International Journal of Clinical Pediatric Dentistry

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VOLUME 14 , ISSUE 3 ( May-June, 2021 ) > List of Articles


Efficacy of an Innovative Device in Reducing Discomfort during Local Anesthesia Administration in Children: A Clinical Study

Priya Subramaniam, Simerleen K Ghai

Keywords : Local anesthesia, SEM scale, Vibrating device

Citation Information : Subramaniam P, Ghai SK. Efficacy of an Innovative Device in Reducing Discomfort during Local Anesthesia Administration in Children: A Clinical Study. Int J Clin Pediatr Dent 2021; 14 (3):353-356.

DOI: 10.5005/jp-journals-10005-1948

License: CC BY-NC 4.0

Published Online: 29-09-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Aim and objective: To assess the efficacy of an innovative vibrating device and compare it with the conventional method in reducing discomfort during the administration of local anesthesia. Materials and methods: Forty children in the age-group of 4–8 years requiring local anesthesia for routine dental procedures were allocated to either a control or experimental group, with 20 children in each group. The preoperative assessment of behavior was carried out using the Frankl Behavior Rating Scale. Both groups received local anesthesia using the intraoral conventional approach. However, in the experimental group, a vibrating device was simultaneously placed over the cheek during local anesthesia administration. The SEM (sounds, eyes, motor) scale was used to assess the level of comfort or pain during the administration of local anesthesia. Data were subjected to statistical analysis and the level of significance was considered at 5%. Results: The mean SEM score in the control group was 6.65 ± 21.95 which was significantly higher than 3.80 ± 1.15 in the experimental group (p < 0.001). Conclusion: The vibrating device was useful and effective in reducing pain and discomfort during intraoral local anesthesia administration.

  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(1):51–55.
  2. Van Wijk AJ, Hoogstraten J. Anxiety and pain during dental injections. J Dent 2009;37(9):700–704. DOI: 10.1016/j.jdent.2009.05.023.
  3. Czarnecki ML, Turner HN, Collins PM, et al. Procedural pain management: a position statement with clinical practice recommendations. Pain Manag Nurs 2011;12(2):95–111. DOI: 10.1016/j.pmn.2011.02.003.
  4. Raadal M, Lundeberg S, Haukali G. Pain, pain control, and sedation. In: Koch G, Poulsen S, ed. Pediatric dentistry a clinical approach. 2nd ed., Oxford: A John Wiley & Sons, Ltd., Publication; 2009. pp. 44–60.
  5. Roeber B, Wallace DP, Rothe V, et al. Evaluation of the effects of the VibraJect attachment on pain in children receiving local anesthesia. Pediatr Dent 2011;33(1):46–50.
  6. Jackson D, Chen AH, Bennett CR. Identifying true lidocaine allergy. Jam Dent Assoc 1994;125(10):1362–1366. DOI: 10.14219/jada.archive.1994.0180.
  7. Garretson LK, McGee EB. Rapid onset of seizures following aspiration of viscous lidocaine. J Pediatr 1992;30(3):413–422. DOI: 10.3109/15563659209021556.
  8. 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(5):336–345. DOI: 10.1111/ipd. 12204.
  9. Bross DC. Managing pediatric dental patients: issues raised by the law and changing views of proper child care. Pediatr Dent 2004;26(2):125–130.
  10. Kandiah P, Tahmassebi JF. Comparing the onset of maxillary infiltration local anaesthesia and pain experience using the conventional technique vs. the wand in children. Br Dent J 2012;213(9):E15. DOI: 10.1038/sj.bdj.2012.988.
  11. Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965;150(3699):971–979. DOI: 10.1126/science.150.3699.971.
  12. Barr ML. The human nervous system: an anatomic viewpoint. 3rd ed., New York: Harper and Row; 1979. pp. 229–247.
  13. Ekblom A, Hansson P. Effects of vibratory stimulation on pain threshold of the human tooth. Acta Physiol Scand 1982;114(4):601–604. DOI: 10.1111/j.1748-1716.1982.tb07030.x.
  14. Baxter AL, Cohen LL, McElvery HL, et al. An integration of vibration and cold relieves venipuncture pain in a pediatric emergency department. Pediatr Emerg Care 2011;27(12):1151–1156. DOI: 10.1097/PEC.0b013e318237ace4.
  15. Whelan HM, Kunselman AR, Thomas NJ, et al. The impact of a locally applied vibrating device on outpatient venipuncture in children. Clinl Pediatr 2014;53(12):1189–1195. DOI: 10.1177/0009922814538494.
  16. Canbulat N, Ayhan F, Inal S. Effectiveness of external cold and vibration for procedural pain relief during peripheral intravenous insertion in pediatric patients. Pain Manag Nurs 2015;16(1):33–39. DOI: 10.1016/j.pmn.2014.03.003.
  17. Canbulat N, Şahiner N, İnal S, et al. The effect of combined stimulation of external cold and vibration during immunization on pain and anxiety levels in children. J Perianesth Nurs 2015;30(3):228–235. DOI: 10.1016/j.jopan.2014.05.011.
  18. 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 of Paediatr Dent 2018;1–6.
  19. Frankl SN, Shiere FR, Fogels HR. Should the parent remain with the child in the dental operatory? J Dent Child 1962;29:150–163.
  20. Nanitsos E, Vartuli R, Forte A, et al. The effect of vibration on pain during local anaesthesia injections. Aust Dent J 2009;54(2):94–100. DOI: 10.1111/j.1834-7819.2009.01100.x.
  21. Wright GZ, Weinberger SJ, Marti R, et al. The effectiveness of infiltration anesthesia in the mandibular primary molar region. Pediatr Dent 1991;13(5):278–283.
  22. Chaudhry K, Shishodia M, Singh C, et al. Comparative evaluation of pain perception by vibrating needle (Vibraject™) and conventional syringe anesthesia during various dental procedures in pediatric patients: a short study. Int Dent Med J Adv Res 2015;1(1):1–5.
  23. Casamassimo F, Mctigue N. Pediatric dentistry: infancy through adolescence. 5th ed., Elsevier; 2013. p. 19.
  24. Fredrikson M, Annas P, Fischer H, et al. Gender and age differences in the prevalence of specific fears and phobias. Behav Res Ther 1996;34(1):33–39. DOI: 10.1016/0005-7967(95)00048-3.
  25. Hall JE, Guyton JM. A textbook of medical physiology. Elsevier Health Sciences; 2015. p. 572.
  26. American Academy of Pediatric Dentistry. Behavior guidance for the pediatric dental patient. Pediatr Dent 2017;39(6):246–259.
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