International Journal of Clinical Pediatric Dentistry

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VOLUME 16 , ISSUE S3 ( November, 2023 ) > List of Articles

ORIGINAL RESEARCH

Low-level Laser Therapy to Alleviate Pain of Local Anesthesia Injection in Children: A Randomized Control Trial

Bisma Saher Khan, Jyothsna V Setty, Ila Srinivasan, Sabahath Kibriya, S Anu, Sreeraksha Radhakrishna, Yuthi Milit

Keywords : Injection, Local anesthesia, Low-level laser therapy, Pain, Photobiomodulation

Citation Information :

DOI: 10.5005/jp-journals-10005-2699

License: CC BY-NC 4.0

Published Online: 11-01-2024

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: The aim of our study was to evaluate and compare pain perception following photobiomodulation (PBM), topical anesthesia, precooling of the injection site, and vibration during administration of local anesthesia injection in pediatric patients aged 6–13 years. Materials and methods: In this split-mouth study, a total of 120 patients between the age group of 6 and 13 years were selected and randomly divided into three equal groups with 40 subjects in each. Pain was assessed using visual analog scale (VAS) and the Wong–Baker Faces Pain Rating Scale after the administration of local anesthesia. Behavior during the procedure was assessed using the Face, Legs, Activity, Cry, Consolability (FLACC) scale filled by the operator. Pulse rate was recorded before and during the administration of local anesthesia using pulse oximeter. After the procedure, patient compliance was also recorded using validated questionnaire. The level of significance was set at p < 0.05. Results: The study showed PBM exhibited the lowest mean scores of anxiety/pain using VAS, Wong–Baker Faces Pain Rating Scale, FLACC scale and pulse rate as compared to precooling, vibration, and topical anesthesia. The differences in pain scores recorded were found to be statistically significant. Children were not anxious about the PBM method and exhibited good compliance (p < 0.001). Conclusion: Photobiomodulation (PBM) was found to be effective means of reducing injection pain, demonstrating much better efficacy than other tested methods. Clinical significance: Photobiomodulation (PBM) can be used effectively to better manage procedures that patients frequently find painful without the need for prescription drugs, which frequently have several side effects.

