Evaluation of pain, disruptive behaviour and anxiety in children aging 5-8 years old undergoing different modalities of local anaesthetic injection for dental treatment: a randomised clinical trial.
Priscila de Camargo SmolarekLeonardo Siqueira da SilvaPaula Regina Dias MartinsKaren da Cruz HartmanMarcelo Carlos BortoluzziAna Cláudia Rodrigues ChibinskiPublished in: Acta odontologica Scandinavica (2020)
Objective: To evaluate the influence of different local anaesthetic techniques in pain, disruptive behaviour and anxiety in children´s dental treatment.Material and methods: This was a randomised and parallel clinical trial. The sample consisted of 105 children (5-8 years old) that were divided into three groups (n = 35) according to the anaesthetic technique: conventional anaesthesia (CA); vibrational anaesthesia (VBA); computer-controlled local anaesthesia delivery (CCLAD). The outcomes were self-perception of pain (Wong-Baker Faces Pain Rating Scale - WBF; Numerical Rating Scale - NRS); disruptive behaviour (Face, Legg, Activity, Cry, Consolability Scale - FLACC); anxiety (Corah's Dental Anxiety Scale; modified Venham Picture test - VPTm) and physiological parameters (blood pressure - systolic - SBP and diastolic - DBP; heart rate - HR; oxygen saturation - SpO2; respiratory rate - RR). Data were statistically analysed with Kruskall-Wallis test and ANOVA for repeated measures with Tukey post hoc test (α = 0.05).Results: All the patients exhibited the same level of dental anxiety at baseline (Corah's Dental Anxiety Scale). There was no difference in self-perception pain, irrespective the evaluation tool used (WBF - p = .864; VAS - p = .761). No differences were detected in disruptive behaviour (FLACC - p = .318); anxiety (VPTm - p = .274); blood pressure (SBP - p = .239; DBP - p = .512); heart rate (p = .728); oxygen saturation (p = .348) and respiratory rate (p = .238) between anaesthetic techniques.Conclusion: Different anaesthetic dental local techniques do not affect the levels of pain, disruptive behaviour, anxiety and physiological parameters in children aged 5-8 years old.
Keyphrases
- heart rate
- blood pressure
- clinical trial
- chronic pain
- pain management
- sleep quality
- heart rate variability
- oral health
- neuropathic pain
- young adults
- double blind
- hypertensive patients
- study protocol
- open label
- chronic kidney disease
- end stage renal disease
- left ventricular
- randomized controlled trial
- spinal cord
- ejection fraction
- newly diagnosed
- prognostic factors
- protein kinase
- postoperative pain
- artificial intelligence
- atrial fibrillation
- replacement therapy
- combination therapy
- physical activity
- glycemic control