Papillon-Lefevre Syndrome (PLS) is a autosomal recessive genetic disorder. The prevalence of this disorder has been reported to be 1 to 4 per million in the general population. The prime features of PLS include palmar-plantar hyperkeratosis along with premature loss of deciduous and permanent teeth due to aggressive periodontitis. Radiological feature involves severe destruction of alveolar bone giving teeth a typical “floating in air” appearance along with intra-cranial calcifications. Clinical findings of disease specific dermatologic manifestations and periodontal involvement forms the framework of the diagnosis. Clinical significance: As PLS involves severe irreparable destruction of alveolar bone and tooth loss, both dental clinicians and dermatologists opinion is required for both initial and long term management of this disease followed by psychological counselling.
Background:
Computer-controlled local anesthetic delivery (CCLAD) is an approach that uses a constant and slow flow of delivering the anesthetic solution into the tissues, which is capable of alleviating pain and discomfort in children.
Aim:
Assessment of perceived pain in children during palatal anesthesia using Wand technique and conventional technique.
Materials and Methods:
A total of 30 children requiring bilateral palatal anesthesia were included in the study in a split-half design. The children were asked to indicate their intensity of pain response on a visual analog scale (VAS) after administration of anesthesia by the Wand technique and the conventional technique.
Statistical Analysis:
The data were analyzed using Statistical Package for the Social Sciences (SPSS) 16.0. Mann–Whitney
U
test compared the mean VAS scores between the two groups. Statistical significance was defined as a
P
value of less than 0.05.
Results:
The mean VAS scores using the Wand technique and the conventional technique were 3.87 ± 1.99 and 4.20 ± 1.44, respectively (
P
= 0.332). Females had lesser VAS scores compared to males (
P
= 0.008).
Conclusion:
Females readily accepted the Wand technique compared to males, although there was no substantial difference between the two injection procedures.
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