Influence of computerized intraosseous anesthesia compared with traditional mandibular nerve block on children's behavior: A randomized clinical trial.

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

International journal of paediatric dentistry Pub Date : 2024-06-24 DOI:10.1111/ipd.13231

Mohamed Zayed Radwan, Mariem Osama Wassel, Ola Abd El Geleel, Reham Khaled Elghazawy

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引用次数: 0

Abstract

Background: Effective pain management is crucial for the successful completion of dental procedures in children. Research has examined whether computerized intraosseous anesthesia (CIOA) could serve as a safe and viable substitute for the conventional inferior alveolar nerve block (IANB) technique in pediatric patients. This study investigates the efficacy of CIOA, aiming to determine its effectiveness as an alternative anesthesia method.

Aim: This study compared the efficacy of local intraosseous anesthesia using a computerized device (QuickSleeper 5) to conventional IANB anesthesia on cooperation and pain perception in children, using a randomized controlled trial design.

Design: The study included 88 healthy children, aged between 6 and 9 years, who required pulpotomy for their mandibular second primary molars. The study was approved by the local research ethics committee and registered at clinicaltrials.gov (NCT05193487). The heart rate and Venham behavior rating scale were recorded and analyzed. Categorical data were analyzed using Fisher's exact test. Age and heart rate were compared using an independent t-test for intergroup comparison. The intragroup comparison was carried out using repeated measures ANOVA, followed by the Bonferroni post hoc test. The Mann-Whitney U-test was used to analyze the Venham scale scores. The significance level was set at p < .05 RESULTS: The mean Venham score was slightly higher in the IANB group than in the CIOA group, but was not statistically significant (p = .852). One minute after anesthesia administration, the heart rate (beats per minute [BPM]) was significantly higher in the IANB group (92.30 ± 13.45) than in the CIOA group (83.20 ± 10.40) (p < .001). Additionally, there was a significant difference in heart rate values measured at different intervals within the IANB group.

Conclusion: The QuickSleeper 5 device was found to be a feasible alternative for IANB in children over 6 years old.

查看原文本刊更多论文

计算机化骨内麻醉与传统下颌神经阻滞对儿童行为的影响：随机临床试验。

背景：有效的疼痛控制是成功完成儿童牙科手术的关键。已有研究探讨了计算机化骨内麻醉（CIOA）是否可作为传统下牙槽神经阻滞（IANB）技术在儿童患者中安全可行的替代方法。本研究调查了 CIOA 的疗效，旨在确定其作为替代麻醉方法的有效性。目的：本研究采用随机对照试验设计，比较了使用计算机化设备（QuickSleeper 5）进行局部骨内麻醉与传统 IANB 麻醉在儿童合作性和疼痛感方面的疗效：研究对象包括 88 名健康儿童，年龄在 6 到 9 岁之间，下颌第二乳磨牙需要进行牙髓切断术。该研究获得了当地研究伦理委员会的批准，并在 clinicaltrials.gov 上进行了注册（NCT05193487）。对心率和 Venham 行为评分表进行了记录和分析。分类数据采用费雪精确检验进行分析。年龄和心率的组间比较采用独立 t 检验。组内比较采用重复测量方差分析，然后进行 Bonferroni 事后检验。Mann-Whitney U 检验用于分析 Venham 量表评分。显著性水平设定为 p 结论：研究发现，QuickSleeper 5 是治疗 6 岁以上儿童 IANB 的可行替代方案。

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.