Journal of Dental Anesthesia and Pain Medicine

The Korean Dental Society of Anesthsiology (대한치과마취과학회)
권호 표지
DOI QR코드

DOI QR Code

The combined effect of extraoral vibratory stimulus and external cooling on pain perception during intra-oral local anesthesia administration in children: a systematic review and meta-analysis

  • Received : 2021.12.30
  • Accepted : 2022.02.22
  • Published : 2022.04.01
Download PDF
⟨ Previous Next ⟩

Abstract

This study aimed to assess the combined use of extraoral vibratory stimulation and extraoral cooling in reducing the pain (subjective and objective) of dental local anesthesia administration in children. PubMed, Cochrane Central Register of Controlled Trials, and Ovid SP databases were searched up to July 2021. Article titles were screened and full-text evaluations of the selected articles were performed. Finally, seven studies (391 children, aged 4 - 12 years) were included in this qualitative and quantitative analysis. The pooled data determined the combined effect of extraoral vibration and extraoral cooling as a single measure. Extraoral vibration or cooling alone were not compared. The measured primary and secondary outcomes were pain perception and subjective and objective pain, respectively. When compared with the control, extraoral vibration and cooling resulted in significant differences in the mean combined data for the variables, pain perception, and pain reaction. Children's subjective pain as measured by pain scores were reduced when extraoral vibration and cooling was used during local anesthesia administration (mean difference -3.52; 95% confidence interval [-5.06 - 1.98]) and objective pain (mean difference -1.46; 95% confidence interval [-2.95 - 0.02] ; mean difference -1.93; 95% confidence interval [-3.72 - 0.14]). Within the confines of this systematic review, there is low-quality evidence to support the use of combined extraoral vibration and cooling for reducing pain (subjective and objective) during intraoral local anesthesia administration in children.

