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Does computerized anaesthesia reduce pain during local anaesthesia in paediatric patients for dental treatment? A systematic review and meta-analysis.
Smolarek, Priscila de Camargo; Wambier, Letícia M; Siqueira Silva, Leonardo; Chibinski, Ana Cláudia Rodrigues.
Afiliação
  • Smolarek PC; State University of Ponta Grossa, Paraná, Brazil.
  • Wambier LM; Positivo University, Curitiba, Brazil.
  • Siqueira Silva L; State University of Ponta Grossa, Paraná, Brazil.
  • Chibinski ACR; State University of Ponta Grossa, Paraná, Brazil.
Int J Paediatr Dent ; 30(2): 118-135, 2020 Mar.
Article em En | MEDLINE | ID: mdl-31593320
This systematic review and meta-analysis analysed whether pain and disruptive behaviour can be decreased by the use of computerized local dental anaesthesia (CDLA) in children. The literature was screened to select randomized clinical trials that compared computerized and conventional anaesthesia. The primary outcome was pain perception during anaesthesia; the secondary, disruptive behaviour. The risk of bias of individual papers and the quality of the evidence were evaluated. After search, 8389 records were found and 20 studies remained for the qualitative and quantitative syntheses. High heterogeneity was detected for both outcomes. For the pain perception, the overall analysis showed a standard mean difference of -0.78 (-1.31, -0.25) favouring CDLA; however, when only studies at low risk of bias were analysed (subgroup analysis), there was no difference between the two techniques [-0.12(-0.46, 0.22)]. For disruptive behaviour, no differences were detected for continuous [-0.26 (-0.68, 0.16)] or dichotomous data [0.81 (0.62, 1.06)]. The quality of evidence was judged as low for pain perception and very low for disruptive behaviour. It is concluded that there is no difference in the pain perception and disruptive behaviour in children subjected to computerized or conventional dental local anaesthesia. Notwithstanding, the quality of the available evidence is low.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor / Assistência Odontológica / Anestesia Dentária / Anestesia Local Tipo de estudo: Clinical_trials / Diagnostic_studies / Qualitative_research / Systematic_reviews Limite: Child / Humans Idioma: En Revista: Int J Paediatr Dent Assunto da revista: ODONTOLOGIA / PEDIATRIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Dor / Assistência Odontológica / Anestesia Dentária / Anestesia Local Tipo de estudo: Clinical_trials / Diagnostic_studies / Qualitative_research / Systematic_reviews Limite: Child / Humans Idioma: En Revista: Int J Paediatr Dent Assunto da revista: ODONTOLOGIA / PEDIATRIA Ano de publicação: 2020 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido