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A comparative evaluation of pain perception following topical application of benzocaine gel, clove-papaya based anesthetic gel and precooling of the injection site before intraoral injections in children.
J Indian Soc Pedod Prev Dent. 2020 Apr-Jun; 38(2):184-189.JI

Abstract

Background and Aim of the Study

The topical anesthetic property of clove remains unexplored even though it has been widely used in dentistry since ages. Hence, the aim of the study was to compare the topical anesthetic efficiency of precooling with ice, clove-papaya based topical gel and benzocaine gel in pediatric patients.

Methodology

Sixty healthy children aged 9-10 years who required local anesthetic injections for dental procedures were selected and divided into three groups with 20 patients each. In the first visit, written consent and intraoral screening of the patients were performed. In the second visit, the topical anesthetic agents were applied in the respective groups for 1 min and later local anesthetic injections were administered. Pain perception was evaluated using Sound, Eye, Motor Scale (SEM scale) and Wong Baker Faces Pain Rating Scale (WBFPRS), tabulated, and statistically analyzed. A.

Results

The test results demonstrated that benzocaine group has the highest mean WBFPRS score followed by clove-papaya group and then ice cone group. The ice group showed the least mean SEM scale score, followed by the benzocaine group and then clove-papaya group. However, the mean WBFPRS score and the mean SEM scale score did not show any statistically significant difference.

Interpretation and Conclusion

All the three topical anesthetic agents provided similar surface anesthesia in children. The newly introduced clove-papaya based topical anesthetic gel showed encouraging results, hence can be used as a potent topical anesthetic agent.

Authors+Show Affiliations

Department of Pedodontics and Preventive Dentistry, DAPM R V Dental College, Bengaluru, Karnataka, India.Department of Pedodontics and Preventive Dentistry, DAPM R V Dental College, Bengaluru, Karnataka, India.Department of Pedodontics and Preventive Dentistry, DAPM R V Dental College, Bengaluru, Karnataka, India.Department of Pedodontics and Preventive Dentistry, DAPM R V Dental College, Bengaluru, Karnataka, India.Department of Pedodontics and Preventive Dentistry, DAPM R V Dental College, Bengaluru, Karnataka, India.Department of Pedodontics and Preventive Dentistry, DAPM R V Dental College, Bengaluru, Karnataka, India.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32611866

Citation

Anantharaj, A, et al. "A Comparative Evaluation of Pain Perception Following Topical Application of Benzocaine Gel, Clove-papaya Based Anesthetic Gel and Precooling of the Injection Site Before Intraoral Injections in Children." Journal of the Indian Society of Pedodontics and Preventive Dentistry, vol. 38, no. 2, 2020, pp. 184-189.
Anantharaj A, Sabu JM, Ramakrishna S, et al. A comparative evaluation of pain perception following topical application of benzocaine gel, clove-papaya based anesthetic gel and precooling of the injection site before intraoral injections in children. J Indian Soc Pedod Prev Dent. 2020;38(2):184-189.
Anantharaj, A., Sabu, J. M., Ramakrishna, S., Jagdeesh, R. B., Praveen, P., & Shankarappa, P. R. (2020). A comparative evaluation of pain perception following topical application of benzocaine gel, clove-papaya based anesthetic gel and precooling of the injection site before intraoral injections in children. Journal of the Indian Society of Pedodontics and Preventive Dentistry, 38(2), 184-189. https://doi.org/10.4103/JISPPD.JISPPD_153_18
Anantharaj A, et al. A Comparative Evaluation of Pain Perception Following Topical Application of Benzocaine Gel, Clove-papaya Based Anesthetic Gel and Precooling of the Injection Site Before Intraoral Injections in Children. J Indian Soc Pedod Prev Dent. 2020 Apr-Jun;38(2):184-189. PubMed PMID: 32611866.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A comparative evaluation of pain perception following topical application of benzocaine gel, clove-papaya based anesthetic gel and precooling of the injection site before intraoral injections in children. AU - Anantharaj,A, AU - Sabu,Jiline Mary, AU - Ramakrishna,Sudhir, AU - Jagdeesh,Ramya Bangalore, AU - Praveen,P, AU - Shankarappa,Prathibha Rani, PY - 2020/7/3/entrez PY - 2020/7/3/pubmed PY - 2020/7/4/medline KW - Benzocaine KW - Eye KW - Motor scale KW - Sound KW - Wong Baker Faces Pain Rating Scale KW - clove–papaya based anesthetics gel KW - ice KW - precooling KW - topical anesthesia SP - 184 EP - 189 JF - Journal of the Indian Society of Pedodontics and Preventive Dentistry JO - J Indian Soc Pedod Prev Dent VL - 38 IS - 2 N2 - Background and Aim of the Study: The topical anesthetic property of clove remains unexplored even though it has been widely used in dentistry since ages. Hence, the aim of the study was to compare the topical anesthetic efficiency of precooling with ice, clove-papaya based topical gel and benzocaine gel in pediatric patients. Methodology: Sixty healthy children aged 9-10 years who required local anesthetic injections for dental procedures were selected and divided into three groups with 20 patients each. In the first visit, written consent and intraoral screening of the patients were performed. In the second visit, the topical anesthetic agents were applied in the respective groups for 1 min and later local anesthetic injections were administered. Pain perception was evaluated using Sound, Eye, Motor Scale (SEM scale) and Wong Baker Faces Pain Rating Scale (WBFPRS), tabulated, and statistically analyzed. A. Results: The test results demonstrated that benzocaine group has the highest mean WBFPRS score followed by clove-papaya group and then ice cone group. The ice group showed the least mean SEM scale score, followed by the benzocaine group and then clove-papaya group. However, the mean WBFPRS score and the mean SEM scale score did not show any statistically significant difference. Interpretation and Conclusion: All the three topical anesthetic agents provided similar surface anesthesia in children. The newly introduced clove-papaya based topical anesthetic gel showed encouraging results, hence can be used as a potent topical anesthetic agent. SN - 1998-3905 UR - https://www.unboundmedicine.com/medline/citation/32611866/A_comparative_evaluation_of_pain_perception_following_topical_application_of_benzocaine_gel,_clove-papaya_based_anesthetic_gel_and_precooling_of_the_injection_site_before_intraoral_injections_in_children DB - PRIME DP - Unbound Medicine ER -