davranış kontrolü, ağrı, titreşim

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APA

Faghihian, R., Tofighi, M.M., Ziaei, S., & Afzali, S.L. (2024). External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial. European Oral Research, 0(0), -. https://doi.org/10.26650/eor.20241409206

AMA

Faghihian R, Tofighi M M, Ziaei S, Afzali S L. External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial. European Oral Research. 2024;0(0):-. https://doi.org/10.26650/eor.20241409206

ABNT

Faghihian, R.; Tofighi, M.M.; Ziaei, S.; Afzali, S.L. External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial. European Oral Research, [Publisher Location], v. 0, n. 0, p. -, 2024.

Chicago: Author-Date Style

Faghihian, Reyhaneh, and Mohammad Moin Tofighi and Sanaz Ziaei and Sayed Lotfollah Afzali. 2024. “External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial.” European Oral Research 0, no. 0: -. https://doi.org/10.26650/eor.20241409206

Chicago: Humanities Style

Faghihian, Reyhaneh, and Mohammad Moin Tofighi and Sanaz Ziaei and Sayed Lotfollah Afzali. “External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial.” European Oral Research 0, no. 0 (Nov. 2024): -. https://doi.org/10.26650/eor.20241409206

Harvard: Australian Style

Faghihian, R & Tofighi, MM & Ziaei, S & Afzali, SL 2024, 'External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial', European Oral Research, vol. 0, no. 0, pp. -, viewed 22 Nov. 2024, https://doi.org/10.26650/eor.20241409206

Harvard: Author-Date Style

Faghihian, R. and Tofighi, M.M. and Ziaei, S. and Afzali, S.L. (2024) ‘External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial’, European Oral Research, 0(0), pp. -. https://doi.org/10.26650/eor.20241409206 (22 Nov. 2024).

MLA

Faghihian, Reyhaneh, and Mohammad Moin Tofighi and Sanaz Ziaei and Sayed Lotfollah Afzali. “External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial.” European Oral Research, vol. 0, no. 0, 2024, pp. -. [Database Container], https://doi.org/10.26650/eor.20241409206

Vancouver

Faghihian R, Tofighi MM, Ziaei S, Afzali SL. External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial. European Oral Research [Internet]. 22 Nov. 2024 [cited 22 Nov. 2024];0(0):-. Available from: https://doi.org/10.26650/eor.20241409206 doi: 10.26650/eor.20241409206

ISNAD

Faghihian, Reyhaneh - Tofighi, MohammadMoin - Ziaei, Sanaz - Afzali, SayedLotfollah. “External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial”. European Oral Research 0/0 (Nov. 2024): -. https://doi.org/10.26650/eor.20241409206

TIMELINE

Submitted	10.01.2024
Accepted	24.04.2024
Published Online	16.07.2024

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