International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 10 , ISSUE 4 ( October-December, 2017 ) > List of Articles

ORIGINAL ARTICLE

Insulin Syringe: A Gimmick in Pediatric Dentistry

Chanchal Singh, Gurpreet Kour, Updesh Masih, Manvi Srivastava, Priti Yadav

Citation Information : Singh C, Kour G, Masih U, Srivastava M, Yadav P. Insulin Syringe: A Gimmick in Pediatric Dentistry. Int J Clin Pediatr Dent 2017; 10 (4):319-323.

DOI: 10.5005/jp-journals-10005-1458

License: CC BY-NC 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim

The management of pain and anxiety in dentistry encompasses a number of procedural issues, including the delivery of anesthetic solution. One of the most important ways to manage the behavior of children is pain control. Trypanophobia is very common among dental patients and the most important goal of guidelines on behavior guidance for pediatric dental patient is to ease fear and anxiety in dental procedures in children. For the stated reasons, the purpose of the present study was to record child's pain sensation both objectively and subjectively while receiving dental local anesthesia using conventional syringes and diabetic needles.

Materials and methods

Twenty children of age group 6 to 12 years undergoing routine dental procedures participated in the study. Every child acted as one's own control, while receiving treatment on the opposite side of the same arch. Each patient was randomly assigned to receive the injection either with conventional syringe or diabetic needle for the first visit, while the injection with the other needle was administered during the second visit. Rating scales were used for objective and subjective evaluations.

Results

Statistical analysis of the measurements were made using Wilcoxon signed U test and Mann—Whitney U test which showed the mean sound, eye, motor (SEM) score difference using insulin syringe. The outcome was statistically significant when compared using the mean ranks between male and female patients with that of control group.

Conclusion

It can be concluded that diabetic syringes exhibit clinical advantage and its use in pediatric dentistry for local anesthetics (LA) infiltration can prove beneficial.

How to cite this article

Kour G, Masih U, Singh C, Srivastava M, Yadav P, Kushwah J. Insulin Syringe: A Gimmick in Pediatric Dentistry. Int J Clin Pediatr Dent 2017;10(4):319-323.


  1. Handbook of local anesthesia. 4th ed. St Louis (MO): CV Mosby; 1997.
  2. Four dimensions of fear of dental injections. J Am Dent Assoc 1997 Jun;128(6):756-766.
  3. Dental attendance in 1998 and implications for the future. Br Dent J 2001 Feb;190(4):177-182.
  4. Comparison of inferior dental nerve block injections in child patients using 30-gauge and 27-gauge short needles. J Dent Mater Tech 2014 Jun;3(2):71-76.
  5. Antecedents of dental fear. J Public Health Dent 1979 Spring;39(2):113-124.
  6. A comparison of a refrigerant and a topical anesthetic gel as preinjection anesthetics: a clinical evaluation. J Am Dent Assoc 2009 Jan;140(1):68-72.
  7. The effectiveness of infiltration anesthesia in the mandibular primary molar region. Ped Dent 1991;13:278-282.
  8. Periodontal tissue changes after intraligamentary anesthesia. ASDC J Dent Child 1982 Nov-Dec;49(6):417-423.
  9. The use of the mandibular infiltration anesthetic technique in adults. J Am Dent Assoc 2011 Sep;142 (Suppl 3):19S-24S.
  10. Evaluation of mandibular infiltration versus block anesthesia in pediatric dentistry. ASDC J Dent Child 1993 Mar-Apr;60(2):104-106.
  11. Children's ratings of dental injection and treatment pain, and the influence of the time taken to administer the injection. Int J Paediatr Dent 1995 Jun;5(2):81-85.
  12. An evaluation of buccal infiltrations and inferior alveolar nerve blocks in pulpal anesthesia for mandibular first molars. J Endod 2008 Jan;34(1):11-13.
  13. Reaction of children to dental injection with 27 or 30 gauge needles. Int J Paediatr Dent 2007 Sep;17(5):383-387.
  14. Comparative evaluation of the 30-gauge dental needle. Oral Surg Oral Med Oral Pathol 1979 Nov;48(5):400-404.
  15. Perception of pain to three different intraoral penetrations of needles. J Am Dent Assoc 1979 Nov;99(5):822-824.
  16. Penetration of 27- and 30-gauge dental needles. Int J Oral Surg 1983 Dec;12(6):444-445.
  17. Comparison of inferior dental nerve block injections in child patients using 30-gauge and 25-gauge short needles. Anesth Prog 1987 Nov-Dec;34(6):215-219.
  18. A pain perception comparison of intraoral dental anesthesia with 26 and 30 gauge needles in 6—12-year-old children. J Pediatr Dent 2014;2(2):56-60.
  19. Making nasopalatine blocks comfortable: a randomised prospective clinical comparison of pain associated with the injection using an insulin syringe and a standard disposable 3 mL syringe. J Maxillofac Oral Surg 2013 Dec;12(4):436-439.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.