2-Step Needle Insertion Technique to Reduce Pain in Children during Local Anesthesia (소아환자의 국소마취 시 통증을 줄이기 위한 2단계 주사바늘 자입법)

Suyoung Park (박수영); LEE, SANG-HO (이상호); LEE NAN YOUNG (이난영); Jih Myeong-kwan (지명관)

doi:10.5933/JKAPD.2020.47.2.99

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.

KEYWORDS

Local anesthesia, Pain, 2-step needle insertion technique

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