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J Dent Res Dent Clin Dent Prospects. 2019;13(4): 298-304.
doi: 10.15171/joddd.2019.045
PMID: 32190214
PMCID: PMC7072086
  Abstract View: 277
  PDF Download: 190

Clinical Dentistry

Original Research

Assessment of computer-controlled local anesthetic delivery system for pain control during restorative procedures: A randomized controlled trial

Hrishikesh Saoji 1, Mohan Thomas Nainan 2, Naveen Nanjappa 2, Mahesh Ravindra Khairnar 3*, Meeta Hishikar 4, Vivek Jadhav 5

1 Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth Dental College & Hospital, Kharghar, Navi Mumbai, Maharashtra, India
2 Department of Conservative Dentistry and Endodontics, Vydehi Institute of Dental Sciences, Bangalore, Karnataka, India
3 Department of Public Health Dentistry, Bharati Vidyapeeth (Deemed to be University) Dental College & Hospital, Sangli, Maharashtra, India
4 DY Patil Dental College, Nerul, Navi Mumbai, Maharashtra, India
5 Department of Prosthodontics, CSMSS Dental College and Hospital, Aurangabad, Maharashtra, India
*Corresponding Author; E-mail: kmahesh222@gmail.com

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 anesthesia, 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 experienced 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: Anesthesia recovery period, local anesthesia, pain, syringes
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Abstract View: 277

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PDF Download: 190

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Submitted: 02 May 2019
Accepted: 02 Dec 2019
ePublished: 23 Dec 2019
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