A clinical comparison of pain perception to the Wand and a traditional syringe

Saloum, F S; Baumgartner, J. Craig; Marshall, Gordon; Tinkle, James S.

doi:10.1067/moe.2000.106333

Cited by 54 publications

(48 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…According to previous reports, the Wand system generally seemed to result in less painful injections compared to a conventional syringe. [10][11][12] The Wand provides comfortable anaesthesia for patients and can be a good alternative to conventional manual syringe injection. 26 However, discrepancies exist concerning the effectiveness of the Wand technique.…”

Section: Discussionmentioning

confidence: 99%

“…12 Since the Wand handpiece is held in a pen grasp, it can be rotated continuously during needle insertion. By rotating the needle 180° right-left between the thumb and forefi nger, the bi-directional rotation of the needle and the controlled slow anaesthesia deposition rate would reduce the sensation of needle insertion.…”

Section: Discussionmentioning

confidence: 99%

“…10 Some studies showed a reduction in the pain of injection when using the Wand compared to conventional injection. 11,12 However, another study showed no advantages of using a computerised injection unit and that conventional methods of anaesthetic delivery, when well performed, were superior. 13 The differences between these results may be related to several factors, such as the patients' anxiety levels, injection technique, and tactile skill in syringe injections.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pain perception during inferior alveolar injection administered with the Wand or conventional syringe

2008

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pain perception during inferior alveolar injection administered with the Wand or conventional syringe

2008

View full text Add to dashboard Cite

“…The majority of the literature on the Wand has dealt with the pain of injection with the Wand compared to that of standard injections using a syringe. [19][20][21][22][23][24][25][26][27][28][29][30][31][32][33] In general, the results have been favorable 18,[23][24][25][26][27][28][29][30]32,33 with the Wand, with 2 studies showing no difference 20,21,31 and 1 study showing higher pain ratings 22 with the Wand. However, the system does not produce a painless injection.…”

Section: Discussionmentioning

confidence: 99%

“…However, the system does not produce a painless injection. 17,[20][21][22][23][24][25][26][27][28][29][30][31][32][33] Further research needs to address ways to reduce pain during anesthetic solution deposition.…”

Section: Discussionmentioning

confidence: 99%

The Effects of a 2-Stage Injection Technique on Inferior Alveolar Nerve Block Injection Pain

Nusstein¹,

Steinkruger²,

Reader³

et al. 2006

Anesthesia Progress

View full text Add to dashboard Cite

The purpose of this prospective, randomized, single-blinded, crossover study was to compare the pain of a traditional 1-stage inferior alveolar nerve (IAN) block injection to a 2-stage IAN block technique. Using a crossover design, 51 subjects randomly received, in a single-blinded manner, either the traditional IAN block or the 2-stage IAN block in 2 appointments spaced at least 1 week apart. For the 2-stage injection, the needle was inserted submucosally and 0.4 mL of 2% lidocaine with epinephrine was slowly given over 1 minute. After 5 minutes, the needle was reinserted and advanced to the target site (needle placement), and 1.8 mL of 2% lidocaine with epinephrine was deposited. For the traditional IAN block, following needle penetration, the needle was advanced while depositing 0.4 mL of 2% lidocaine with epinephrine (needle placement) and then 1.8 mL of 2% lidocaine with epinephrine was deposited at the target site. A Heft-Parker visual analogue scale was used to measure the pain of needle insertion, needle placement, and anesthetic solution deposition. There were no significant differences, as analyzed by Wilcoxon matchedpairs signed-ranks test, between needle insertion and solution deposition for the 2 techniques in men or women. However, there was significantly less pain with the 2-stage injection for needle placement in women. In conclusion, the 2-stage injection significantly reduced the pain of needle placement for women when compared to the traditional IAN technique.Key Words: Injection pain; Inferior alveolar nerve block; Lidocaine.T he injection of anesthetic solution for the inferior alveolar nerve (IAN) block has 3 phases: initial needle insertion through the alveolar mucosa, needle placement to the target site, and deposition of the anesthetic solution at the target site.The inferior alveolar nerve block has been associated with pain and discomfort. For the needle insertion phase, Nusstein and Beck, 1 in a retrospective study of 1635 IAN blocks, reported an incidence of moderate to severe pain ranging from 14 to 22%. For the deposition of the anesthetic solution at the target site, various authors 2-5 have reported that the incidence of moderate to severe pain ranged from 20 to 40%. Therefore, it would be advantageous to decrease the pain of the inferior alveolar nerve block.The 2-stage injection has been suggested by Walton and Torabinejad 6 and Levine 7 as a way to decrease the pain of injection. This method involves initial placement of anesthetic solution just under the mucosal surface. After a wait of several minutes for regional numbness, the injection is resumed and the remaining anesthetic solution is deposited at the target site. No clinical studies have addressed the 2-stage injection technique to reduce the pain of injection.The purpose of this prospective, randomized, singleblinded, crossover study was to compare the pain of a conventional inferior alveolar nerve block injection to that of a 2-stage inferior alveolar nerve block technique.

show abstract

Digital Applications in Endodontics

Fouad

2015

Clinical Applications of Digital Dental Technology

View full text Add to dashboard Cite

A clinical comparison of pain perception to the Wand and a traditional syringe

Cited by 54 publications

References 2 publications

Pain perception during inferior alveolar injection administered with the Wand or conventional syringe

Pain perception during inferior alveolar injection administered with the Wand or conventional syringe

The Effects of a 2-Stage Injection Technique on Inferior Alveolar Nerve Block Injection Pain

Digital Applications in Endodontics

Contact Info

Product

Resources

About