使用 SleeperOne5 电脑设备与传统注射器进行基磨牙局部麻醉时的疼痛：随机、分口、交叉对照试验

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

International journal of paediatric dentistry Pub Date : 2024-04-17 DOI:10.1111/ipd.13189

Michèle Muller-Bolla, Elody Aïem, Clara Joseph, Tiphaine Davit-Béal, Thomas Marquillier, Emmanuelle Esclassan, Caroline Delfosse, Serena Lopez, Ana Miriam Velly

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引用次数: 0

摘要

背景由于比较不同儿童牙科局部麻醉方法的临床研究结果存在争议，这项随机、分口、交叉、对照试验的主要目的是比较使用计算机控制的局部麻醉给药系统（C-CLADS）和传统注射器（CONV）进行局部麻醉（LA）时的疼痛强度。次要目标包括牙科治疗过程中的比较。方法从法国五家医院招募了需要进行类似治疗的牙对参与者（4-8 岁）。首次就诊时接受治疗的右侧基磨牙被随机分配到其中一个麻醉组（C-CLADS 骨内麻醉或 CONV 浸润麻醉），而对侧磨牙（第二次就诊时接受治疗）被分配到另一组。采用 Proc 混合法比较了各组之间的疼痛强度和行为结果，分别用 Faces Pain 和 Venham 修订量表进行评估。在 107 名参与者中，分析结果显示，与 CONV 组相比，C-CLADS 组在 LA 期间的疼痛感降低（-0.72，95% CI：-1.43，-0.006），但在牙科治疗期间没有降低。分层分析表明，只有在基牙（p = .006）和下颌磨牙（p = .005）中观察到这种效应。只有在注射过程中，C-CLADS 组的行为问题少于 CONV 组（p = .05）。

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Pain during primary molar local anaesthesia with SleeperOne5 computerized device versus conventional syringe: A randomized, split-mouth, crossover, controlled trial

Background

Because of controversial results from clinical studies comparing different dental local anesthesia methods in children, the primary objective of this randomized, split-mouth, crossover, controlled trial was to compare pain intensity during local anaesthesia (LA) performed with a computer-controlled LA delivery system (C-CLADS) versus a conventional syringe (CONV). Secondary objectives included comparisons during dental treatment.

Methods

Participants (4–8 years) with tooth pair requiring similar treatment were recruited from five French hospitals. The right primary molar, which was treated at the first visit, was randomly allocated to one of the anaesthesia groups (either intraosseous with C-CLADS or infiltration with CONV), whereas the contralateral molar (treated at the second visit) was assigned to the other group. Pain intensity and behaviour outcomes, assessed with the Faces Pain and Venham revised scales, respectively, were compared between groups using Proc mixed. Stratified analyses were performed on dentition and location.

Results

Among 107 participants, the analysis revealed reduced pain perception during LA in the C-CLADS group compared with the CONV group (−0.72, 95% CI: −1.43, −0.006), but not during dental treatment. Stratified analyses showed that this effect was observed only in primary dentition (p = .006) and mandibular molars (p = .005). Behavioural issues were fewer in the C-CLADS group than in the CONV group (p = .05) only during injection.

Conclusion

C-CLADS emerged as the preferable system in primary dentition.

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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.