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  1. Hameed NN, Sargod SS, Bhat SS, et al. Effectiveness of precooling the injection site using tetrafluorethane on pain perception in children. J Indian Soc Pedod Prev Dent 2018;36(3):296–300. DOI: 10.4103/JISPPD.JISPPD_222_17
  2. Davis MJ, Vogel LD. Local anesthetic safety in pediatric patients. N Y State Dent J 1996;62(2):32–35.
  3. Munshi AK, Hegde A, Bashir N. Clinical evaluation of the efficacy of anesthesia and patient preference using the needle-less jet syringe in pediatric dental practice. J Clin Pediatr Dent 2001;25(2):131–136. DOI: 10.17796/jcpd.25.2.q6426p853266q575
  4. Okawa K, Ichinohe T, Kaneko Y. Anxiety may enhance pain during dental treatment. Bull Tokyo Dent Coll 2005;46(3):51–58. DOI: 10.2209/tdcpublication.46.51
  5. Jung RM, Rybak MA, Milner PT, et al. Local anesthetics and advances in their administration—an overview. J Pre-Clin Res 2017;11(1):94–101. DOI: 10.26444/jpccr/75153
  6. 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(3):43–50.
  7. Wright GZ. Psychologic management of children's behaviors. Dentistry for the child and adolescent. 1994.
  8. Versloot J, Veerkamp JS, Hoogstraten J. Assessment of pain by the child, dentist, and independent observers. Pediatr Dent 2004;26(5):445–449.
  9. Sattayut S. Low intensity laser for reducing pain from anesthetic palatal injection. Photomed Laser Surg 2014;32(12):658–662. DOI: 10.1089/pho.2014.3770
  10. Jagtap B, Bhate K, Magoo S, et al. Painless injections–a possibility with low level laser therapy. J Dent Anesth Pain Med 2019;19(3):159–165. DOI: 10.17245/jdapm.2019.19.3.159
  11. Ezzat AE, El-Shenawy HM, El-Begermy MM, et al. The effectiveness of low-level laser on postoperative pain and edema in secondary palatal operation. Int J Pediatr Otorhinolaryngol 2016;89:183–186. DOI: 10.1016/j.ijporl.2016.07.038
  12. Aras MH, Gungormus M. The effect of low-level laser therapy on trismus and facial swelling following surgical extraction of a lower third molar. Photomed Laser Surg 2009;27(1):21–24. DOI: 10.1089/pho.2008.2258
  13. Gray RJ, Quayle AA, Hall CA, et al. Physiotherapy in the treatment of temporomandibular joint disorders: a comparative study of four treatment methods. Br Dent J 1994;176(7):257–261. DOI: 10.1038/sj.bdj.4808429
  14. Bertolucci LE, Grey T. Clinical analysis of mid-laser versus placebo treatment of arthralgic TMJ degenerative joints. Cranio 1995;13(1):26–29. DOI: 10.1080/08869634.1995.11678038
  15. Fikácková H, Dostálová T, Navrátil L, et al. Effectiveness of low-level laser therapy in temporomandibular joint disorders: a placebo-controlled study. Photomed Laser Surg 2007;25(4):297–303. DOI: 10.1089/pho.2007.2053
  16. Mazzetto MO, Carrasco TG, Bidinelo EF, et al. Low intensity laser application in temporomandibular disorders: a phase I double-blind study. Cranio 2007;25(3):186–192. DOI: 10.1179/crn.2007.029
  17. Lassemi E, Jafari SM, Motamedi MH, et al. Low-level laser therapy in the management of temporomandibular joint disorder. J Oral Laser Applications 2008;8(2):83–86.
  18. Çetiner S, Kahraman SA, Yücetas S. Evaluation of low-level laser therapy in the treatment of temporomandibular disorders. Photomed Laser Surg 2006;24(5):637–641. DOI: 10.1089/pho.2006.24.637
  19. Venezian GC, da Silva MA, Mazzetto RG, et al. Low level laser effects on pain to palpation and electromyographic activity in TMD patients: a double-blind, randomized, placebo-controlled study. Cranio 2010;28(2):84–91. DOI: 10.1179/crn.2010.012
  20. Pawar SS, Pujar MA, Makandar SD, et al. Postendodontic treatment pain management with low-level laser therapy. J Dent Lasers 2014;8(2):60–63. DOI: 10.4103/0976-2868.145141
  21. Arslan H, Doğanay E, Karataş E, et al. Effect of low-level laser therapy on postoperative pain after root canal retreatment: a preliminary placebo-controlled, triple-blind, randomized clinical trial. J Endod 2017;43(11):1765–1769. DOI: 10.1016/j.joen.2017.06.028
  22. Kreisler MB, Haj HA, Noroozi N, et al. Efficacy of low level laser therapy in reducing postoperative pain after endodontic surgery– a randomized double blind clinical study. Int J Oral Maxillofac Surg 2004;33(1):38–41. DOI: 10.1054/ijom.2002.0449
  23. Kulekcioglu S, Sivrioglu K, Ozcan O, et al. Effectiveness of low-level laser therapy in temporomandibular disorder. Scand J Rheumatol 2003;32(2):114–118. DOI: 10.1080/03009740310000139
  24. AmruthaVarshini I, Vinay C, Uloopi KS, et al. Effectiveness of pre-cooling the injection site, laser biostimulation, and topical local anesthetic gel in reduction of local anesthesia injection pain in children. Int J Clin Pediatr Dent 2021;14(1):81–83. DOI: 10.5005/jp-journals-10005-1913
  25. Ghaderi F, Ghaderi R, Davarmanesh M, et al. Pain management during needle insertion with low level laser. Eur J Pediatr Dent 2016;17(2):151–154.
  26. 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.
  27. Harbert H. Topical ice: a precursor to palatal injections. J Endod 1989;15(1):27–28. DOI: 10.1016/S0099-2399(89)80094-9
  28. Mohiuddin I, Setty JV, Srinivasan I, et al. Topical application of local anaesthetic gel vs ice in pediatric patients for infiltration anaesthesia. J Med Dent Sci 2015;4(74):12934–12940. DOI: 10.14260/jemds/2015/1866
  29. Kosaraju A, Vandewalle KS. A comparison of a refrigerant and a topical anesthetic gel as preinjection anesthetics: a clinical evaluation. J Am Dent Assoc 2009;140(1):68–72; quiz 112–113. DOI: 10.14219/jada.archive.2009.0020
  30. Bilsin E, Güngörmüş Z, Güngörmüş M. The effıcacy 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(1):44–47. DOI: 10.1016/j.jopan.2019.06.007
  31. Joshi S, Bhate K, Kshirsagar K, et al. DentalVibe reduces pain during the administration of local anesthetic injection in comparison to 2% lignocaine gel: results from a clinical study. J Dent Anesth Pain Med 2021;21(1):41–47. DOI: 10.17245/jdapm.2021.21.1.41
  32. Dak-Albab R, Al-Monaqel MB, Koshha R, et al. A comparison between the effectiveness of vibration with Dentalvibe and benzocaine gel in relieving pain associated with mandibular injection: a randomized clinical trial. Anaesth Pain Intensive Care 2016;20(1):43–49.
  33. Brignardello-Petersen R. Vibrating device did not reduce pain levels and was less accepted than traditional injections of local anesthetic in well-behaved children. J Am Dent Assoc 2017;148(10):e152. DOI: 10.1016/j.adaj.2017.07.007
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