Computer-controlled delivery versus syringe delivery of local anesthetic injections for therapeutic scaling and root planing

Loomer, Peter M.; Perry, Dorothy A.

doi:10.14219/jada.archive.2004.0188

Cited by 36 publications

(62 citation statements)

References 10 publications

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“…Another study using the VRS (verbal rating scale) compared computer-controlled and conventional local anesthesia delivery systems for performing scaling and root planing on patients with moderate periodontal disease; AMSA injections with the Wand were considered less painful than the conventional syringe17. Two further benefits of the AMSA injection technique are that it also eliminates the potential for an intravascular injection because no major vessels are encountered in this region of the palate5, and the palatal bone is porous enough to permit the anesthetic solution to diffuse through the tissues and anesthetize both the anterior and middle branches of the superior alveolar nerve when the injection is deliberately slow and steady.…”

Section: Discussionmentioning

confidence: 99%

“…Wand research is largely attributable to pediatric dentistry1,2,9, restorative dentistry7, endodontics14, periodontology17,26,27, maxillofacial surgery16, comparison of pain perception to the Wand and a traditional syringe21,28, influence of anesthetic flow rate delivered by the Wand on pain response to the palatal injection23. There is limited research about the prosthetic dentistry-Wand combination in the literature.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, the study compared pain levels at needle insertion, during delivery of local anesthetic solution and during tooth preparation, for the conventional syringe technique on the buccal or labial aspect on one side, and the AMSA technique with Wand local anesthesia application on the other side of the maxilla. A 5-point verbal pain rating scale (VRS)12,17 was used on 16 patients who were under prosthodontic treatment in the Ondokuz Mayis University clinic.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of the pain levels of computer-controlled and conventional anesthesia techniques in prosthodontic treatment

Yenişey

2009

J. Appl. Oral Sci.

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Objective:The objective of this study was to compare the pain levels on opposite sides of the maxilla at needle insertion during delivery of local anesthetic solution and tooth preparation for both conventional and anterior middle superior alveolar (AMSA) technique with the Wand computer-controlled local anesthesia application.Material and methods:Pain scores of 16 patients were evaluated with a 5-point verbal rating scale (VRS) and data were analyzed nonparametrically. Pain differences at needle insertion, during delivery of local anesthetic, and at tooth preparation, for conventional versus the Wand technique, were analyzed using the Mann-Whitney U test (p=0.01).Results:The Wand technique had a lower pain level compared to conventional injection for needle insertion (p<0.01). In the anesthetic delivery phase, pain level for the Wand technique was lower (p<0.01). However, there was no difference between the Wand and conventional technique for pain level during tooth preparation (p>0.05).Conclusions;The AMSA technique using the Wand is recommended for prosthodontic treatment because it reduces pain during needle insertion and during delivery of local anaesthetic. However, these two techniques have the same pain levels for tooth preparation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of the pain levels of computer-controlled and conventional anesthesia techniques in prosthodontic treatment

Yenişey

2009

J. Appl. Oral Sci.

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“…Both were well tolerated by the patients (36). Computer-controlled and conventional delivery techniques have been shown to be comparably effective for mandibular anesthesia in adults (18,37).…”

Section: Discomfort and Injection Speedmentioning

confidence: 96%

Speed of Injection Influences Efficacy of Inferior Alveolar Nerve Blocks: A Double-Blind Randomized Controlled Trial in Volunteers

Kanaa

Meechan

Corbett

et al. 2006

Journal of Endodontics

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“…The increased comfort and better patient's acceptance during STA have been extensively documented on pediatric dentistry research (11)(12)(13)(14)(15). Several comparative studies between CLA and conventional injections have been conducted also in periodontology, endodontics, prosthetics, maxillofacial surgery and restorative dentistry (15)(16)(17)(18)(19). To the best of our knowledge, effectiveness and potential advantages of STA on dental implant surgery have not been investigated so far.…”

Section: Effectiveness Of Computer-assisted Anesthetic Delivery Systementioning

confidence: 99%

Effectiveness of Computer-Assisted Anesthetic Delivery System (Sta�) in Dental Implant Surgery: A Prospective Study

Grassi

Rapone

Catanzaro³

et al. 2017

ORL

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SUMMARYObjectives. This prospective cohort study aimed to investigate effectiveness of Computerized Local Anesthesia (CLA) on oral implantology through estimation of pain and discomfort and total quantity of injected anesthetic. Methods. Forty-five consecutive patients whose treatment plan included immediate or late dental implants were included in this study. The main inclusion criteria comprised: previous implant intervention under conventional anesthesia (CA) during the past 3 years and no previous treatment of pain relief. All patients reported on a 0-10 scale on previous experience with CA, and new experience with CLA. The same CLA system, namely Single Tooth Anesthesia (STA) was used for all patients with half of the quantity normally used for CA. Data on quantity of anesthetic and reported ratings were collected and described. Potential associations and determinant variables were analysed through correlation analysis and regression models. Results. Out of 45 patients, 27 received post-extractive implant surgery whereas the rest 18 implant surgery on healed sites. The reported pain from STA (mean 1.6, SD 0.7) showed important difference as compared to CA (7.9, SD 1.2; z=5.873; p<0.0001). The comfort perceived during the STA ranged from 7 to 10 (mean 9.5, SD 0.79). A second injection with half of the initial dose was necessary in three cases only. Conclusions. STA system proved to be effective during interventions of dental implantology, by markedly reducing patients' pain and discomfort and the total quantity of necessary anesthetic.

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Computer-controlled delivery versus syringe delivery of local anesthetic injections for therapeutic scaling and root planing

Cited by 36 publications

References 10 publications

Comparison of the pain levels of computer-controlled and conventional anesthesia techniques in prosthodontic treatment

Comparison of the pain levels of computer-controlled and conventional anesthesia techniques in prosthodontic treatment

Speed of Injection Influences Efficacy of Inferior Alveolar Nerve Blocks: A Double-Blind Randomized Controlled Trial in Volunteers

Effectiveness of Computer-Assisted Anesthetic Delivery System (Sta�) in Dental Implant Surgery: A Prospective Study

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