Keywords

References

  1. Orenius T, LicPsych, Saila H, Mikola K, Ristolainen L. Fear of injections and needle phobia among children and adolescents: an overview of psychological, behavioral, and contextual factors. SAGE Open Nurs 2018; 4: 2377960818759442.
  2. Lee HS. Recent advances in topical anesthesia. J Dent Anesth Pain Med 2016; 16: 237-44. https://doi.org/10.17245/jdapm.2016.16.4.237
  3. Peretz B, Gluck GM. Assessing an active distracting technique for local anesthetic injection in pediatric dental patients: repeated deep breathing and blowing out air. J Clin Pediatr Dent 1999; 24: 5-8.
  4. Kamath PS. A novel distraction technique for pain management during local anesthesia administration in pediatric patients. J Clin Pediatr Dent 2013; 38: 45-7. https://doi.org/10.17796/jcpd.38.1.265807t236570hx7
  5. Tirupathi S, Krishna N, Rajasekhar S, Nuvvula S. Eye movement distraction: a new distraction technique for management of dental anxiety during intraoral local anesthesia administration in children. Int J Clin Pediatr Dent 2019; 12: 507-9. https://doi.org/10.5005/jp-journals-10005-1690
  6. Custodio NB, Costa FDS, Cademartori MG, da Costa VPP, Goettems ML. Effectiveness of virtual reality glasses as a distraction for children during dental care. Pediatr Dent 2020; 42: 93-102.
  7. Monteiro J, Tanday A, Ashley PF, Parekh S, Alamri H. Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental treatment. Cochrane Database Syst Rev 2020; 2: Cd011024.
  8. Tirupathi SP, Rajasekhar S. Effect of precooling on pain during local anesthesia administration in children: a systematic review. J Dent Anesth Pain Med 2020; 20: 119-27. https://doi.org/10.17245/jdapm.2020.20.3.119
  9. Tirupathi SP, Rajasekhar S. Effect of warming local anesthesia solutions before intraoral administration in dentistry: a systematic review. J Dent Anesth Pain Med 2020; 20: 187-94. https://doi.org/10.17245/jdapm.2020.20.4.187
  10. Tirupathi SP, Rajasekhar S. Buffered versus unbuffered local anesthesia for inferior alveolar nerve block injections in children: a systematic review. J Dent Anesth Pain Med 2020; 20: 271-9. https://doi.org/10.17245/jdapm.2020.20.5.271
  11. 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
  12. Tirupathi SP, Rajasekhar S. The effect of vibratory stimulus on pain perception during intraoral local anesthesia administration in children: a systematic review and meta-analysis. J Dent Anesth Pain Med 2020; 20: 357-65. https://doi.org/10.17245/jdapm.2020.20.6.357
  13. Bagherian A, Sheikhfathollahi M. Children's behavioral pain reactions during local anesthetic injection using cotton-roll vibration method compared with routine topical anesthesia: a randomized controlled trial. Dent Res J 2016; 13: 272-7. https://doi.org/10.4103/1735-3327.182189
  14. Shahidi Bonjar AH. Syringe micro vibrator [SMV]. a new device being introduced in dentistry to alleviate pain and anxiety of intraoral injections, and a comparative study with a similar device. Ann Surg Innov Res 2011; 5: 1. https://doi.org/10.1186/1750-1164-5-1
  15. Ching D, Finkelman M, Loo CY. Effect of the DentalVibe injection system on pain during local anesthesia injections in adolescent patients. Pediatr Dent 2014; 36: 51-5.
  16. de Camargo Smolarek P, da Silva LS, Martins PRD, da Cruz Hartman K, Bortoluzzi MC, Chibinski ACR. The influence of distinct techniques of local dental anesthesia in 9- to 12-year-old children: randomized clinical trial on pain and anxiety. Clin Oral Investig 2021; 25: 3831-43. https://doi.org/10.1007/s00784-020-03713-7
  17. DiFelice MG, Vandewalle KS, Maller SC, Hancock RH. Effects of a vibratory device on pain from anesthetic injections. Compend Contin Educ Dent 2014; 35: 246, 8, 50-1 passim.
  18. Elbay M, Sermet Elbay u, Yildirim S, Ugurluel C, Kaya C, Baydemir C. Comparison of injection pain caused by the DentalVibe Injection System versus a traditional syringe for inferior alveolar nerve block anaesthesia in paediatric patients. Eur J Paediatr Dent 2015; 16: 123-8.
  19. Erdogan O, Sinsawat A, Pawa S, Rintanalert D, Vuddhakanok S. Utility of vibratory stimulation for reducing intraoral injection pain. Anesth Prog 2018; 65: 95-9. https://doi.org/10.2344/anpr-65-02-01
  20. Felemban O, Oghli AR, Alsaati I, Alattas LK, Olwi AM, Bagher SM. The effect of DentalVibe on pain and discomfort during local anesthesia in children: a randomized clinical trial. Quintessence Int 2021; 434-43.
