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Efficacy of a new light-cured anesthetic gel for clamp placement before rubber dam isolation in children: A triple-blinded randomized controlled clinical trial.
Wambier, Letícia M; Demogalski, Jéssyca T; Puja, Dandara B; Chibinski, Ana Cr; Wambier, Denise S; Farago, Paulo V; Loguercio, Alessandro D; Reis, Alessandra.
Afiliación
  • Wambier LM; School of Dentistry, State University of Ponta Grossa, Paraná, Brazil.
  • Demogalski JT; Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil.
  • Puja DB; Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil.
  • Chibinski AC; Department of Pediatric Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil.
  • Wambier DS; Department of Pediatric Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil.
  • Farago PV; Postgraduate Program, Department of Pharmaceutical Sciences, State University of Ponta Grossa, Paraná, Brazil.
  • Loguercio AD; Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil.
  • Reis A; Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil.
Am J Dent ; 31(3): 126-130, 2018 Jun.
Article en En | MEDLINE | ID: mdl-30028929
PURPOSE: To evaluate the efficacy of a new light-cured anesthetic gel for pain control associated with the clamp placement for rubber dam isolation in children. METHODS: 82 children in need of sealant placement on the first permanent mandibular molars were selected to take part in this randomized, split-mouth, triple-blinded study. Before rubber dam placement, the light-cured anesthetic gel (test) or a placebo gel (control) was applied on the gingival margins of the molars. The hemi-arches were isolated with cotton rolls and the gels were applied; the anesthetic gel was light-cured. After 30 seconds, clamp #26 was positioned on tooth 36 or 46. If there was pain, the clamp was removed and rescue anesthesia was applied. The absolute risk and intensity of pain were registered using three scales: facial expression (Wong-Baker), observational (FLACC) and numerical (NRS). Data were analyzed by McNemar's test and Wilcoxon Signed Rank (α= 5%). RESULTS: Differences were detected for the risk of pain between groups (P= 0.0002) and for the different intensity of pain scales used (P< 0.001) with positive results for the anesthetic gel. CLINICAL SIGNIFICANCE: The new developed light-cured topical anesthetic is an alternative to infiltrative anesthesia for pain control during clamp adaptation for rubber dam isolation. Its use helps to overcome the fear of needles, which can trigger pain, anxiety and discomfort for the majority of the patients, hampering the behavior management in children.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dique de Goma / Anestésicos Locales Tipo de estudio: Clinical_trials Límite: Child / Humans Idioma: En Revista: Am J Dent Asunto de la revista: ODONTOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos
Buscar en Google
Añadir a Mi BVS
Imprimir
XML
PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dique de Goma / Anestésicos Locales Tipo de estudio: Clinical_trials Límite: Child / Humans Idioma: En Revista: Am J Dent Asunto de la revista: ODONTOLOGIA Año: 2018 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Estados Unidos