Effect of vibration devices on pain associated with dental injections in children: A systematic review and meta-analysis

R Faghihian, N Rastghalam, N Amrollahi, M J Tarrahi, R Faghihian, N Rastghalam, N Amrollahi, M J Tarrahi

Abstract

Background: Several methods including vibration have been proposed for pain control during a local anaesthetic injection. This study was aimed to evaluate the scientific evidence on vibration devices used to reduce injection pain perception in children.

Methods: The search terms were chosen according to the Medical Subject Headings MeSH and non-MeSH. Potentially eligible studies involved the subjective or objective pain evaluation in children receiving any type of dental injection. An electronic search of published studies in English language was carried out in March 2020 on Scopus, Cochrane, and PubMed databases.Of 1659 articles retrieved initially, 14 were eligible to be included in the systematic review, of which eight articles were excluded. The vibration devices used in the studies included Buzzy or DentalVibe. Four studies using Dentalvibe contributed to the meta-analysis.

Results: The results of meta-analysis indicated a mean difference of 0.057 for FLACC pain scores between intervention and control conditions (P-value = 0.740). Wong-Baker Faces scores showed a mean difference of 0.009 (P-value = 0.964), which also showed no statistically significant difference between the intervention and control groups.

Conclusions: The findings revealed that use of DentalVibe for Paediatric dental injections was not effective in reducing pain perception. However, use of Buzzy showed promising results.

Keywords: Children; dental injection; vibration.

© 2020 Australian Dental Association.

