Efficacy of administering a sugar-free flavor before dental injections on pain perception in children: A split-mouth randomized crossover clinical trial

IF 2.3 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

International journal of paediatric dentistry Pub Date : 2024-04-16 DOI:10.1111/ipd.13191

Ola B. Al-Batayneh, Razan Abu-Abbas, Majd Al-Saleh

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引用次数: 0

Abstract

Background

Sweet taste administration before dental injections helps to control associated pain in children.

Aim

To evaluate the efficacy of using a sugar-free flavor on pain perception during dental injections.

Design

Children (n = 84) aged 4–9 (mean 6.71 ± 1.55) years who required buccal infiltration bilaterally participated in this split-mouth randomized crossover study. On the test side (flavor visit), infiltration injections were applied after receiving a sugar-free flavor. On the control side (no flavor visit), sterile water was administered. Demographic characteristics, body mass index (BMI), and sweet taste preference (STP) were recorded. Pain perception during injection was measured using heart rate (HR), sound, eyes, and motor (SEM) scale, and Wong–Baker Faces pain scale (WBFPS).

Results

Most children had healthy weight (72.6%) and equal STP (32.1%). In the test side, mean HR during injection, HR differences before and during injection, and SEM scores were significantly lower (p < .001, for all). There was no significant difference in the WBFPS between both visits. Flavor had a significant effect on pain reduction (p = .001 for HR, p = .000 for SEM), whereas age, gender, BMI, STP, and treatment side did not. Treatment sequence had a significant effect on total SEM scores (p = .021); children who received the flavor during their first visit had lower SEM scores.

Conclusion

Using a sugar-free flavor before dental injections helps in reducing associated pain in children.

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牙科注射前使用无糖香精对儿童痛觉的影响：分口随机交叉临床试验

背景在牙科注射前使用甜味剂有助于控制儿童的相关疼痛。目的评估在牙科注射过程中使用无糖口味对痛觉的影响。在试验侧（口味访问），接受无糖口味后进行浸润注射。对照组（无味访问）则注射无菌水。研究人员记录了受试者的人口统计学特征、体重指数（BMI）和甜味偏好（STP）。结果大多数儿童体重健康（72.6%），STP 相同（32.1%）。在试验侧，注射时的平均心率、注射前和注射时的心率差异以及 SEM 评分均显著较低（均为 p < .001）。两次检查的 WBFPS 没有明显差异。味道对疼痛减轻有明显影响（HR 的 p = .001，SEM 的 p = .000），而年龄、性别、体重指数、STP 和治疗侧则没有影响。治疗顺序对 SEM 总分有明显影响（p = .021）；首次就诊时接受香料治疗的儿童 SEM 分数较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of paediatric dentistry 医学-小儿科

CiteScore

5.50

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The International Journal of Paediatric Dentistry was formed in 1991 by the merger of the Journals of the International Association of Paediatric Dentistry and the British Society of Paediatric Dentistry and is published bi-monthly. It has true international scope and aims to promote the highest standard of education, practice and research in paediatric dentistry world-wide. International Journal of Paediatric Dentistry publishes papers on all aspects of paediatric dentistry including: growth and development, behaviour management, diagnosis, prevention, restorative treatment and issue relating to medically compromised children or those with disabilities. This peer-reviewed journal features scientific articles, reviews, case reports, clinical techniques, short communications and abstracts of current paediatric dental research. Analytical studies with a scientific novelty value are preferred to descriptive studies. Case reports illustrating unusual conditions and clinically relevant observations are acceptable but must be of sufficiently high quality to be considered for publication; particularly the illustrative material must be of the highest quality.