Does computerized anaesthesia reduce pain during local anaesthesia in paediatric patients for dental treatment? A systematic review and meta‐analysis

Abstract

This systematic review and meta‐analysis analysed whether pain and disruptive behaviour can be decreased by the use of computerized local dental anaesthesia (CDLA) in children. The literature was screened to select randomized clinical trials that compared computerized and conventional anaesthesia. The primary outcome was pain perception during anaesthesia; the secondary, disruptive behaviour. The risk of bias of individual papers and the quality of the evidence were evaluated. After search, 8389 records were found and 20 studies remained for the qualitative and quantitative syntheses. High heterogeneity was detected for both outcomes. For the pain perception, the overall analysis showed a standard mean difference of −0.78 (−1.31, −0.25) favouring CDLA; however, when only studies at low risk of bias were analysed (subgroup analysis), there was no difference between the two techniques [−0.12(−0.46, 0.22)]. For disruptive behaviour, no differences were detected for continuous [−0.26 (−0.68, 0.16)] or dichotomous data [0.81 (0.62, 1.06)]. The quality of evidence was judged as low for pain perception and very low for disruptive behaviour. It is concluded that there is no difference in the pain perception and disruptive behaviour in children subjected to computerized or conventional dental local anaesthesia. Notwithstanding, the quality of the available evidence is low.

The Effect of Breathing Exercise Using Bubble Blower on Anxiety and Pain during Inferior Alveolar Nerve Block in Children Aged 7 to 10 Years: A Crossover Randomized Clinical Trial

“…(1) Healthy children aged 7-to 10-year-old with moderate to severe anxiety (score 3 to 5 of FIS) (2) Requiring bilateral pulp therapy of primary mandibular molars (3) No allergy to anesthetic drugs (4) Incapability of communication in Farsi (5) Not seeking emergency cares (6) No major psychological disorders or learning disability or parental anxiety 2.1.2. Exclusion Criteria.…”

“…Single buccal infiltration, Wand computerized delivery system, and intraosseous anesthesia systems have been introduced as alternatives for IANB. The new techniques seek expensive equipment without any enhanced efficacy compared to traditional techniques [ 6 ]. Buccal infiltration for mandibular primary molars is not an effective anesthetic technique for invasive procedures like pulp therapy or extraction [ 7 ].…”

Çocuk Hastalarda Lokal Anestezi̇ Uygulamasinda Kullanilan Güncel Tekni̇kler

“…2020 yılında Smolarek ve ark. 'ın 25 yayınladığı bilgisayar destekli lokal anestezi sistemlerinin enjeksiyon esnasındaki ağrı duyusunu geleneksel yöntemlere göre azaltıp azaltmadığını araştıran sistematik derlemeye göre; bulunan 8389 kayıttan kriterlere uygun bulunan 20 makalede geleneksel yöntemler ile bilgisayar destekli lokal anestezi sistemleri arasında anlamlı bir fark bulunamamıştır.…”

Time to complain about pain: Children's self‐reported procedural pain in a randomised control trial of Hall and conventional stainless steel crown techniques

“…6,7 Although 'painless dentistry' through delivery of LA is theoretically possible, intra-oral LA injections themselves may cause pain and distress. Research in different LA delivery systems has not found a technique that reliably improves children's self-reported injection pain, 8 or acceptance of LA, 9 and some have found that the LA injection itself was the main source of children's selfreported pain. 10 Thus, children's procedural dental pain merits attention, and alternative, less invasive methods of dental treatment for children may be beneficial.…”