Cryoanesthesia with ethyl chloride spray versus 5% lidocaine gel in alleviating oral local anesthetic injection pain for buccal anaesthesia: A randomized clinical (controlled) trial.

Cryoanesthesia Dental anxiety Ethyl chloride Needle phobia Topical lidocaine

Journal

Journal of dental research, dental clinics, dental prospects
ISSN: 2008-210X
Titre abrégé: J Dent Res Dent Clin Dent Prospects
Pays: Iran
ID NLM: 101576035

Informations de publication

Date de publication:
2023
Historique:
received: 05 12 2022
accepted: 09 01 2023
medline: 31 8 2023
pubmed: 31 8 2023
entrez: 31 8 2023
Statut: ppublish

Résumé

Numbing the area of oral mucosa with cold application prior to administration of regional anesthesia has been widely used by various dentists in alleviating pain caused by needle prick. Cryoanesthesia using Endo-ice as topical anesthesia has been studied as a replacement to prevail the fallibility of topical anaesthetics. This study aimed to evaluate and compare effectiveness of ethyl chloride spray with 5% lidocaine gel in alleviating buccal anesthesia injection pain. Total of 90 outpatients were randomly divided into 3 groups as follows: Group 1 - cryotherapy with ethyl chloride at the anesthetic site preceding before administration of local anesthesia; Group 2 - topical application of 5% LIDOCAINE GEL preceding before administration of local anesthesia; and group 3 - control that did not receive any topical agent preceding before administration of local anesthesia. Visual analogue scale (VAS) was used to document pain immediately after injection prick. About comparison of pain scores, significant difference was found between group 1 (ethyl chloride) and group 2 (topical lidocaine) patients ( Importance of alleviating fear of needle injection phobia amongst patients is of paramount importance. Ethyl chloride was found to be more effective than topical lidocaine in alleviating needle injection pain before administration of local anesthetic injection.

Sections du résumé

Background UNASSIGNED
Numbing the area of oral mucosa with cold application prior to administration of regional anesthesia has been widely used by various dentists in alleviating pain caused by needle prick. Cryoanesthesia using Endo-ice as topical anesthesia has been studied as a replacement to prevail the fallibility of topical anaesthetics. This study aimed to evaluate and compare effectiveness of ethyl chloride spray with 5% lidocaine gel in alleviating buccal anesthesia injection pain.
Methods UNASSIGNED
Total of 90 outpatients were randomly divided into 3 groups as follows: Group 1 - cryotherapy with ethyl chloride at the anesthetic site preceding before administration of local anesthesia; Group 2 - topical application of 5% LIDOCAINE GEL preceding before administration of local anesthesia; and group 3 - control that did not receive any topical agent preceding before administration of local anesthesia. Visual analogue scale (VAS) was used to document pain immediately after injection prick.
Results UNASSIGNED
About comparison of pain scores, significant difference was found between group 1 (ethyl chloride) and group 2 (topical lidocaine) patients (
Conclusion UNASSIGNED
Importance of alleviating fear of needle injection phobia amongst patients is of paramount importance. Ethyl chloride was found to be more effective than topical lidocaine in alleviating needle injection pain before administration of local anesthetic injection.

Identifiants

pubmed: 37650023
doi: 10.34172/joddd.2023.37041
pmc: PMC10462915
doi:

Types de publication

Journal Article

Langues

eng

Pagination

40-46

Informations de copyright

©2023 The Author(s).

Déclaration de conflit d'intérêts

The authors declare there are no conflict of interest.

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Auteurs

Hira Abbasi (H)

Department of Operative Dentistry and Endodontics, Altamash Institute of Dental Medicine, Karachi, Pakistan.

Faiza Ali (F)

Department of Dental Surgery, The Agha Khan University Hospital, Karachi, Pakistan.

Hina Aslam (H)

Department of Prosthodontics, Khyber College Of Dentistry, Peshawar, Pakistan.

Muhammad Sharjeel Khan (MS)

Graduate, Altamash Institute of Dental Medicine, Karachi, Pakistan.

Muhammad Waqas (M)

Department of Prosthodontics, Jinnah Medical and Dental College, Karachi, Pakistan.

Abhishek Lal (A)

Department of Operative Dentistry and Endodontics, Altamash Institute of Dental Medicine, Karachi, Pakistan.

Classifications MeSH