  21. Hassanein PH, Khalil A, Talaat DM. Pain assessment during mandibular nerve block injection with the aid of dental vibe tool in pediatric dental patients: a randomized clinical trial. Quintessence Int 2020; 51: 310-7.
  22. Menni AC, Radhakrishna AN, Prasad MG. DentalVibeⓇ versus lignocaine hydrochloride 2% gel in pain reduction during inferior alveolar nerve block in children. J Dent Anesth Pain Med 2020; 20: 397-402. https://doi.org/10.17245/jdapm.2020.20.6.397
  23. Nasehi A, Bhardwaj S, Kamath AT, Gadicherla S, Pentapati KC. Clinical pain evaluation with intraoral vibration device during local anesthetic injections. J Clin Exp Dent 2015; 7: e23-7.
  24. Raslan N, Masri R. A randomized clinical trial to compare pain levels during three types of oral anesthetic injections and the effect of DentalvibeⓇ. on injection pain in children. Int J Paediatr Dent 2018; 28: 102-10. https://doi.org/10.1111/ipd.12313
  25. Salma RG, Alsayeh A, Maneea AB, Alrassan F, Almarshad A. The effectiveness of electronic pulsed soft tissue vibration compared with topical anaesthesia in reducing the pain of injection of local anaesthetics in adults: a randomized controlled split-mouth clinical trial. Int J Oral Maxillofac Surg 2021; 50: 407-15. https://doi.org/10.1016/j.ijom.2020.07.010
  26. Shaefer JR, Lee SJ, Anderson NK. A vibration device to control injection discomfort. Compend Contin Educ Dent 2017; 38: e5-8.
  27. Shilpapriya M, Jayanthi M, Reddy VN, Sakthivel R, Selvaraju G, Vijayakumar P. Effectiveness of new vibration delivery system on pain associated with injection of local anesthesia in children. J Indian Soc Pedod Prev Dent 2015; 33: 173-6. https://doi.org/10.4103/0970-4388.160343
  28. Tandon S, Kalia G, Sharma M, Mathur R, Rathore K, Gandhi M. Comparative Evaluation of Mucosal Vibrator with topical anesthetic gel to reduce pain during administration of local anesthesia in pediatric patients: an in vivo study. Int J Clin Pediatr Dent 2018; 11: 261-5. https://doi.org/10.5005/jp-journals-10005-1523
  29. Tung J, Carillo C, Udin R, Wilson M, Tanbonliong T. Clinical performance of the dentalVibeⓇ injection system on pain perception during local anesthesia in children. J Dent Child 2018; 85: 51-7.
  30. Veneva E, Cholakova R, Raycheva R, Belcheva A. Efficacy of vibrotactile device DentalVibe in reducing injection pain and anxiety during local anaesthesia in paediatric dental patients: a study protocol for a randomised controlled clinical trial. BMJ Open 2019; 9: e029460. https://doi.org/10.1136/bmjopen-2019-029460
  31. AlHareky M, AlHumaid J, Bedi S, El Tantawi M, AlGahtani M, AlYousef Y. Effect of a vibration system on pain reduction during injection of dental anesthesia in children: randomized clinical trial. Int J Dent 2021; 2021: 8896408.
  32. Bilsin E, Gungormus Z, Gungormus M. The Efficacy of External cooling and 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
  33. Hegde KM, R N, Srinivasan I, D R MK, Melwani A, Radhakrishna S. Effect of vibration during local anesthesia administration on pain, anxiety, and behavior of pediatric patients aged 6-11 years: a crossover split-mouth study. J Dent Anesth Pain Med 2019; 19: 143-9. https://doi.org/10.17245/jdapm.2019.19.3.143
  34. Sahithi V, Saikiran KV, Nunna M, Elicherla SR, Challa RR, Nuvvula S. Comparative evaluation of efficacy of external vibrating device and counterstimulation on child's dental anxiety and pain perception during local anesthetic administration: a clinical trial. J Dent Anesth Pain Med 2021; 21: 345-55. https://doi.org/10.17245/jdapm.2021.21.4.345
  35. Subramaniam P, Ghai SK. Efficacy of an innovative device in reducing discomfort during local anesthesia administration in children: a clinical study. Int J Clin Pediatr Dent 2021; 14: 353-6. https://doi.org/10.5005/jp-journals-10005-1948
  36. Suohu T, Sharma S, Marwah N, Mishra P. A comparative evaluation of pain perception and comfort of a patient using conventional syringe and buzzy system. Int J Clin Pediatr Dent 2020; 13: 27-30. https://doi.org/10.5005/jp-journals-10005-1731
  37. Alanazi KJ, Pani S, AlGhanim N. Efficacy of external cold and a vibrating device in reducing discomfort of dental injections in children: a split mouth randomised crossover study. Eur Arch Paediatr Dent 2019; 20: 79-84. https://doi.org/10.1007/s40368-018-0399-8