Use of a Dental Vibration Tool to Reduce Pain From Digital Blocks

Pedersen, Craig S.; Miller, Michael R.; Xu, Keqin; Carrasco, Lynn; Smith, C. U. M.; Richman, Peter B.

doi:10.1097/aap.0000000000000584

Cited by 7 publications

(9 citation statements)

References 12 publications

(14 reference statements)

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“…Pain due to injections can be reduced by tactile distraction with VAD 7 . Vibration rationale relies on the “gate control” theory of pain proposed by Melzack and Wall , which translates to the decrease of the intensity of pain by concurrent transmission of nonpainful stimuli, such as vibration 3,5,6,8,11 . The authors stated that the transmission of sense of vibration from mechanoreceptors located in the skin via A‐β nerve fibers results in the shutting down of a “gate” through which pain signals are transmitted to the brain through A‐δ and C fibers 3,7 …”

Section: Discussionmentioning

confidence: 99%

“…7 Vibration rationale relies on the "gate control" theory of pain proposed by Melzack and Wall, which translates to the decrease of the intensity of pain by concurrent transmission of nonpainful stimuli, such as vibration. 3,5,6,8,11 The authors stated that the transmission of sense of vibration from mechanoreceptors located in the skin via A-β nerve fibers results in the shutting down of a "gate" through which pain signals are transmitted to the brain through A-δ and C fibers. 3,7 Pain from injections varies depending on the anatomical site 7 and minimizing patient discomfort remains a top priority for all invasive procedures.…”

Section: Discussionmentioning

confidence: 99%

“…Nonpharmacological methods such as vibration on the site of injection before and during the procedure have also been used to reduce pain 1 . It was first described more than half a century ago and has been shown to be an effective adjunctive technique to improve comfort for injections 6 …”

Section: Introductionmentioning

confidence: 99%

“…1 It was first described more than half a century ago and has been shown to be an effective adjunctive technique to improve comfort for injections. 6 Approximately 12 million dermatologic procedures are performed annually, including injectables for cosmetic or therapeutic purposes. Vibration has been successfully used in several clinical settings, such as dermatological procedures, pediatrics, and dentistry.…”

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confidence: 99%

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Use of vibrating anesthetic device reduces the pain of mesotherapy injections: A randomized split‐scalp study

Carvalho

Barreto

Weffort

et al. 2020

J of Cosmetic Dermatology

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Pain evaluation during local injections is a complex process. Injections cause patient's distress, especially when the target is a sensitive area such as scalp. Nonpharmacological methods as vibration before and during the procedure have been used to reduce pain. Mesotherapy has become a popular nonsurgical procedure for nonscarring alopecia, such as androgenetic alopecia (AGA) and alopecia areata (AA). Vibration has been successfully used in dermatological procedures, pediatrics, and dentistry. No study was found on vibration anesthesia during scalp mesotherapy. To analyze the effect of a vibration anesthetic device (VAD) during scalp mesotherapy on the patients’ comfort.This is a randomized split‐scalp study; thirty patients received mesotherapy with or without VAD on half of their scalp. Numerical rating scale (NRS) was used to measure self‐reported pain. To test difference in means and medians in comparing device use and by treatment (AGA or AA), Student's t tests and Wilcoxon signed rank tests were used. Overall mean pain score on the no vibration‐assisted side was 8.0 ± 1.0 while pain score for the vibration side was 2.3 ± 1.5, for AGA (P < .001) and 7.4 ± 1.2 and 2.1 ± 1.3, respectively, for AA (P < .001). Findings were similar for medians. No complications were found following procedure. To the best of our knowledge, this is the first study analyzing the effect of VAD in patients undergoing scalp mesotherapy. The VAD technique was found to be safe, effective, simple, and suitable for scalp procedures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Use of vibrating anesthetic device reduces the pain of mesotherapy injections: A randomized split‐scalp study

