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Comparison between ...
Comparison between Topical and Injection Anesthetics on Pain Related to Orthodontic Miniscrew Placement : A Split-mouth Study
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- Al-Melh, M. A. (författare)
- Department of Developmental and Preventive Sciences, Kuwait University, Faculty of Dentistry, Kuwait
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- Badr, H. (författare)
- Department of Community Medicine, Kuwait University, Faculty of Medicine, Kuwait
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- Andersson, Lars (författare)
- Malmö universitet,Odontologiska fakulteten (OD)
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(creator_code:org_t)
- 2021-08-09
- 2021
- Engelska.
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Ingår i: Journal of Contemporary Dental Practice. - : Jaypee Brothers Medical Publishers (P) Ltd. - 1526-3711. ; 22:6, s. 637-643
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Abstract
Ämnesord
Stäng
- Aims and objectives: The aims of this study were to compare the anesthetic effect of a lidocaine/prilocaine (L/P) topical anesthetic with placebo on pain from needle sticks and to compare the anesthetic effect of the L/P topical anesthetic with an infiltrative anesthetic on pain from orthodontic miniscrew placement. Materials and methods: Pain elimination was analyzed from two interventions: (a) needle stick and (b) miniscrew insertion. When assessing pain from needle stick, one side of the mandible received 2.5% lidocaine/2.5% prilocaine topical anesthetic, and the other side received placebo. When evaluating pain from miniscrew placement, one side of the mandible received L/P topical anesthetic and the other side received infiltrative anesthetic. The findings were recorded on a Visual Analogue Scale after needle stick and after miniscrew placement. Subjective assessment was analyzed by a questionnaire. Results: The L/P topical anesthetic significantly eliminated the pain from needle stick (Mann–Whitney test of medians, 29.0 vs 0.0, respectively, p<0.001). However, the injection anesthetic eliminated the pain from the miniscrew placement better than the L/P topical anesthetic (Mann–Whitney test of medians, 0.0 vs 5.5, respectively, p<0.001). Eighty percent of the subjects felt more comfortable with L/P topical anesthetic than injection anesthetic. Pain from needle stick pain was reported to be the most uncomfortable part of the study. Conclusion: The L/P topical anesthetic efficiently eliminated pain from needle stick. The L/P topical anesthetic did not completely eliminate pain from miniscrew placement as the injection anesthesia, but it did reduce pain to tolerable levels. Clinical significance: L/P topical anesthetics can significantly eliminate pain from needle stick injections, and L/P topical anesthetics can reduce pain from orthodontic miniscrew placement to tolerable levels. © Jaypee Brothers Medical Publishers. 2021 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Anestesi och intensivvård (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Anesthesiology and Intensive Care (hsv//eng)
Nyckelord
- Injection anesthesia
- Miniscrews
- Needle stick
- Pain
- Topical anesthesia.
- lidocaine
- local anesthetic agent
- prilocaine
- human
- mouth
- topical drug administration
- Administration
- Topical
- Anesthetics
- Local
- Humans
- Lidocaine
- Prilocaine Drug Combination
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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