References

    1. Shim YS, Kim AH, Jeon EY, An SY. Dental fear & anxiety and dental pain in children and adolescents; a systemic review. J Dent Anesth Pain Med 2015;15:53-61.
    1. Vafaei A, Rahbar M, Dadkhah R, Ranjkesh B, Erfanparast L. Children’s pain perception and behavioral feedback during local anesthetic injection with four injection site preparation methods. Maedica 2019;14:343.
    1. Aminabadi NA, Farahani RM. The effect of pre-cooling the injection site on pediatric pain perception during the administration of local anesthesia. J Contemp Dent Pract 2009;10:43-50.
    1. Garret-Bernardin A, Cantile T, D’Antò V, et al. Pain experience and behavior management in pediatric dentistry: a comparison between traditional local anesthesia and the wand computerized delivery system. Pain Res Manag 2017;11:97-112.
    1. Nowak A, Christensen JR, Mabry TR, Townsend JA, Wells MH, eds. Pediatric Dentistry: Infancy through Adolescence, 6th edn. Philadelphia, PA: Elsevier, 2019:110-1.
    1. Davoudi A, Rismanchian M, Akhavan A, et al. A brief review on the efficacy of different possible and nonpharmacological techniques in eliminating discomfort of local anesthesia injection during dental procedures. Anesth Essays Res 2016;10:13-9.
    1. Şermet Elbay Ü, Elbay M, Yıldırım S, et al. Evaluation of the injection pain with the use of DentalVibe injection system during supraperiosteal anaesthesia in children: a randomised clinical trial. Int J Paediatr Dent 2016;26:336-45.
    1. Apkarian AV, Stea RA, Bolanowski SJ. Heat-induced pain diminishes vibrotactile perception: a Touch Gate. Somatosens Mot Res 1994;11:259-67.
    1. Taddio A, Shah V, McMurtry CM, et al. Procedural and physical interventions for vaccine injections: systematic review of randomized controlled trials and quasi-randomized controlled trials. Clin J Pain 2015;31(Suppl 10):S20.
    1. Baxter AL, Cohen LL, McElvery HL, Lawson ML, Von Baeyer CL. An integration of vibration and cold relieves venipuncture pain in a pediatric emergency department. Pediatr Emerg Care 2011;27:1151-6.
    1. Secil A, Fatih C, Gokhan A, Alpaslan GF, Gonul SR. Efficacy of vibration on venipuncture pain scores in a pediatric emergency department. Pediatr Emerg Care 2014;30:686-8.
    1. Gerçeker GÖ, Binay Ş, Bilsin E, Kahraman A, Yılmaz HB. Effects of virtual reality and external cold and vibration on pain in 7-to 12-year-old children during phlebotomy: a randomized controlled trial. J Perianesth Nurs 2018;33:981-9.
    1. Inal S, Kelleci M. Relief of pain during blood specimen collection in pediatric patients. MCN Am J Matern Child Nurs 2012;37:339-45.
    1. Nanitsos E, Vartuli R, Forte A, Dennison PJ, Peck CC. The effect of vibration on pain during local anaesthesia injections. Aust Dent J 2009;54:94-100.
    1. Nasehi A, Bhardwaj S, Kamath AT, Gadicherla S, Pentapati KC. Clinical pain evaluation with intraoral vibration device during local anesthetic injections. J Clin Exp Dent 2015;7:23-30.
    1. Erdogan O, Sinsawat A, Pawa S, Rintanalert D, Vuddhakanok S. Utility of vibratory stimulation for reducing intraoral injection pain. Anesth Prog 2018;65:95-9.
    1. Hassanein PH, Khalil A, Talaat DM. Pain assessment during mandibular nerve block injection with the aid of dental vibe tool in pediatric dental patients: a randomized clinical trial. Quintessence Int 2020;51:310-7.
    1. Hegde KM, Srinivasan I, DR MK, Melwani A, Radhakrishna S. 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;19:143.
    1. Tandon S, Kalia G, Sharma M, Mathur R, Rathore K, Gandhi M. Comparative evaluation of mucosal vibrator with topical anesthetic gel to reduce pain during administration of local anesthesia in pediatric patients: An in vivo study. Int J Clin Pediatr Dent 2018;11:261-6.
    1. Raslan N, Masri R. A randomized clinical trial to compare pain levels during three types of oral anesthetic injections and the effect of Dentalvibe® on injection pain in children. Int J Paediatr Dent 2018;28:102-10.
    1. Roeber B, Wallace DP, Rothe V, Salama F, Allen KD. Evaluation of the effects of the VibraJect attachment on pain in children receiving local anesthesia. Pediatr Dent 2011;33:46-50.
    1. Elbay ME, Yıldırım S, Uğurluel C, Kaya C, Baydemir C. 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;16:123-8.
    1. Monteiro J, Tanday A, Ashley PF, Parekh S, Alamri H. Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental treatment. Cochrane Database Syst Rev 2020;4:456-511.
    1. Liberati A, Altman DG, Tetzlaff J, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol 2009;62:1-34.
    1. Aminabadi NA, Farahani RM, Balayi Gajan E. The efficacy of distraction and counterstimulation in the reduction of pain reaction to intraoral injection by pediatric patients. J Contemp Dent Pract 2008;9:33-40.
    1. Bagherian A, Sheikhfathollahi M. Children's behavioral pain reactions during local anesthetic injection using cotton-roll vibration method compared with routine topical anesthesia: A randomized controlled trial. Dent Res J 2016;13:272-9.
    1. Shilpapriya M, Jayanthi M, Reddy VN, Sakthivel R, Selvaraju G, Vijayakumar P. Effectiveness of new vibration delivery system on pain associated with injection of local anesthesia in children. J Indian Soc Pedod Prev Dent 2015;33:173-6.
    1. Dak-Albab R, Al-Monaqel MB, Koshha R, Shakhashero H, Soudan R. A comparison between the effectiveness of vibration with Dentalvibe and benzocaine gel in relieving pain associated with mandibular injection: a randomized clinical trial. Anesth Pain Intens Care 2019;23:43-9.
    1. Alanazi KJ, Pani S, AlGhanim N. Efficacy of external cold and a vibrating device in reducing discomfort of dental injections in children: A split mouth randomised crossover study. Eur Arch Paediatr Dent 2019;20:79-84.
    1. Bilsin E, Güngörmüş Z, Güngörmüş M. The efficacy of external cooling and vibration on decreasing the pain of local anesthesia injections during dental treatment in children: a randomized controlled study. J Perianesth Nurs 2020;35:44-7.
    1. Tung J, Carillo C, Udin R, Wilson M, Tanbonliong T. Clinical performance of the DentalVibe® injection system on pain perception during local anesthesia in children. J Dent Child 2018;85:51-7.
    1. Lia EN, Costa VP. Management of child behavior in the dental office. Clinic Dent Rev 2019;3:14-8.
    1. Haukali G, Lundeberg S, Østergaard BH, Haubek D. Pain, pain control, and sedation. In: Koch G, Poulsen S, Espelid I, Haubek D, eds. Pediatric dentistry: a clinical approach, 3rd edn. Storbritanien: Wiley-Blackwell, 2017: 87-94.
    1. Salgotra V, Agrawal R, Mandal S, Kohli S. New gadgets in local anaesthesia: a review. IOSR J Dent Med Sci 2014;13:62-6.
    1. Abidin NH, Yahya N, Izaham A, Wan-Mat W, Zain J, Zainuddin M. Assessing the effectiveness of a thermomechanical device (Buzzy) in reducing venous cannulation pain in adult patients. Middle East J Anesthesiol 2018;25:61-7.
    1. Belcheva A, Shindova M. Subjective acceptance of pediatric patients during cavity preparation with Er: YAG laser and conventional rotary instruments. J IMAB 2014;20:631-3.
    1. Marsac ML, Funk JB. Relationships among psychological functioning, dental anxiety, pain perception, and coping in children and adolescents. J Dent Child 2008;75:243-51.
    1. Whelan HM, Kunselman AR, Thomas NJ, Moore J, Tamburro RF. The impact of a locally applied vibrating device on outpatient venipuncture in children. Clin Pediatr 2014;53:1189-95.
    1. Chung JWY, Ng WMY, Wong TKS. An experimental study on the use of manual pressure to reduce pain in intramuscular injections. J Clin Nurs 2002;11:457-61.
    1. Tudeshchoie DG, Rozbahany NA, Hajiahmadi M, Jabarifar E. Comparison of the efficacy of two anesthetic techniques of mandibular primary first molar: a randomized clinical trial. Dent Res J 2013;10:620-3.
    1. Aminabadi NA, Farahani RMZ, Oskouei SG. Site-specificity of pain sensitivity to intraoral anesthetic injections in children. J Oral Sci 2009;51:239-43.
    1. Kaufman E, Epstein JB, Naveh E, Gorsky M, Gross A, Cohen G. A survey of pain, pressure, and discomfort induced by commonly used oral local anesthesia injections. Anesth Prog 2005;52:122-7.
    1. DiFelice MG, Vandewalle KS, Maller SC, Hancock RH. Effects of a vibratory device on pain from anesthetic injections. Compend Contin Educ Dent 2014;35:246-8.
    1. Ching D, Finkelman M, Loo CY. Effect of the DentalVibe injection system on pain during local anesthesia injections in adolescent patients. Pediatr Dent 2014;36:51-5.
    1. Ungor C, Tosun E, Dayisoylu EH, Taskesen F, Senel FC. The effects of vibration on pain and anxiety during local anesthesia administration. JSM Dent 2014;2:1022-31.
    1. Voepel-Lewis T, Shayevitz JR, Malviya S. The FLACC: a behavioral scale for scoring postoperative pain in young children. Pediatr Nurs 1997;23:293-7.

Source: PubMed

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