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Effectiveness of computerized delivery of intrasulcular anesthetic in primary molars.
J Am Dent Assoc 2005; 136(10):1418-25JA

Abstract

BACKGROUND

Pain measures associated with computerized delivery of intrasulcular anesthestic have not been reported. The authors evaluated a computerized delivery system for intrasulcular (CDS-IS) anesthesia in primary molars. METHODS; The study population consisted of children aged 2 to 13 years who received CDS-IS injections, 159 in mandibular molars and 48 in maxillary molars. Children were treated by one of three modes of behavioral management: behavior modification (BM) only, inhalation of nitrous oxide (N2O) in addition to BM or intrarectal sedation. Variables evaluated included the subjective perception of the child's well-being before and after administration of the anesthetic, the child's pain behavior during anesthetic administration, effectiveness of the anesthetic during dental treatment, incidence of reported postoperative dental pain (PDP) and analgesic use after the CDS-IS injections.

RESULTS

The effectiveness of CDS-IS anesthesia in mandibular molars was 97 percent, 92 percent, 63 percent and 71 percent for restorations, preformed stainless steel crowns, extractions and pulpal therapies, respectively (mean effectiveness, 89 percent). The effectiveness of CDS-IS anesthesia in maxillary molars was 96 percent, 50 percent, 92 percent and 78 percent, respectively (mean effectiveness, 90 percent). CDS-IS was less effective in children aged 2 to 4 years who received sedation than it was in older children. The authors found no differences between children's subjective self-reports of well-being before and after anesthetic administration, between the sexes and/or between modes of behavioral management (that is, BM or N2O). Most children exhibited low pain-related behavior during anesthetic administration, with no differences between boys and girls. The overall incidence of PDP was 31.4 percent; 64.9 percent of these patients received pain-relieving medications as a result, with no correlation to age, tooth treated, effectiveness of anesthesia or type of treatment.

CONCLUSIONS

CDS-IS is effective for anesthetizing primary molars, mainly for amalgam, resin-based composite and stainless steel crown restorations.

Authors+Show Affiliations

Department of Pediatric Dentistry, The Maurice and Gabriela Goldschleger, School of Dental Medicine, Tel-Aviv University, Ramat Aviv, 69978 Tel-Aviv, Israel. shkenazi@post.tau.ac.ilNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16255467

Citation

Ashkenazi, Malka, et al. "Effectiveness of Computerized Delivery of Intrasulcular Anesthetic in Primary Molars." Journal of the American Dental Association (1939), vol. 136, no. 10, 2005, pp. 1418-25.
Ashkenazi M, Blumer S, Eli I. Effectiveness of computerized delivery of intrasulcular anesthetic in primary molars. J Am Dent Assoc. 2005;136(10):1418-25.
Ashkenazi, M., Blumer, S., & Eli, I. (2005). Effectiveness of computerized delivery of intrasulcular anesthetic in primary molars. Journal of the American Dental Association (1939), 136(10), pp. 1418-25.
Ashkenazi M, Blumer S, Eli I. Effectiveness of Computerized Delivery of Intrasulcular Anesthetic in Primary Molars. J Am Dent Assoc. 2005;136(10):1418-25. PubMed PMID: 16255467.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of computerized delivery of intrasulcular anesthetic in primary molars. AU - Ashkenazi,Malka, AU - Blumer,Sigalit, AU - Eli,Ilana, PY - 2005/11/1/pubmed PY - 2005/12/13/medline PY - 2005/11/1/entrez SP - 1418 EP - 25 JF - Journal of the American Dental Association (1939) JO - J Am Dent Assoc VL - 136 IS - 10 N2 - BACKGROUND: Pain measures associated with computerized delivery of intrasulcular anesthestic have not been reported. The authors evaluated a computerized delivery system for intrasulcular (CDS-IS) anesthesia in primary molars. METHODS; The study population consisted of children aged 2 to 13 years who received CDS-IS injections, 159 in mandibular molars and 48 in maxillary molars. Children were treated by one of three modes of behavioral management: behavior modification (BM) only, inhalation of nitrous oxide (N2O) in addition to BM or intrarectal sedation. Variables evaluated included the subjective perception of the child's well-being before and after administration of the anesthetic, the child's pain behavior during anesthetic administration, effectiveness of the anesthetic during dental treatment, incidence of reported postoperative dental pain (PDP) and analgesic use after the CDS-IS injections. RESULTS: The effectiveness of CDS-IS anesthesia in mandibular molars was 97 percent, 92 percent, 63 percent and 71 percent for restorations, preformed stainless steel crowns, extractions and pulpal therapies, respectively (mean effectiveness, 89 percent). The effectiveness of CDS-IS anesthesia in maxillary molars was 96 percent, 50 percent, 92 percent and 78 percent, respectively (mean effectiveness, 90 percent). CDS-IS was less effective in children aged 2 to 4 years who received sedation than it was in older children. The authors found no differences between children's subjective self-reports of well-being before and after anesthetic administration, between the sexes and/or between modes of behavioral management (that is, BM or N2O). Most children exhibited low pain-related behavior during anesthetic administration, with no differences between boys and girls. The overall incidence of PDP was 31.4 percent; 64.9 percent of these patients received pain-relieving medications as a result, with no correlation to age, tooth treated, effectiveness of anesthesia or type of treatment. CONCLUSIONS: CDS-IS is effective for anesthetizing primary molars, mainly for amalgam, resin-based composite and stainless steel crown restorations. SN - 0002-8177 UR - https://www.unboundmedicine.com/medline/citation/16255467/Effectiveness_of_computerized_delivery_of_intrasulcular_anesthetic_in_primary_molars_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-8177(14)63139-1 DB - PRIME DP - Unbound Medicine ER -