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Comparative Analysis of Local Anesthetic Techniques for Pain Management in Pediatric Dental Procedures: A Randomized Clinical Trial.
Dixit, Ankita; Randhawa, Rajbir K; Randhawa, Gagandeep S; Solanki, Pranav; Takvani, Rimmy; Vaghela, Ishita.
Afiliación
  • Dixit A; Department of Pedodontics and Preventive Dentistry, Ahmedabad Dental College and Hospital, Bhadej, Near Science City, Ahmedabad, Gujarat, India.
  • Randhawa RK; Department of Oral and Maxillofacial Surgery, Ahmedabad Dental College and Hospital, Bhadej, Near Science City, Ahmedabad, Gujarat, India.
  • Randhawa GS; Department of Oral and Maxillofacial Surgery, Government Dental College and Hospital, Jamnagar, Gujarat, India.
  • Solanki P; Department of Prosthodontics, Goenka Research Institute of Dental Science, Gandhinagar, Gujarat, India.
  • Takvani R; Department of Prosthodontics, Government Dental College and Hospital, Jamnagar, Gujarat, India.
  • Vaghela I; Department of Prosthodontics, Government Dental College and Hospital, Jamnagar, Gujarat, India.
J Pharm Bioallied Sci ; 16(Suppl 1): S196-S198, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38595428
ABSTRACT

Objective:

The present study aims to conduct a comparative analysis of different local anesthetic techniques for pain management in pediatric dental procedures. Goal is to evaluate and compare the efficacy and safety of various local anesthetic methods to identify the most effective approach in reducing pain and discomfort during dental treatments in children.

Methods:

A prospective, randomized clinical trial was conducted with 60 pediatric patients (aged 3 to 10 years) undergoing dental procedures in a single dental clinic. The participants were randomly assigned into three groups Group A received conventional infiltration anesthesia (lidocaine 2% with epinephrine 1100,000), Group B received topical anesthesia followed by the same infiltration anesthesia, and Group C received intraosseous anesthesia using articaine 4% with epinephrine 1100,000. The patients' demographic data, treatment details, and pre-procedure anxiety levels were recorded.

Results:

The study demonstrated that all three local anesthetic techniques effectively managed pain during pediatric dental procedures. However, Group C, which received intraosseous anesthesia, showed significantly lower pain scores (mean ± standard deviation) compared to Group A and Group B 1.5 ± 0.6, 2.3 ± 0.8, and 2.1 ± 0.7, respectively (P < 0.05). Additionally, Group C exhibited a shorter onset of anesthesia compared to Group A and Group B, with mean onset times of 1.8 ± 0.4, 3.2 ± 0.6, and 2.9 ± 0.5 minutes, respectively (P < 0.001). No significant differences in adverse events or post-procedure complications among the groups.

Conclusion:

Intraosseous anesthesia (articaine 4% with epinephrine 1100,000) was found most effective local anesthetic technique for pain management during pediatric dental procedures.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Pharm Bioallied Sci Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: India
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Pharm Bioallied Sci Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: India