This randomized split-mouth clinical trial evaluates whether computer-controlled intraosseous anesthesia delivered with the SleeperOne® 5 system reduces pain perception and dental anxiety compared with conventional local anesthesia during restorative treatment of children with molar-incisor hypomineralization (MIH). Thirty-five children received both anesthesia techniques in separate treatment sessions. Pain perception, behavioral responses, dental anxiety, pulse rate, and oxygen saturation were assessed at predefined time points.
Inclusion Criteria:
Children aged 8 to 14 years. Bilateral symmetrical MIH-affected permanent first molars requiring restorative treatment.
MIH diagnosed according to EAPD criteria. Positive or definitely positive Frankl Behavior Rating Scale. Parent or guardian provided written informed consent.
Exclusion Criteria:
Acute pulpal or periapical pathology. Developmental dental anomalies other than MIH. Allergy to local anesthetic agents. Medical contraindication to local anesthesia. Analgesic or anti-inflammatory drug use within 24 hours before treatment. Cognitive or communication disorders affecting study assessments. Uncooperative behavior.
Due to the obvious differences between the computer-controlled intraosseous anesthesia device (SleeperOne® 5) and the conventional dental syringe, masking of the investigator and participants was not feasible. The same investigator performed both the interventions and the outcome assessments throughout the study.
Computer-controlled intraosseous anesthesia delivered using the SleeperOne® 5 system during restorative treatment of MIH-affected permanent first molars.
Conventional local anesthesia administered using a standard dental syringe during restorative treatment of MIH-affected permanent first molars.
Ankara, 06560, Turkey (Türkiye)
Evaluation of Different Anesthesias in Children With Molar Incisor Hypomineralization
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