上颌骨前唇浸润麻醉时针头插入角度对疼痛的影响:随机临床试验

IF 1.7 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Amirhossein Moaddabi, Tahereh Molania, Alireza Arezoumandi, Sahar Ghaedsharaf, Mariangela Cernera, Roya Nikbakht, Parisa Soltani, Gianrico Spagnuolo, Shirin Shahnaseri
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引用次数: 0

摘要

目的 本研究旨在评估针插入角度对上颌前部唇管浸润麻醉时疼痛的影响。 材料和方法 在这项平行设计的随机临床试验中,参与者被随机分配到四组,分别进行上颌前牙唇管浸润麻醉。进行局部麻醉时,使用传统注射器(Syringe-0),针头方向与牙齿纵轴平行;使用传统注射器(Syringe-α),针头与牙齿纵轴成 α 角;使用计算机控制的局部麻醉剂给药(CCLAD)装置,针头方向与牙齿纵轴平行(CCLAD-0);使用计算机控制的局部麻醉剂给药(CCLAD-α)装置,针头与牙齿纵轴成 α 角(CCLAD-α)。参与者的心率(HR)、血压(BP)和呼吸频率(RR)分别在进针前、进针后和注射后立即由生命体征监测仪测量。参与者的疼痛程度通过数字评分量表(NRS)进行量化。数据采用重复测量方差分析和回归模型(α = 0.05)进行分析。 结果 共招募了 36 名参与者,年龄从 21 岁到 60 岁不等,平均年龄为 35.36 岁。Syringe-0、Syringe-α、CCLAD-0 和 CCLAD-α 组的平均疼痛评分分别为 7.44、4.67、2.89 和 0.67(p < 0.001)。年龄和性别对疼痛评分没有明显影响(分别为 p = 0.914 和 p = 0.702)。四组患者的生命体征无明显差异(p > 0.05)。 结论 在临床实践中,以 α 角注射和应用 CCLAD 可以减轻参与者在上颌骨前唇浸润麻醉时的疼痛。 试验注册 伊朗临床试验注册处:IRCT20230719058849N1.
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Effect of Needle Insertion Angle on Pain During Labial Infiltration Anesthesia of the Anterior Maxilla: A Randomized Clinical Trial

Effect of Needle Insertion Angle on Pain During Labial Infiltration Anesthesia of the Anterior Maxilla: A Randomized Clinical Trial

Objectives

This study aimed to assess the effect of needle insertion angle on pain during labial infiltration anesthesia in the anterior maxillary region.

Material and Methods

In this parallel-design randomized clinical trial, participants were randomly assigned to four groups for labial infiltration anesthesia of the anterior maxilla. Local anesthesia was performed with needle orientation parallel to the longitudinal axis of the tooth using a conventional syringe (Syringe-0), needle at α angle with a conventional syringe (Syringe-α), computer-controlled local anesthetic delivery (CCLAD) device parallel to the longitudinal axis of the tooth (CCLAD-0), and CCLAD at α angle (CCLAD-α). The heart rate (HR), blood pressure (BP), and respiratory rate (RR) of participants were measured before needle insertion, immediately after needle insertion, and immediately after the injection by a vital signs monitor. The level of pain experienced by participants was quantified using a numerical rating scale (NRS). Data were analyzed by repeated-measures ANOVA and regression models (α = 0.05).

Results

Thirty-six participants aged from 21 to 60 years, with a mean age of 35.36 years were recruited. The mean pain scores were 7.44, 4.67, 2.89, and 0.67 in groups Syringe-0, Syringe-α, CCLAD-0, and CCLAD-α, respectively (p < 0.001). Age and sex had no significant effect on pain scores (p = 0.914 and p = 0.702, respectively). The four groups had no significant difference in vital signs (p > 0.05).

Conclusions

Injection at an α angle and the application of CCLAD can be used in clinical practice to decrease the pain experienced by participants during labial infiltration anesthesia of the anterior maxilla.

Trial Registration

Iranian Registry of Clinical Trials: IRCT20230719058849N1.

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来源期刊
Clinical and Experimental Dental Research
Clinical and Experimental Dental Research DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
3.30
自引率
5.60%
发文量
165
审稿时长
26 weeks
期刊介绍: Clinical and Experimental Dental Research aims to provide open access peer-reviewed publications of high scientific quality representing original clinical, diagnostic or experimental work within all disciplines and fields of oral medicine and dentistry. The scope of Clinical and Experimental Dental Research comprises original research material on the anatomy, physiology and pathology of oro-facial, oro-pharyngeal and maxillofacial tissues, and functions and dysfunctions within the stomatognathic system, and the epidemiology, aetiology, prevention, diagnosis, prognosis and therapy of diseases and conditions that have an effect on the homeostasis of the mouth, jaws, and closely associated structures, as well as the healing and regeneration and the clinical aspects of replacement of hard and soft tissues with biomaterials, and the rehabilitation of stomatognathic functions. Studies that bring new knowledge on how to advance health on the individual or public health levels, including interactions between oral and general health and ill-health are welcome.
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