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https://doi.org/10.15644/asc48/3/3

Use of Pre-Injection Diffusion of Local Anaesthetic as a Means of Reducing Needle Penetration Discomfort

Ozgur Onder Kuscu ; Zavod za pedodonciju, Stomatološkog fakulteta Sveučilišta Yeditepe, Istanbul, Turska; Privatna praksa, Istanbul, Turska
Nuket Sandalli ; Zavod za pedodonciju, Stomatološkog fakulteta Sveučilišta Yeditepe, Istanbul, Turska
Esber Caglar ; Zavod za pedodonciju, Stomatološkog fakulteta Sveučilišta Yeditepe, Istanbul, Turska; Privatna praksa, Istanbul, Turska
John G. Meechan ; Stomatološki fakultet Sveučilišta Newcastle, Newcastle na Tynei, Velika Britanija


Puni tekst: hrvatski pdf 339 Kb

str. 193-198

preuzimanja: 965

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Puni tekst: engleski pdf 339 Kb

str. 193-198

preuzimanja: 472

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Sažetak

Aim: To determine if pre-injection diffusion of local anaesthetic solution influences the discomfort of needle penetration in the palate. Methods: A placebo-controlled, randomised, doubleblind split-mouth investigation was conducted. 25 healthy adult volunteers were recruited and each received two needle penetrations in a random order during one visit. The penetration sites were 1 cm from the gingival margin of the first maxillary premolars on each side of the mouth. 30 gauge-13 mm needles which were attached to syringes that contained either 2% lidocaine with 0.125mg/ml epinephrine or physiological saline were used. For each penetration an operator encouraged a drop of solution to appear at the end of the needle and placed this drop with the bevel of the needle flat on the palate for 20 seconds. The discomfort was noted on a 100 mm visual analogue scale with end points marked “No pain” and “Unbearable pain”. Results: There was no significant difference in penetration discomfort between solutions, (mean VAS = 26.80±19.36mm for lidocaine and 26.20±18.39mm for saline) however the 2nd penetration was significantly more uncomfortable than the first (mean VAS = 31.00±19.84 mm and 22.00±16.65 mm respectively). Conclusion: Pre-injection diffusion of local anaesthetic solution did not influence the discomfort of needle penetration in the palate.

Ključne riječi

Anesthesia, Dental, Needles, Pain, Anesthetics, Local

Hrčak ID:

127319

URI

https://hrcak.srce.hr/127319

Podaci na drugim jezicima: hrvatski

Posjeta: 2.149 *