Brit Dent J: Pain behaviour and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe.
The key findings were: (1) Wand injections took almost three times longer than the traditional method to administer; (2) the level of anxiety was a significant factor for pain, irrespective of analgesic technique and this was a consistent finding across all 3 measurements employed, but only at the first treatment visit; (3) irrespective of pain measure, there was no difference between the local anaesthetic techniques; (4) the low anxious subjects reported more pain at the second treatment visit.
This is an interesting and thought-provoking paper. Ideas for future studies are explored and the limitations of variation in injection site and volume are adequately discussed, though these would be difficult to control completely in any clinical study. The more anxious children may have less coping behaviours at injection and the low anxious subjects may have become sensitised to the injection leading to higher reporting of pain and distress at the next visit. Therefore, the authors suggest that children should be encouraged to expect realistic amounts of pain.
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|Author:||Versloot, J.; Veerkamp, J.S.; Hoogstraten, J.|
|Publication:||European Archives of Paediatric Dentistry|
|Date:||Jun 1, 2009|
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