A Comparative Evaluation of Pain Perception and Comfort of a Patient Using Conventional Syringe and Buzzy System

Thejavinuo Suohu, Swati Sharma, Nikhil Marwah, Pooja Mishra, Thejavinuo Suohu, Swati Sharma, Nikhil Marwah, Pooja Mishra

Abstract

Aim and objective: To evaluate the pain perception and comfort of patient during local anesthesia (LA) delivery using Buzzy system and conventional syringe.

Materials and methods: Fifty children aged 5 to 10 years were randomly divided into two groups, the main inclusion criteria being administration of LA for dental treatment. Parameters include Wong Baker face pain reading scale (WBFPRS) for subjective evaluation and pulse oximeter and face leg activity crying consolability (FLACC) scale for objective evaluation. The values obtained were statistically analyzed.

Results: FLACC score was higher in conventional group as compared to the Buzzy group, which was statistically significant.

Conclusion: External cold and vibration via Buzzy can reduce pain and anxiety during LA delivery.

How to cite this article: Suohu T, Sharma S, Marwah N, et al. A Comparative Evaluation of Pain Perception and Comfort of a Patient Using Conventional Syringe and Buzzy System. Int J Clin Pediatr Dent 2020;13(1):27-30.

Keywords: Buzzy system; Conventional syringe; Pain perception.

Conflict of interest statement

Source of support: Nil Conflict of interest: None

Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.

Figures

Fig. 1
Fig. 1
Comparisons between the groups according to gender
Fig. 2
Fig. 2
Mean value of pulse rate between the two groups
Fig. 3
Fig. 3
Mean value of oxygen saturation between the two groups
Fig. 4
Fig. 4
Mean value of Wong-Baker faces pain rating scale among the two groups
Fig. 5
Fig. 5
Mean value of FLACC score between the two groups

