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.Department of Developmental and Preventive Sciences, Kuwait University, Faculty of Dentistry, Kuwait (författare)

Comparison between Topical and Injection Anesthetics on Pain Related to Orthodontic Miniscrew Placement : A Split-mouth Study

Artikel/kapitelEngelska2021

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2021-08-09
Jaypee Brothers Medical Publishers (P) Ltd,2021
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:mau-48805
https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-48805URI
https://doi.org/10.5005/jp-journals-10024-3107DOI

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Språk:engelska
Sammanfattning på:engelska

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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 och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Anestesi och intensivvård hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Anesthesiology and Intensive Care hsv//eng
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

Biuppslag (personer, institutioner, konferenser, titlar ...)

Badr, H.Department of Community Medicine, Kuwait University, Faculty of Medicine, Kuwait (författare)
Andersson, LarsMalmö universitet,Odontologiska fakulteten (OD)(Swepub:mau)ai6151 (författare)
Department of Developmental and Preventive Sciences, Kuwait University, Faculty of Dentistry, KuwaitDepartment of Community Medicine, Kuwait University, Faculty of Medicine, Kuwait (creator_code:org_t)

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Ingår i:Journal of Contemporary Dental Practice: Jaypee Brothers Medical Publishers (P) Ltd22:6, s. 637-6431526-3711

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Av författaren/redakt...: Al-Melh, M. A.; Badr, H.; Andersson, Lars

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Anestesi och int ...

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Av lärosätet: Malmö universitet

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