International Journal of Clinical Pediatric Dentistry

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VOLUME 13 , ISSUE 1 ( January-February, 2020 ) > List of Articles

Original Article

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

Thejavinuo Suohu, Swati Sharma, Pooja Mishra

Keywords : Buzzy system, Conventional syringe, Pain perception

Citation Information : Suohu T, Sharma S, Mishra P. 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.

DOI: 10.5005/jp-journals-10005-1731

License: CC BY-NC 4.0

Published Online: 25-12-2015

Copyright Statement:  Copyright © 2020; The Author(s).


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.

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  2. Kumar MPS. Newer delivery systems of local anaesthesia in dentistry. J Pharm Sci Res 2015;7(5):252–255.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. 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.
  8. Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965;150(3699):971–979. DOI: 10.1126/science.150.3699.971.
  9. 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.
  10. 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.
  11. 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.
  12. 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.
  13. 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.
  14. Inal S, Kellici M. Relief of pain during blood specimen collection in children. Maternal Child Nursing 2012;37(5):339–345.
  15. 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.
  16. 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.
  17. 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.
  18. Beck FM, Weaver 2nd JM. Blood pressure and heart rate responses to anticipated high-stress dental treatment. J Dent Res 1981;60(1):26–29. DOI: 10.1177/00220345810600010501.
  19. 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.
  20. 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.
  21. 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.
  22. 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.
  23. 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.
  24. 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.
  25. 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.
  26. 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.
  27. 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.
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