References

    1. Kumar MPS. Newer delivery systems of local anaesthesia in dentistry. J Pharm Sci Res. 2015;7(5):252–255.
    1. Friedrichsdorf SJ, Postier A, Eull D, et al. Pain outcomes in a US children's hospital: a prospective cross-sectional survey. Hosp Pediatr. 2015;5(1):18–26. doi: 10.1542/hpeds.2014-0084. DOI:
    1. Colares V, Franca C, Ferreira A, et al. Dental anxiety and dental pain in 5-to12-year old children in Recife, Brazil. Eur Arch Paediatr Dent. 2013;14(1):15–19. doi: 10.1007/s40368-012-0001-8. DOI:
    1. Versloot J, Veerkamp JSJ, Hoogstraten J. Pain behavior and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe. Br Dent J. 2008;205(1):E2. doi: 10.1038/sj.bdj.2008.414. DOI:
    1. Brennan F, Carr DB, Cousins M. Pain management: a fundamental human right. Anesth Analg. 2007;105(1):205–221. doi: 10.1213/01.ane.0000268145.52345.55. DOI:
    1. Aminah M, Nagar P, Singh P, et al. Comparison of topical anesthetic gel, pre-cooling, vibration and buffered local anesthesia on the pain perception of pediatric patients during the administration of local anesthesia in routine dental procedures. Int J Contemp Med Res. 2017;4(2):400–403.
    1. Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150(3699):971–979. doi: 10.1126/science.150.3699.971. DOI:
    1. Kakigi R, Shibasaki H. Mechanism of pain relief by vibration and movement. J Neurol Neurosurg Psychiatry. 1992;55(4):282–286. doi: 10.1136/jnnp.55.4.282. DOI:
    1. Canbulat N, Ayhan F, Inal S. Effectiveness of external cold and vibration for procedural pain relief during peripheral intravenous cannulation in pediatric patients. Pain Manag Nurs. 2015;16(1):33–39. doi: 10.1016/j.pmn.2014.03.003. DOI:
    1. Inal S, Kelleci M. Distracting children during blood draw: looking through distraction cards is effective in pain relief of children during blood draw. Int J Nurs Pract. 2012;18(2):210–219. doi: 10.1111/j.1440-172X.2012.02016.x. DOI:
    1. Blomqvist M, Ek U, Fernell E, et al. Cognitive ability and dental fear and anxiety. Eur J Oral Sci. 2013;121(2):117–120. doi: 10.1111/eos.12028. DOI:
    1. Moadad N, Kozman K, Shahine R, et al. Distraction using the BUZZY for children during an IV insertion. J Pediatr Nurs. 2016;31(1):64–72. doi: 10.1016/j.pedn.2015.07.010. DOI:
    1. Inal S, Kellici M. Relief of pain during blood specimen collection in children. Maternal Child Nursing. 2012;37(5):339–345.
    1. Berge M, Veerkamp JS, Hoogstraten J, et al. Childhood dental fear in the Netherlands: prevalence and normative data. Community Dent Oral Epidemiol. 2002;30(2):101–107. doi: 10.1034/j.1600-0528.2002.300203.x. DOI:
    1. El-Housseiny AA, Merdad LA, Alamoudi NM, et al. Effect of child and parent characteristics on child dental fear ratings: analysis of short and full versions of the children's fear survey schedule-dental subscale. Oral Health Dent Manage. 2015;14(1):245–246.
    1. Taylor MH, Moyer IN, Peterson DS. Effect of appointment time, age and gender on children's behavior in a dental setting. J Dent Child. 1983;50(2):106–110.
    1. Beck FM, Weaver JM., 2nd Blood pressure and heart rate responses to anticipated high-stress dental treatment. J Dent Res. 1981;60(1):26–29. doi: 10.1177/00220345810600010501. DOI:
    1. Guinot Jimeno F, Yuste Bielsa S, Cuadros Fernandez C, et al. Objective and subjective measures for assessing anxiety in paediatric dental patients. Eur J Paediatr Dent. 2011;12(4):239–244.
    1. Rayen R, Muthu MS, Chandrasekhar Rao R, et al. Evaluation of physiological and behavioral measures in relation to dental anxiety during sequential dental visits in children. Ind J Dent Res. 2006;17(1):27–34. doi: 10.4103/0970-9290.29895. DOI:
    1. Alshathri NM, Dada BM, Alghofaili RM, et al. The relationship between dental anxiety level and patients’ knowledge of the procedure. Int J Dent Oral Heal. 2017;3(9):105–115. doi: 10.25141/2471-657X-2017-9.0092. DOI:
    1. Elbay M, Elbay ÜS, Yıldırım S, et al. Comparison of injection pain caused by the DentalVibe Injection System versus a traditional syringe for inferior alveolar nerve block anaesthesia in paediatric patients. Eur J Paediatr Dent. 2015;16(2):123–128.
    1. Alanazi KJ, Pani SC. Efficacy of external cold and a vibrating device in reducing discomfort of dental injections in children - a split mouth randomized crossover study. Eur Arch Paediatr Dent. 2019;20(2):79–84. doi: 10.1007/s40368-018-0399-8. DOI:
    1. Hegde KM, Neeraja R, Srinivasan I, et al. Effect of vibration during local anesthesia administration on pain, anxiety, and behavior of pediatric patients aged 6–11 years: a crossover split-mouth study. J Dent Anesth Pain Med. 2019;19(3):143–149. doi: 10.17245/jdapm.2019.19.3.143. DOI:
    1. Merkel SI, Voepel-Lewis T, Shayevitz JR, et al. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs. 1997;23(3):293–297.
    1. Merkel SI, Voepel-Lewis T, Malviya S. Pain assessment in infants and young children: the FLACC scale. Am J Nurs. 2002;102(10):55–58. doi: 10.1097/00000446-200210000-00024. DOI:
    1. Breau LM, McGrath PJ, Camfield C, et al. Preliminary validation of an observational pain checklist for persons with cognitive impairments and inability to communicate verbally. Dev Med Child Neurol. 2000;42(9):609–616. doi: 10.1017/S0012162200001146. DOI:

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