Author/Authors :
Saoji, Hrishikesh Department of Conservative Dentistry and Endodontics - Bharati Vidyapeeth Dental College & Hospital, Kharghar, Navi Mumbai, Maharashtra, India , Nainan, Mohan Thomas Department of Conservative Dentistry and Endodontics - Vydehi Institute of Dental Sciences, Bangalore, Karnataka, India , Nanjappa, Naveen Department of Conservative Dentistry and Endodontics - Vydehi Institute of Dental Sciences, Bangalore, Karnataka, India , Khairnar, Mahesh Ravindra Department of Public Health Dentistry - Bharati Vidyapeeth (Deemed to be University) Dental College & Hospital, Sangli, Maharashtra, India , Hishikar, Meeta DY Patil Dental College, Nerul, Navi Mumbai, Maharashtra, India , Jadhav, Vivek Department of Prosthodontics - CSMSS Dental College and Hospital, Aurangabad, Maharashtra, India
Abstract :
Background. Local anesthesia is given to decrease pain perception during dental treatments, but it may itself be a reason for pain and aggravate the dental fear. Computer-controlled local anesthetic delivery system (CCLADS) is one of the alternatives for decreasing the patients’ pain during local anesthesia. This study compared the time required for the recovery from anes-thesia, pain/discomfort during injection and pain/discomfort 24 hours after administering local anesthesia with CCLADS, a standard self-aspirating syringe and a conventional disposable 2-mL syringe.
Methods. The study was conducted on 90 subjects (an age group of 20-40 years), who suffered from sensitivity during cavity preparation. They were randomly divided into three groups of 30 individuals each to receive intraligamentary anesthesia (2% lignocaine with 1:80,000 adrenaline) using either of the three techniques: CCLADS, a standard self-aspirating syringe, or a conventional disposable 2-mL syringe. The onset of anesthesia, time required for recovery from anesthesia (in minutes), pain/discomfort during injection and pain/discomfort 24 hours after administering local anesthesia were recorded.
Results. The time required for the onset of anesthesia and recovery from anesthesia was shorter with CCLADS (4.83±2.31 and 34.2±1.895, respectively) as compared to the standard self-aspirating group (10.83±1.90 and 43.5±7.581, respectively) and the conventional group (11.00±2.03 and 43.5±6.453, respectively) (P<0.001). The patients in the CCLADS group expe-rienced no pain during local anesthesia administration as compared to the patients in the self-aspirating and conventional groups. The CCLADS and self-aspirating groups showed lower pain response as compared to the conventional group for pain after 24 hours.
Conclusion. CCLADS can be an effective and pain-free alternative to conventional local anesthetic procedures.
Keywords :
syringe , pain , local anesthesia , Anesthesia recovery period