Pain perception in children during caries removal with the Vector® system: a pilot study

Chomyszyn‐Gajewska, Maria; Kwapińska, H; Zarzecka, Joanna

doi:10.1007/bf03320813

Cited by 9 publications

(14 citation statements)

References 11 publications

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“…Chomyszyn‐Gajewska et al. found that 70% of children aged 7–11 experienced pain when undergoing caries excavation, and that girls reported more pain than boys 29 . By contrast, Jones et al.…”

Section: Discussionmentioning

confidence: 99%

“…Other highly ranked items on CFSS-DS include anxiety of choking and drilling 28 . Chomyszyn-Gajewska et al found that 70% of children aged 7-11 experienced pain when undergoing caries excavation, and that girls reported more pain than boys 29 . By contrast, Jones et al 30 did not find any differences between the genders when injection associated pain was recorded and evaluated in routine dental treatments.…”

Section: Totalmentioning

confidence: 99%

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Everyday‐ and dental‐pain experiences in healthy Swedish 8–19 year olds: an epidemiological study

Krekmanova

Bergius

Robertson

et al. 2009

Int J Paed Dentistry

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Section: Discussionmentioning

confidence: 99%

Section: Totalmentioning

confidence: 99%

Everyday‐ and dental‐pain experiences in healthy Swedish 8–19 year olds: an epidemiological study

Krekmanova

Bergius

Robertson

et al. 2009

Int J Paed Dentistry

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“…Only two controlled clinical trials were identified and included in the review. 41 43 Agreement of selection and quality appraisal procedures between the reviewers was almost perfect (κ >0.94).…”

Section: Resultsmentioning

confidence: 92%

Sonic and ultrasonic oscillating devices for the management of pain and dental fear in children or adolescents that require caries removal: a systematic review

et al. 2018

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ObjectivesTo evaluate the effectiveness and degree of acceptance by children and adolescents of the use of oscillating tips compared with rotating drills.DesignSystematic review.Data sourcesPubMed, the Cochrane Central Register of Controlled Trials (CENTRAL), the Cochrane Library and Web of Science (October 2017).Eligibility criteriaControlled randomised or non-randomised trials that evaluated sonic and ultrasonic oscillating devices versus rotating drill.Data extractionEligible studies were selected and data extracted independently by two reviewers. Risk of bias was assessed using the Cochrane Method.ResultsTwo controlled clinical trials comprising 123 children aged 2–12 years old were identified. Both trials were at high risk of selection bias and unclear risk of detection bias. In one trial, pain due to the use of oscillating drill resulted lower than employing rotating drill (Verbal Hochman Scale: RR 0.64 (95% CI 0.41 to 1.00); Visual Facial Expression Scale: RR 0.64 (95% CI 0.44 to 0.94)). In another study, compared with traditional drill ultrasonic tip was associated with a lower level of patient’s discomfort (RR 0.40 (95% CI 0.20 to 0.79)) but not with dental anxiety (RR 1.29 (95% CI 0.97 to 1.71)). The effectiveness of the removal of caries as well as fillings durability were only considered in one study, but no statistically significant differences were found between the two interventions.ConclusionsThe evidence based on two low-quality studies was insufficient to conclude that the use of oscillating tips for the management of pain and dental fear in children or adolescents compared with rotating drills was more effective.

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“…Chomyszyn Gajewska et al 17 made a comparison between the Vector system (Duerr Dental, Bietigheim-Bissingen, Germany) and the conventional caries removal method considering pain perception and the period of time needed. That study was conducted on 30 children and found that the Vector system had a minimum effect on pain perception, while it required a significantly longer administration time.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Er:YAG lasers on pain perception in pediatric patients during caries removal: a split-mouth study

Korkut¹,

Gezgin²,

Özer³

et al. 2017

Acta Odontologica Turcica

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OBJECTIVE: Fear and anxiety is a major problem in the treatment of pediatric patients. The pain that occurs during the use of caries removal instruments has a strong potential of triggering dental anxiety and fear in most children and adults. This study aimed to evaluate and compare the pain perceptions of children who underwent caries removal via an Er:YAG laser and traditional rotary instruments. MATERIALS AND METHOD: Occlusal caries was removed from the permanent molar teeth of 120 pediatric patients who referred to the Department of Pediatric Dentistry, Faculty of Dentistry, Necmettin Erbakan University, using an Er:YAG laser and high-and low-speed rotary instruments. All restorative procedures were performed by one clinician. The participant children were asked to choose a value or figure from the Wong-Baker FACES Pain Rating Scale, and the data were analyzed using the Wilcoxon test (α=0.05). RESULTS: A statistically significant difference was found between the groups (p<0.05). In the Er:YAG laser group, 20.83% of the participants, and in the conventional group, 6.66% of the participants selected the option 'no hurt'. The option 'hurts worst' was selected in neither of the groups. CONCLUSION: The use of Er:YAG laser for caries removal causes less or no pain during the operations, compared to traditional rotary instruments. Therefore, it can be argued that Er:YAG laser is a more comfortable and acceptable alternative for pediatric patients.

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Pain perception in children during caries removal with the Vector® system: a pilot study

Cited by 9 publications

References 11 publications

Everyday‐ and dental‐pain experiences in healthy Swedish 8–19 year olds: an epidemiological study

Everyday‐ and dental‐pain experiences in healthy Swedish 8–19 year olds: an epidemiological study

Sonic and ultrasonic oscillating devices for the management of pain and dental fear in children or adolescents that require caries removal: a systematic review

Evaluation of Er:YAG lasers on pain perception in pediatric patients during caries removal: a split-mouth study

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