Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
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Effect of precooling on pain during local anesthesia administration in children: a systematic review

  • Received : 2019.04.27
  • Accepted : 2020.05.12
  • Published : 2020.06.30
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Abstract

This study was conducted to determine how precooling reduces the subjective reported pain and objective pain and to evaluate the effectiveness of precooling the injection site before administration of local anesthesia in children. Electronic databases (PubMed, Ovid SP, Cochrane Central Register of Controlled Trials) were searched for publications from 1980 to 2020. Studies were screened for titles and abstracts, followed by full-text evaluation of included reports. Six studies were included in this systematic review. The primary outcome evaluated was the pain perception or the subjective pain reported by the child receiving the injection. The secondary outcome evaluated was objective pain evaluated in each study. Among 5 studies that evaluated child reported pain scores on a visual analogue scale (VAS), 4 studies reported lower scores in the precooling group and one study reported a higher VAS score in the precooling group than in children treated with 20% benzocaine topical anesthesia. Among 6 studies that evaluated the pain reaction of children by Sound Eye Motor (SEM) score, 4 studies reported a lower SEM score in the precooling group, one study reported no significant difference between the precooling and control groups, and one study reported higher SEM scores in the precooling group than in children treated with 20% benzocaine topical anesthesia. Within the limits of this systematic review, evidence suggests that precooling the injection site with ice can be an effective adjunct to topical anesthesia in reducing both subjective and objective pain during local anesthesia administration in children.

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References

  1. van Wijk AJ, Hoogstraten J. Anxiety and pain during dental injections. J Dent 2009; 37: 700-4. https://doi.org/10.1016/j.jdent.2009.05.023
  2. Dasarraju RK, SVSG N. Comparative efficacy of three topical anesthetics on 7-11-year-old children: a randomized clinical study. J Dent Anesth Pain Med 2020; 20: 29-37. https://doi.org/10.17245/jdapm.2020.20.1.29
  3. Ujaoney S, Mamtani M, Thakre T, Tote J, Hazarey V, Hazarey P, et al. Efficacy trial of camouflage syringe to reduce dental fear and anxiety. Eur J Paediatr Dent 2013; 14: 273-8.
  4. Melwani AM, Srinivasan I, Setty JV, D.R. MK, Pamnani SS, Lalitya D. A clinical comparative study between conventional and camouflaged syringes to evaluate behavior and anxiety in 6-11-year-old children during local anesthesia administration-a novel approach. J Dent Anesth Pain Med 2018; 18: 35-40. https://doi.org/10.17245/jdapm.2018.18.1.35
  5. Liu Y, Gu Z, Wang Y, Wu Q, Chen V, Xu X, et al. Effect of audiovisual distraction on the management of dental anxiety in children: a systematic review. Int J Paediatr Dent 2019; 29: 14-21. https://doi.org/10.1111/ipd.12430
  6. Chopra R, Jindal G, Sachdev V, Sandhu M. Double-blind crossover study to compare pain experience during inferior alveolar nerve block administration using buffered two percent lidocaine in children. Paediatr Dent 2016; 38: 25-9.
  7. Meincken M, Norman C, Arevalo O, Saman DM, Bejarano T. Anesthesia onset time and injection pain between buffered and unbuffered lidocaine used as local anesthetic for dental care in children. Paediatr Dent 2019; 41: 354-7.
  8. Hameed NN, Sargod SS, Bhat SS, Hegde SK, Bava MM. Effectiveness of precooling the injection site using tetrafluorethane on pain perception in children. J Indian Soc Pedod Prev Dent 2018; 36: 296-300. https://doi.org/10.4103/jisppd.jisppd_222_17
  9. Abbott K, Fowler-Kerry S. The use of a topical refrigerant anesthetic to reduce injection pain in children. J Pain Symptom Manage 1995; 10: 584-90. https://doi.org/10.1016/0885-3924(95)00086-0
  10. Harbert H. Topical ice: a precursor to palatal injections. J Endod 1989; 15: 27-8. https://doi.org/10.1016/S0099-2399(89)80094-9
  11. Duncan JD, Reeves GW, Fitchie JG. Technique to diminish discomfort from the palatal injection. J Prosthet Dent 1992; 67: 901-2. https://doi.org/10.1016/0022-3913(92)90617-J
  12. Kosaraju A, Vandewalle KS. A comparison of a refrigerant and a topical anesthetic gel as preinjection anesthetics: a clinical evaluation. J Am Dent Assoc 2009; 140: 68-113. https://doi.org/10.14219/jada.archive.2009.0020
  13. Jayasuriya NSS, Weerapperuma ID, Amarasinghe MGCK. The use of an iced cotton bud as an effective pre-cooling method for palatal anaesthesia: a technical note. Singapore Dent J 2017; 38: 17-9. https://doi.org/10.1016/j.sdj.2017.07.001
  14. Wiswall AT, Bowles WR, Lunos S, McClanahan SB, Harris S. Palatal anesthesia: comparison of four techniques for decreasing injection discomfort. Northwest Dent 2014; 93: 25-9.
  15. Bilsin E, Gungormus Z, Gungormus M. The efficacy of external cooling vibration on decreasing the pain of local anesthesia injections during dental treatment in children: a randomized controlled study. J Perianesth Nurs 2020; 35: 44-7. https://doi.org/10.1016/j.jopan.2019.06.007
  16. Bhadauria US, Dasar PL, Sandesh N, Mishra P, Godha S. Effect of injection site pre-cooling on pain perception in patients attending a dental camp at life line express: a split mouth interventional study. Clujul Med 2017; 90: 220-5. https://doi.org/10.15386/cjmed-694
  17. Johnson J, Primosch RE. Influence of site preparation methods on the pain reported during palatal infiltration using the wand local anesthetic system. Am J Dent 2003; 16: 165-9.
  18. Vafaei A, Rahbar M, Dadkhah R, Ranjkesh B, Erfanparast L. Children's pain perception and behavioral feedback during local anesthetic injection with four injection site site preparation methods. Maedica 2019; 14: 343-9.
  19. Bose S, Garg N, Pathivada L, Yeluri R. Cooling the soft tissue and its effect on perception of pain during infiltration and block anesthesia in children undergoing dental procedures: a comparative study. J Dent Res Dent Clin Dent Prospects 2019; 13: 159-65. https://doi.org/10.15171/joddd.2019.025
  20. Ghaderi F, Banakar S, Rostami S. Effect of precooling injection site on pain perception in pediatric dentistry: "a randomized clinical trial". Dent Res J 2013; 10: 790-4.
  21. Lathwal G, Pandit IK, Gugnani N, Gupta M. Efficacy of different precooling agent and topical anesthetics on the perception during intraoral injection: a comparative clinical study. Int J Clin Pediatr Dent 2015; 8: 119-22. https://doi.org/10.5005/jp-journals-10005-1296
  22. Aminabadi NA, Farahani RM. The effect of pre-cooling the injection site on pediatric pain perception during the administration of local anesthesia. J Contemp Dent Pract 2009; 10: 43-50. https://doi.org/10.5005/jcdp-10-3-43