Carvalho

Barreto

Weffort

et al. 2020

J of Cosmetic Dermatology

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“…8,13,21,22 The use of nonnoxious tactile stimulation, specifically vibration, has been shown to significantly decrease pain perceived by patients in many clinical settings. [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Generalizability of these previous studies are limited owing to small sample size, the use of volunteers, and unreported and/or unperformed participant training for accurate pain score reporting. This study aims to promote generalizability by including a typical dermatologic surgery patient population, without exclusion of previous condition(s), who are undergoing scheduled skin cancer removal surgical procedures.…”

mentioning

confidence: 99%

Effect of a Vibratory Anesthetic Device on Pain Anticipation and Subsequent Pain Perception Among Patients Undergoing Cutaneous Cancer Removal Surgery

Govas

Kazi

Slaugenhaupt

et al. 2019

JAMA Facial Plast Surg

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IMPORTANCE Vibration has been shown to decrease injection site pain in patients; however, to date, this effect has not been assessed for patients who catastrophize pain (ie, patients who anticipate a higher pain level). The anticipation of a pain score greater than 4 on the 11-point Numeric Rating Scale (NRS) has been associated with an increase in a patient's perception of procedural pain.OBJECTIVE To assess the efficacy of vibration during cutaneous anesthetic injection for dermatologic surgery for patients who catastrophize pain (NRS score >4) and patients who do not (NRS score Յ4).DESIGN, SETTING, AND PARTICIPANTS Randomized, parallel-group clinical trial from June 19 to September 4, 2018, at a tertiary dermatologic surgery clinic among 87 adults undergoing cutaneous cancer removal surgery. Patients completed a preprocedural questionnaire detailing their baseline pain, anticipated pain, and drug use. Analysis was performed on an intent-to-treat basis.INTERVENTIONS Use of a vibratory anesthetic device (VAD) on the treatment site prior to anesthetic injection in the on (VAD ON) or off (VAD OFF) mode.MAIN OUTCOMES AND MEASURES Pain was reported using the 11-point NRS (where 0 indicates no pain and 11 indicates the worst pain imaginable). A minimum clinically important difference of 22% or more and a substantial clinically important difference of 57% or more were used to assess the efficacy of vibration in patient-reported NRS score during anesthetic injection (iNRS score).RESULTS A total of 87 patients were included, with 101 unique events reported (among the unique events, 37 were reported in women and 64 were reported in men; mean [SD] age, 66.0 [11.3] years). The mean (confidence level [CL]) iNRS score for patients who catastrophized pain was 2.27 (0.66) compared with 1.44 (0.39) for patients who did not (P = .03). A 38.9% decrease in mean (CL) iNRS score was reported with VAD ON compared with VAD OFF in all participants (1.24 [0.38] vs 2.04 [0.54]). Patients who catastrophized pain reported a 25.5% decrease in mean (CL) iNRS score with VAD ON vs VAD OFF (1.91 [0.99] vs 2.57 [0.98]), and patients who did not reported a 79.4% decrease (1.02 [0.40] vs 1.84 [0.66]). VAD ON was the only statistically significant variable to affect iNRS score (F statistic, 2.741; P = .03).CONCLUSIONS AND RELEVANCE This trial demonstrates that those who catastrophize pain prior to a procedure report a higher perceived level of pain. The application of vibration during local anesthetic injection resulted in a minimum clinically important difference in pain level for patients who catastrophize pain and a substantial clinically important difference in pain level for patients who do not. LEVEL OF EVIDENCE 2.TRIAL REGISTRATION ClinicalTrials.gov identifier: NCT03467685

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Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental treatment

Monteiro

Tanday

Ashley

et al. 2020

Cochrane Database of Systematic Reviews

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Use of a Dental Vibration Tool to Reduce Pain From Digital Blocks

Abstract: Our results show a statistically significant difference in mean injection pain score during digital block of the hand when the DentalVibe device is used for vibration anesthesia. Larger studies are warranted to confirm our findings.

Cited by 7 publications

References 12 publications

Use of vibrating anesthetic device reduces the pain of mesotherapy injections: A randomized split‐scalp study

Use of vibrating anesthetic device reduces the pain of mesotherapy injections: A randomized split‐scalp study

Effect of a Vibratory Anesthetic Device on Pain Anticipation and Subsequent Pain Perception Among Patients Undergoing Cutaneous Cancer Removal Surgery

Interventions for increasing acceptance of local anaesthetic in children and adolescents having dental treatment

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