International Journal of Clinical Pediatric Dentistry

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VOLUME 15 , ISSUE 1 ( January-February, 2022 ) > List of Articles

RESEARCH ARTICLE

Assessment of Knowledge, Attitude, and Practices Regarding Advanced Local Anesthetic Techniques among Students Attending a Private Dental College in Navi Mumbai, India: A Cross-sectional Study

Nikhil V Bhanushali, Swarali Y Atre, Vaibhav Kumar, Romi Jain, Venetia Aranha, Shishir Singh

Keywords : Anesthesia, Dental anxiety, Dental students, Electronic dental anesthesia, Needless anesthesia, Questionnaire

Citation Information : Bhanushali NV, Atre SY, Kumar V, Jain R, Aranha V, Singh S. Assessment of Knowledge, Attitude, and Practices Regarding Advanced Local Anesthetic Techniques among Students Attending a Private Dental College in Navi Mumbai, India: A Cross-sectional Study. Int J Clin Pediatr Dent 2022; 15 (1):94-98.

DOI: 10.5005/jp-journals-10005-2347

License: CC BY-NC 4.0

Published Online: 13-04-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim and objective: Local anesthesia (LA) administration is an anxiety-provoking phenomenon in patients. Several alternative and advanced techniques make LA administration patient-friendly. This study assesses the knowledge, attitude, and practices of these advances, creating awareness and encouraging further studies and innovations to make these techniques more accessible, available, and economical to be utilized in the Indian population for controlling pain by targeting the budding dentists who actively imbibe and are abreast with the current state of affairs. Methods and materials: A descriptive cross-sectional questionnaire-based study was conducted among the undergraduate and postgraduate students of a private college in Navi Mumbai. The self-administered questionnaire contained 13 questions. The data was analyzed using Statistical Package for Social Sciences (SPSS) version 17 software and a Chi-square test were applied. Results: A majority of the respondents were unaware of the alternative techniques (59.4%) with a significant difference between undergraduates and postgraduates. 95.7% thought conventional methods caused dental anxiety and 55.1% thought alternatives would be better. The pain management techniques currently used were mostly reassurance and distraction (84.2%) and Topical anesthesia (74.9%). Only 9.6% had actually practiced these techniques, the reason for inexperience being inadequate knowledge. Out of those who had used these techniques, 47.82% saw positive results with patients experiencing less pain. Conclusion: Knowledge of advanced local anesthetic techniques in the dental fraternity is necessary to enhance practice and provide the best care to the patients. Its inclusion in the curriculum with adequate practical training shall ensure its use efficiently. Clinical significance: Today dentistry is propelling toward minimally invasive, painless, and patient-friendly procedures. The incorporation of advanced LA techniques to help achieve this goal begin with assessing its awareness among future dentists which would help make them accessible and affordable and contribute toward providing patients a holistic treatment.


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  1. Sakr FM, Al Obaidy KG, Assery MQ, et al. Digitized dentistry: technology that peaked up the professionality of dental practitioners. Saudi J Oral Sci 2017;4(1):3–11. DOI: 10.4103/sjos.SJOralSci_25_16
  2. Ram D, Peretz B. Administering local anaesthesia to paediatric dental patients – current status and prospects for the future. Int J Paediatr Dent 2002;12(2):80–89. DOI: 10.1046/j.1365-263x.2002.00343.x
  3. Zavattini A, Charalambous P. Alternative practices of achieving anaesthesia for dental procedures: a review. J Dent Anesth Pain Med 2018;18(2):79–88. DOI: 10.17245/jdapm.2018.18.2.79
  4. Thoppe-Dhamodharan YK, Asokan S, John BJ, et al. Cartridge syringe vs computer controlled local anesthetic delivery system: pain related behaviour over two sequential visits – a randomized controlled trial. J Clin Exp Dent 2015;7(4):e513–518. DOI: 10.4317/jced.52542
  5. Kwak EJ, Pang NS, Cho JH, et al. Computer-controlled local anesthetic delivery for painless anesthesia: a literature review. J Dent Anesth Pain Med 2016;16(2):81–88. DOI: 10.17245/jdapm.2016.16.2.81
  6. Arapostathis KN, Dabarakis NN, Tsirlis A, et al. Comparison of acceptance, preference and efficacy between jet injection INJEX and local infiltration anesthesia in 6 to 11 year old dental patients. Anesth Prog 2010;57(1):3–12. DOI: 10.2344/0003-3006-57.1.3
  7. Tom K, Aps J. Intraosseous anesthesia as a primary technique for local anesthesia in dentistry. Clin Res Infect Dis 2015;2(1):1012. https://www.jscimedcentral.com/InfectiousDiseases/infectiousdiseases-2-1012.pdf
  8. Veneva E, Cholakova R, Raycheva R, et al. Efficacy of vibrotactile device DentalVibe in reducing injection pain and anxiety during local anaesthesia in paediatric dental patients: a study protocol for a randomised controlled clinical trial. BMJ Open 2019;9(7):e029460. DOI: 10.1136/bmjopen-2019-029460
  9. Cuschieri S. The STROBE guidelines. Saudi J Anaesth 2019;13(Suppl. 1): S31–S34. DOI: 10.4103/sja.SJA_543_18
  10. Alvear Fa B, Castagna D. Dental pain management strategies. Decis Dentistry 2017;3(6):16–18, 21. https://decisionsindentistry.com/article/dental-pain-management-strategies/
  11. Berggren U, Meynert G. Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc 1984;109(2):247–251. DOI: 10.14219/jada.archive.1984.0328
  12. Clark T, Yagiela J. Advanced techniques and armamentarium for dental local anesthesia. Dent Clin North Am 2010;54(4):757–768. DOI: 10.1016/j.cden.2010.06.017
  13. Saxena P, Gupta S, Newaskar V, et al. Advances in dental local anesthesia techniques and devices: an update. Natl J Maxillofac Surg 2013;4(1):19–24. DOI: 10.4103/0975-5950.117873
  14. Brand HS, Kuin D, Baart JA. A survey of local anaesthesia education in European dental schools. Eur J Dent Educ 2008;12(2):85–88. DOI: 10.1111/j.1600-0579.2008.00505.x
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