Dental Anaesthesia Affects Pain Level

Determination of the Effect of Two Different Methods of Dental Anaesthesia on Pain Level in Paediatric Patients: A Cross-over, Randomised Trial

Background: Needles are the most feared tools, making anaesthetic injection a worrying practice.

Aim: To compare intraosseous (IOA) and needle-free dental anaesthesia (NFA) methods that painless anaesthesia.

Design: Twenty patients aged 8-10 years were included in this cross-over study. To determine the anxiety levels and pain experienced by the patients, visual and behavior scales were used. The pulse rate (PR) and opiorphin levels (OL) determined. The Friedman and Wilcoxon signed-rank tests were used. p<0.05 was considered significant.

Inclusion Criteria:

• Patients aged 8-10 years,
• systemically healthy,
• had undergone dental treatment (except for extraction) previously but with at least 1 week passed since then
• were compatible enough to undergo therapy in the clinic in a sitting position,
• had infection between the roots with a rate over 1/3, had 2/3 root formation,
• had been indicated for extraction of the maxillary primary molar teeth (55/65 No. teeth),
• did not have acute and/or subacute infection of the related or other teeth or mouth and surrounding tissues

Exclusion Criteria:

• who scored above 41 in the state anxiety subscale and above 44 in the trait anxiety subscale of the Spielberger State-Trait Anxiety Scale (SSAS-SAAS)
• not meeting the inclusion criteria