Journal of the Korean academy of pediatric dentistry 2023 KCI Impact Factor : 0.48
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pISSN : 1226-8496 / eISSN : 2288-3819
- https://journal.kci.go.kr/jkapd
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2-Step Needle Insertion Technique to Reduce Pain in Children during Local Anesthesia
- Journal of the Korean academy of pediatric dentistry
- Abbr : J Korean Acad Pediatr Dent
- 2020, 47(2), pp.99-108
- DOI : 10.5933/JKAPD.2020.47.2.99
- Publisher : The Korean Academy Of Pediatric Dentistry
- Research Area : Medicine and Pharmacy > Dentistry
- Received : October 23, 2019
- Accepted : November 21, 2019
- Published : May 29, 2020
Suyoung Park
1,
LEE, SANG-HO
2,
LEE NAN YOUNG
2,
Jih Myeong-kwan
2
1조선대학교 치과대학 소아치과학교실
2조선대학교
Accredited
ABSTRACT
This study was performed to evaluate the effectiveness of the 2-step needle insertion technique to reduce pain during local anesthesia in children. Local anesthesia was performed bilaterally using conventional technique and a 2-step technique, and to compare the degree of pain using the 2-step with that using the conventional technique during local anesthesia using a pain scale.
The pain scores were significantly different between the conventional technique and the 2-step insertion technique at 5.82 ± 2.14 and 2.57 ± 2.09, respectively (p < 0.001). The subjective degree of pain based on gender, age, and Frankl’s behavior rating scale was significantly lower in the 2-step insertion technique (p < 0.001). Subjective pain levels in the area of maxilla and mandible, anterior and posterior parts were lower in the group treated using the 2-step insertion technique (p < 0.001).
The 2-step insertion technique is a simple and effective way to reduce pain during local anesthesia not only in children with a positive attitude to dental treatment, but also in children with negative attitudes, and is thought to be more effective if combined with application of topical anesthesia or distraction.
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[journal]
Nuttall NM
/ 2001
/ Dental attendance in 1998 and implications for the future
/ Br Dent J
190
: 177~182
[journal]
Baghdadi DZ
/ 1999
/ Evaluation of electronic dental anesthesia in children
/ Oral Surg Oral Med Oral Pathol Oral Radiol and Endod
88
: 418~423
[journal]
Shilpapriya M
/ 2015
/ Effectiveness of new vibration delivery system on pain associated with injection of local anesthesia in children
/ J Indian Soc Pedod Prev Dent
33
: 173~176
[journal]
Abdelmoniem SA
/ 2016
/ Comparative evaluation of passive, active, and passive-active distraction techniques on pain perception during local anesthesia administration in children
/ J Adv Res
7
: 551~556
[journal]
Fiset L
/ 1985
/ Psychophysiological responses to dental injections
/ J Am Dent Assoc
111
: 578~583
[journal]
이재춘
/ 2001
/
분사식 주사기를 이용한 소아환자의 국소마취
/ 대한소아치과학회지
/ 대한소아치과학회
28(4)
: 633~637
[journal]
Locker D
/ 1996
/ Who is dentally anxious? Concordance between measures of dental anxiety
/ Community Dent Oral Epidemiol
24
: 346~350
[journal]
Ram D
/ 2002
/ Administering local anaesthesia to paediatric dental patients-current status and prospects for the future
/ Int J Paediatr Dent
12
: 80~89
[journal]
Malamed SF
/ 1998
/ Local anesthesia
/ J Calif Dent Assoc
26
: 657~660
[journal]
Aminabadi NA
/ 2009
/ Site-specificity of pain sensitivity to intraoral anesthetic injections in children
/ J Oral Sci
51
: 239~243
[journal]
Sandeep V
/ 2016
/ Evaluation of 2-stage injection technique in children
/ Anesth Prog
63
: 3~7
[journal]
Asarch T
/ 1999
/ Efficacy of a computerized local anesthesia device in pediatric dentistry
/ Pediatr Dent
21
: 421~424
[journal]
Hochman M
/ 1997
/ Computerized local anesthetic delivery vs. traditional syringe technique. Subjective pain response
/ N Y State Dent J
63
: 24~29
[journal]
Saravia ME
/ 1991
/ The needleless syringe : efficacy of anesthesia and patient preference in child dental patients
/ J Clin Pediatr Dent
15
: 109~112
[journal]
Nusstein J
/ 2006
/ The effects of a 2-stage injection technique on inferior alveolar nerve block injection pain
/ Anesth Prog
53
