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Pain behaviour and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe.
Br Dent J. 2008 Jul 12; 205(1):E2; discussion 30-1.BD

Abstract

OBJECTIVE

To compare the pain and distress response of children receiving a local anesthesia injection using a computerised device (Wand) or a traditional syringe over two consecutive treatment sessions and to study whether the response to the two injection techniques was different for high or low dentally anxious children.

DESIGN

Randomised controlled trial.

SETTING

Secondary dental care practice specialised in treating children.

SUBJECTS AND METHODS

Children were selected and randomly allocated to the Wand or traditional injection condition. Parents completed the Dental Subscale of the Children's Fear Survey Schedule (CFSS-ds). Based on video recordings of the injections, for each 15 seconds, the occurrence of five pain related behaviours was registered and a score was given on the Venham distress scale. Children rated their pain after each injection.

INTERVENTION

Over two consecutive treatment sessions one group received two local anaesthesia injections with the traditional syringe and the other group received two injections with the Wand.

OUTCOME MEASURES

The mean number of pain related behaviours, the mean distress scores and the self-reported pain scores were compared. Based on the CFSS-ds subjects were split into highly and low dentally anxious children.

RESULTS

One hundred and forty-seven subjects participated in the study: aged 4-11 years, 71 girls. Based on the behaviour displayed during the local anaesthesia injection and the self-reported pain after the injection, no difference could be found between an injection with the traditional syringe or the Wand over the first or second treatment session. However, on the first treatment session, highly anxious children reported more pain (p = 0.001), displayed more pain related behaviour (p = 0.002) and more distress (p <0.001) than low anxious children in reaction to the local anaesthesia injection.

CONCLUSION

No clear difference in the response of referred children could be found between an injection with the Wand or the traditional syringe. Level of dental anxiety was found to be an important factor in the response of children to a local anaesthesia injection.

Authors+Show Affiliations

University of British Columbia, Department of Psychology, University of British Columbia, 2136 West Mall, Vancouver, BC, Canada. jversloot@psych.ubc.caNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18493254

Citation

Versloot, J, et al. "Pain Behaviour and Distress in Children During Two Sequential Dental Visits: Comparing a Computerised Anaesthesia Delivery System and a Traditional Syringe." British Dental Journal, vol. 205, no. 1, 2008, pp. E2; discussion 30-1.
Versloot J, Veerkamp JS, Hoogstraten J. Pain behaviour and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe. Br Dent J. 2008;205(1):E2; discussion 30-1.
Versloot, J., Veerkamp, J. S., & Hoogstraten, J. (2008). Pain behaviour and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe. British Dental Journal, 205(1), E2; discussion 30-1. https://doi.org/10.1038/sj.bdj.2008.414
Versloot J, Veerkamp JS, Hoogstraten J. Pain Behaviour and Distress in Children During Two Sequential Dental Visits: Comparing a Computerised Anaesthesia Delivery System and a Traditional Syringe. Br Dent J. 2008 Jul 12;205(1):E2; discussion 30-1. PubMed PMID: 18493254.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pain behaviour and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe. AU - Versloot,J, AU - Veerkamp,J S J, AU - Hoogstraten,J, Y1 - 2008/05/23/ PY - 2007/11/14/accepted PY - 2008/5/22/pubmed PY - 2008/11/19/medline PY - 2008/5/22/entrez SP - E2; discussion 30-1 JF - British dental journal JO - Br Dent J VL - 205 IS - 1 N2 - OBJECTIVE: To compare the pain and distress response of children receiving a local anesthesia injection using a computerised device (Wand) or a traditional syringe over two consecutive treatment sessions and to study whether the response to the two injection techniques was different for high or low dentally anxious children. DESIGN: Randomised controlled trial. SETTING: Secondary dental care practice specialised in treating children. SUBJECTS AND METHODS: Children were selected and randomly allocated to the Wand or traditional injection condition. Parents completed the Dental Subscale of the Children's Fear Survey Schedule (CFSS-ds). Based on video recordings of the injections, for each 15 seconds, the occurrence of five pain related behaviours was registered and a score was given on the Venham distress scale. Children rated their pain after each injection. INTERVENTION: Over two consecutive treatment sessions one group received two local anaesthesia injections with the traditional syringe and the other group received two injections with the Wand. OUTCOME MEASURES: The mean number of pain related behaviours, the mean distress scores and the self-reported pain scores were compared. Based on the CFSS-ds subjects were split into highly and low dentally anxious children. RESULTS: One hundred and forty-seven subjects participated in the study: aged 4-11 years, 71 girls. Based on the behaviour displayed during the local anaesthesia injection and the self-reported pain after the injection, no difference could be found between an injection with the traditional syringe or the Wand over the first or second treatment session. However, on the first treatment session, highly anxious children reported more pain (p = 0.001), displayed more pain related behaviour (p = 0.002) and more distress (p <0.001) than low anxious children in reaction to the local anaesthesia injection. CONCLUSION: No clear difference in the response of referred children could be found between an injection with the Wand or the traditional syringe. Level of dental anxiety was found to be an important factor in the response of children to a local anaesthesia injection. SN - 1476-5373 UR - https://www.unboundmedicine.com/medline/citation/18493254/Pain_behaviour_and_distress_in_children_during_two_sequential_dental_visits:_comparing_a_computerised_anaesthesia_delivery_system_and_a_traditional_syringe_ L2 - https://doi.org/10.1038/sj.bdj.2008.414 DB - PRIME DP - Unbound Medicine ER -