External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial
Purpose: A way to reduce the pain of injection is applying of external cold or vibrations with BUZZY, along with spinal cord gate control systems. We aimed to evaluate the effectiveness of this method in reducing children’s pain and anxiety during infiltrative anesthesia. Subjects and Methods: This...
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Istanbul University
2025-01-01
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| Series: | European Oral Research |
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| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/FFB33E6087234EF4A886F25F23F32C32 |
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| author | Reyhaneh Faghihian Mohammad Moin Tofighi Sanaz Ziaei Sayed Lotfollah Afzali |
| author_facet | Reyhaneh Faghihian Mohammad Moin Tofighi Sanaz Ziaei Sayed Lotfollah Afzali |
| author_sort | Reyhaneh Faghihian |
| collection | DOAJ |
| description | Purpose: A way to reduce the pain of injection is applying of external cold or vibrations with BUZZY, along with spinal cord gate control systems. We aimed to evaluate the effectiveness of this method in reducing children’s pain and anxiety during infiltrative anesthesia. Subjects and Methods: This was a double-blinded, randomized, split-mouth, controlled, trial. Thirty 6 to 12-year-old children with decayed first permanent molar tooth on both sides of their maxilla were enrolled. Each side of the children's mouths was randomly allocated to either BUZZY or topical anesthetic gel prior to infiltrative anesthesia. Pain and anxiety during infiltrative anesthesia were measured with the Baker-Wong (BWS), FLACC (Face, Leg, Activity, Cry, Consolability), and heart rate (HR) scales. Results: A generalized estimating equation (GEE) adjusted for age and baseline HR, indicated, significantly-lower intra-procedural HRs associated with BUZZY (aOR [95%CI]: 0.02 [0.00, 0.91], p=0.04). GEEs adjusted for age revealed the BWS (aOR [95%CI]: 0.59 [0.30, 1.14], p=0.12) and FLACC (aOR [95%CI]: 0.82 [0.62, 1.09], p=0.17) scores to be comparable between the study arms. Conclusion: Our study failed to demonstrate the superiority of BUZZY over anesthetic gels regarding WBS and FLACC measures of pain and anxiety, but demonstrated a decrease in HR associated with BUZZY. |
| format | Article |
| id | doaj-art-9d404a40b51c4419bf99c0faec56bed7 |
| institution | OA Journals |
| issn | 2651-2823 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Istanbul University |
| record_format | Article |
| series | European Oral Research |
| spelling | doaj-art-9d404a40b51c4419bf99c0faec56bed72025-08-20T02:11:08ZengIstanbul UniversityEuropean Oral Research2651-28232025-01-0159171110.26650/eor.20241409206123456External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trialReyhaneh Faghihian0https://orcid.org/0000-0002-5115-6940Mohammad Moin Tofighi1https://orcid.org/0000-0001-9957-8627Sanaz Ziaei2https://orcid.org/0000-0003-3345-0676Sayed Lotfollah Afzali3https://orcid.org/0000-0002-4444-5760Isfahan University of Medical Sciences, Isfahan, IranIsfahan University of Medical Sciences, Isfahan, IranIsfahan University of Medical Sciences, Isfahan, IranShahrekord University of Medical Sciences, Shahrekord, IranPurpose: A way to reduce the pain of injection is applying of external cold or vibrations with BUZZY, along with spinal cord gate control systems. We aimed to evaluate the effectiveness of this method in reducing children’s pain and anxiety during infiltrative anesthesia. Subjects and Methods: This was a double-blinded, randomized, split-mouth, controlled, trial. Thirty 6 to 12-year-old children with decayed first permanent molar tooth on both sides of their maxilla were enrolled. Each side of the children's mouths was randomly allocated to either BUZZY or topical anesthetic gel prior to infiltrative anesthesia. Pain and anxiety during infiltrative anesthesia were measured with the Baker-Wong (BWS), FLACC (Face, Leg, Activity, Cry, Consolability), and heart rate (HR) scales. Results: A generalized estimating equation (GEE) adjusted for age and baseline HR, indicated, significantly-lower intra-procedural HRs associated with BUZZY (aOR [95%CI]: 0.02 [0.00, 0.91], p=0.04). GEEs adjusted for age revealed the BWS (aOR [95%CI]: 0.59 [0.30, 1.14], p=0.12) and FLACC (aOR [95%CI]: 0.82 [0.62, 1.09], p=0.17) scores to be comparable between the study arms. Conclusion: Our study failed to demonstrate the superiority of BUZZY over anesthetic gels regarding WBS and FLACC measures of pain and anxiety, but demonstrated a decrease in HR associated with BUZZY.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/FFB33E6087234EF4A886F25F23F32C32pediatric dentistrydental anxietybehavioral controlpainvibration |
| spellingShingle | Reyhaneh Faghihian Mohammad Moin Tofighi Sanaz Ziaei Sayed Lotfollah Afzali External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial European Oral Research pediatric dentistry dental anxiety behavioral control pain vibration |
| title | External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial |
| title_full | External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial |
| title_fullStr | External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial |
| title_full_unstemmed | External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial |
| title_short | External cold and vibration with BUZZY versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry: a double-blinded, split-mouth, randomized, controlled trial |
| title_sort | external cold and vibration with buzzy versus topical anesthetic gel for pain and anxiety associated with infiltrative anesthesia in pediatric dentistry a double blinded split mouth randomized controlled trial |
| topic | pediatric dentistry dental anxiety behavioral control pain vibration |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/FFB33E6087234EF4A886F25F23F32C32 |
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