Comparative evaluation of the effectiveness of electronic dental anesthesia with 2% lignocaine in various minor pediatric dental procedures: A clinical study

Abhishek Dhindsa, I K Pandit, Nikhil Srivastava, Neeraj Gugnani, Abhishek Dhindsa, I K Pandit, Nikhil Srivastava, Neeraj Gugnani

Abstract

One of the most distressing aspects of dentistry for pediatric patients is the fear and anxiety caused by the dental environment, particularly the dental injection. The application and induction of local anesthetics has always been a difficult task, and this demands an alternative method that is convenient and effective. Electronic dental anesthesia, based on the principal of transcutaneous electric nerve stimulation (TENS), promises to be a viable mode of pain control during various pediatric clinical procedures. Therefore, the aim of the present study was to evaluate the effectiveness of TENS and to compare its efficacy with 2% lignocaine during various minor pediatric dental procedures. Pain, comfort and effectiveness of both the anesthetics were evaluated using various scales and no significant difference was observed between 2% lignocaine and TENS in the various pain scales, while TENS was perceived to be significantly effective in comfort and efficacy as judged by the operator and quite comfortable as judged by the patient himself/herself.

Keywords: 2% lignocaine; comfort and efficacy; electronic dental anesthesia/TENS; pain scales.

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Electronic dental anesthesia/transcutaneous electric nerve stimulation and its application during various minor dental procedures
Figure 2
Figure 2
Mean value for pain comparing the two anesthetics in relation to the visual analogue scale
Figure 3
Figure 3
Mean value for pain comparing the two anesthetics in relation to the verbal pain scale
Figure 4
Figure 4
Mean value of comfort and efficacy in comparing the two anesthetics in relation to Lickert's scale

References

    1. Giangrego E. Controlling anxiety in the dental office. J Am Dent Assoc. 1986;113:728–35.
    1. Melzack R, Wall PD. Pain mechanism: A new theory. Science. 1965;150:971–8.
    1. Shane S M, Kessler S. Electricity for sedation in dentistry. J Am Dent Assoc. 1967;75:1369–75.
    1. Asarch T, Allen K, Petersen B, Beiraghi S. Efficacy of a computerized local anesthesia device in Pediatric dentistry. Pediatr Dent. 1999;21:421–4.
    1. Lund I, Lundeberg T, Sandberg L, Bund CN, Kowalski J, Svensson E. Lack of interchangeability between visual analogue and verbal rating pain scale: A cross sectional description of pain etiology groups. BMC Med Res Method. 2005;5:31.
    1. Sabiston DC. 14th ed. USA: W.B. Saunders Publications; 1999. Textbook of Surgery.
    1. Atkinson PS. 11th ed. ELBS Publications; 1997. Lee's synopsis of Anesthesia.
    1. Harvey M, Elliott M. Transcutaneous electrical nerve stimulation for pain management during cavity preparations in pediatric patient. ASDC J Dent child. 1995;62:49–51.
    1. Yap AU, Henry CW. Electronic and local anesthesia: A clinical comparison for operative procedures. Quintessence Int. 1996;27:549–53.
    1. Quarnstrom Fred. Electronic dental anesthesia. Anesth Prog. 1992;39:162–77.
    1. Melzack R, Wall PD. Pain mechanism: A new theory. Science. 1965;150:971–8.
    1. Benett CR. 7th Ed. CBS Publications and Distributors; 1990. Local anesthesia and pain control in dental practice.
    1. Paul MN., St Patient comfort system Manual 3M. 1994:20–31.
    1. Bishop TS. High frequency neural modulation in dentistry. J Am Dent Assoc. 1986;112:176–7.
    1. Segura A, Kanellis M, Donly KJ. Extra oral electronic dental anesthesia for moderate procedures in pediatric dentistry. J Dent. 1995;74:27. (Abst 123)
    1. Clerk SM, Silverstone LM, Lindermath J, Hicks MJ. An evaluation of the clinical analgesia /anesthesia efficacy on acute pain using the high frequency neural modulator in various dental setting. Oral Surg Oral Med Oral Pathol. 1989;63:501–5.
    1. Jedrychowski JR, Duperon DF. Effectiveness and acceptance of electronic dental anesthesia by pediatric patient. J Dent Child. 1993;60:186–92.
    1. Malamed SF. 4th ed. Harcourt Brace and Company Asia PTE Ltd; 1998. Handbook of local anesthesia.

Source: PubMed

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