Citation Information :
Hilary C, Preeja C, Mohan GM, Mukunda K. A Clinical Comparison of Pain Perception and Behavior in Children Using Conventional and Vibraject Injection Techniques. World J Dent 2022; 13 (6):623-629.
Aim: The study was aimed at evaluating the efficacy of vibraject in reducing pain and related disruptive behavior in children who underwent routine local anesthesia procedures in the dental setting.
Materials and methods: A total of 60 healthy children who needed dental procedures on both sides of the oral cavity, which necessitates the administration of local anesthesia who visited the department, were selected for the study. The children were assigned into three groups based on their age. A split-mouth technique was used in the study. The children were given appointments for two consecutive days. In the first appointment, dental procedures were carried out with local anesthesia using a conventional injection technique, and on the next appointment, with the vibraject attachment. After the administration of local anesthesia, the evaluation of pain perception was recorded with the aid of Wong–Baker Faces Pain Rating Scale (WBFPS), followed by the assessment of the child's behavioral pattern based on Frankl Behaviour Rating Scale (FBRS).
Results: The mean WBFPS score was higher with the conventional technique in comparison to the vibraject injection technique in all three age-groups of children. The overall standard deviation (SD) value was similar with both techniques, but the overall mean value was higher for the conventional technique compared to the vibraject injection technique, which was statistically significant. The mean value for FBRS scores was higher for the vibraject injection technique in children in the 6–9-year age-group, which was not statistically significant, but the mean value was higher for the conventional technique in children in the 9–12-year age-group which was also not statistically significant. However, statistical significance was observed in the 12–15 year age-group children who had a higher mean value with the vibraject technique in comparison to the conventional technique.
Conclusion: The study gave promising results regarding the efficacy of vibraject in reducing pain and related disruptive behavior in children.
Clinical significance: Vibraject can be used as the most cost-effective and easy painless technique to administer local anesthesia in pediatric clinical settings.
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