: 126~130
[book]
Walton RE
/ 2008
/ Endodontics Principles and Practice
/ Saunders Elsevier
: 129~147
[journal]
Levine A
/ 1968
/ Preventing pain : the one-two injection
/ Tic
27
: 6~
[book]
Ten Cate AR
/ 1996
/ Oral histology: Development, Structure, and Function
/ Scientific book center
: 420~422
[journal]
이대우
/ 2011
/
Comparative efficacy of 5% EMLA cream and 20% Benzocaine gel during topical anesthesia
/ 대한소아치과학회지
/ 대한소아치과학회
38(1)
: 1~8
[journal]
김영균
/ 2006
/
Study on Effect of Pressure-Controlled Injection System in Dental Local Anesthesia
/ Journal of Dental Anesthesia and Pain Medicine
/ 대한치과마취과학회
6(2)
: 98~102
[journal]
Huskinson EC
/ 1974
/ Measurement of pain
/ Lancet
304
: 1127~1131
[journal]
Krane JE
/ 1989
/ Post operative pain management in children
/ Anaesth Clin North America
7
: 159~160
[book]
Huskinson EC
/ 1983
/ Pain measurement and assessment
/ Raven Press
: 33~37
[journal]
von Baeyer CL
/ 2006
/ Children's self-reports of pain intensity : scale selection, limitations and interpretation
/ Pain Res Manag
11
: 157~162
[book]
Nanci A
/ 2014
/ Ten Cate’s Oral Histology
/ DeahanNarae Publishing INC
: 277~308
[journal]
Campbell AH
/ 1968
/ In vivo evaluation of local anaesthetic applied topically
/ J Pharm Sci
57
: 2045~2048
[journal]
Fuller NP
/ 1979
/ Perception of pain to three different intraoral penetrations of needles
/ J Am Dent Assoc
99
: 822~824
[journal]
Mollen AJ
/ 1981
/ Needles-25 gauge versus 27 gauge-can patients really tell?
/ Gen Dent
29
: 417~418
[journal]
Flanagan T
/ 2007
/ Size doesn't matter : needle gauge and injection pain
/ Gen Dent
55
: 216~217
[journal]
Lehtinen R
/ 1983
/ Penetration of 27-and 30-gauge dental needles
/ Int J Oral Surg
12
: 444~445
[journal]
Forrest JO
/ 1968
/ A survey of the equipment of local anaesthesia
/ Br Dent J
124
: 303~309
[journal]
Farsakian LR
/ 1991
/ The significance of needle gauge in dental injections
/ Compend Contin Educ Dent
12
: 262~268
[journal]
Candiotti K
/ 2009
/ The effect of needle bevel position on pain for subcutaneous lidocaine injection
/ J Perianesth Nurs
24
: 241~243
[web]
Registered Dental Hygenist MAGAZINE
/ Pain control in dental hygiene
/ https://www.rdhmag.com/patient-care/rinses-pastes/article/16408494/pain-control-in-dental-hygiene
[other]
Gores KW
/ 1972
/ Method of forming bevel oriented needle arrangement, U.S. Patent, 3,662,457
[journal]
Quarnstrom F
/ 1994
/ Electronic anesthesia versus topical anesthesia for the control of injection pain
/ Quintessence International
25
: 713~716
[journal]
Wilson S
/ 1999
/ The effect of electronic dental anesthesia on behavior during local anesthetic injection in the young, sedated dental patient
/ Pediatr Dent
21
: 12~17
[journal]
Kuthpady Manasa Hegde
/ 2019
/
Effect of vibration during local anesthesia administration on pain, anxiety, and behavior of pediatric patients aged 6–11 years: A crossover split-mouth study
/ Journal of Dental Anesthesia and Pain Medicine
/ 대한치과마취과학회
19(3)
: 143~149
[journal]
Primosch RE
/ 2002
/ Influence of anesthetic flow rate delivered by the Wand Local Anesthetic System on pain response to palatal injections
/ Am J Dent
15
: 15~20
[journal]
Kaufman E
/ 2005
/ A survey of pain, pressure, and discomfort induced by commonly used oral local anesthesia injections
/ Anesth Prog
52
: 122~127
[journal]
Aminabadi NA
/ 2009
/ Site-specificity of pain sensitivity to intraoral anesthetic injections in children
/ J Oral Sci
51
: 239~243
[journal]
Ram D
/ 2003
/ The assessment of pain sensation during local anesthesia using a computerized local anesthesia(Wand)and a conventional syringe
/ J Dent Child
70
: 130~133
[journal]
Ram D
/ 2001
/ Reaction of children to maxillary infiltration and mandibular block injections
/ Pediatr Dent
23
: 343~346
[journal]
Allin KD
/ 2002
/ Comparison of a computerized anesthesia device with a traditional syringe in preschool children
/ Pediatr Dent
24
: 315~320
[journal]
Peretz B
/ 2000
/ Dental anxiety among young adolescent patients in Israel
/ Int J Paediatr Dent
10
: 126~132
[journal]
Jeske AH
/ 2002
/ Misconceptions involving dental local anesthesia. Part 2: Pharmacology
/ Tex Dent J
119
: 310~314