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Year : 2022  |  Volume : 25  |  Issue : 11  |  Page : 1853-1863

Determination of the effect of two different methods of dental anesthesia on pain level in pediatric patients: A cross-over, randomized trial

1 Departments of Pediatric Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey
2 Department of Medical Biochemistry, Faculty of Medicine and, Faculty of Health Sciences, Karadeniz Technical University, Trabzon, Turkey
3 Department of Nutrition and Dietetics, Faculty of Medicine and, Faculty of Health Sciences, Karadeniz Technical University, Trabzon, Turkey

Correspondence Address:
Dr. N Yilmaz
Department of Pediatric Dentistry, Karadeniz Technical University Faculty of Dentistry Trabzon
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/njcp.njcp_289_22

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Background: In dentistry, needles are the most feared and anxiety-causing tool, making anesthetic injection a worrying practice for patients. Aim: To evaluate the effect of intraosseous anesthesia (IOA) and needle-free dental anesthesia (NFA) on pain levels in systemically healthy 8–10-year-old patients. Patients and Methods: Twenty patients aged 8–10 years were included in this cross-over study. Specifically, the pain was measured by Wong Baker, pulse rate (PR), and salivary opiorphin levels (SOL). In addition, the Frankl Behavioral scale was used to measure behaviors and face, legs, activity, cry, consolability (FLACC) was utilized to measure pain and discomfort. To determine the patients' anxiety levels Spielberger State-Trait Anxiety Scale (SSAS-SAAS) was used. The Friedman and Wilcoxon signed-rank tests were used. P < 0.05 was considered significant. Results: According to FLACC scores, IOA and NFA exhibited significantly pain alteration patterns in during local and topical anesthesia, respectively (p = 0.004, 0.001; P < 0.01). Also, only NFA showed significantly decreased SOL values in 5- and 10-min after local anesthesia periods compared to the before levels (p = 0.004, P = 0.001; P < 0.01). Conclusion: Patients feel similar pain perceptions during local anesthesia application in both injection systems. According to the SOL values, NFA may provide more higher anesthetic efficiency than IOA.

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