scholarly journals Insight to Newer Agents and Methods for Local Anesthesia in Pediatric Dentistry

2020 ◽  
Vol 87 (4) ◽  
pp. 253-254
Author(s):  
Vijay Prakash Mathur ◽  
Gauri Kalra
2021 ◽  
pp. 22-22
Author(s):  
Rasa Mladenovic

Clinicians should identify the risks associated with the use of anesthetics and understand the maximum recommended doses of local anesthetics. Errors in calculating the dose of local anesthetics are common due to the widespread use of these agents. Different methods of calculating the dose of the drug have different advantages and disadvantages, and no method can guarantee a calculation without errors. Nomogram is a simple graphical tool on which one can read the result of arithmetic operations with given numbers. The nomogram for calculating the maximum dose of local anesthetic enables quick cross-checking of the calculation, based on the patient's age or body weight. They are of special importance in the application of local anesthesia in children.


Author(s):  
Pooja G. Muzumdar ◽  
Vikas Bendgude ◽  
Aditi Mathur

Background: Pain experienced during dental procedures evolves into negative attitude towards dentistry, which is projected as anxiety and fear of the child. Administration of local anesthesia (L.A) although an intervention to render painless procedures, in itself causes pain by its conveyance. Wand® (Milestone Scientific, Livingston, NJ, USA) is a system introduced to decrease soreness in the course of anesthetic conveyance. Owing to the sparse information comparing conventional systems with those of Wand, the present study evaluated pain related behavior in children exhibiting pre-assessed variant levels of anxiety midst administration of local anesthesia. Aim: To correlate pain related behavior amidst delivery of local anesthesia using conventional syringe and the Wand® STA system in children exhibiting variant anxiety levels. Methodology: The In vivo study embodied 32 children aged between 6 to 8 years. The volunteered participants were pre-categorized into low and high anxiety using the Modified Child Dental Anxiety Scale. They were further divided using the SNOSE technique – receiving L.A the conventional syringe (group A) and those receiving L.A using the C.C.L.A.D (group B). Pain reactions and perceptions to the two delivery methods were calculated using subjective scales and objective physiological parameters. Results: Comparing pain perception in pre-assessed anxiety categories affirmed a remarkable difference with the use of C.C.L.A.D and appeared to bestow effortless, pain-free delivery over the traditional cartridge delivery. Conclusion: C.C.L.A.D builds a refined acclivity for dispersal of the solution, ergo an utilitarian tool in pediatric dentistry.


Dentistry ◽  
2018 ◽  
Vol 08 (04) ◽  
Author(s):  
Eliyahu Mass ◽  
Yael Palmon ◽  
Uri Zilberman

2015 ◽  
Vol 6 (3) ◽  
pp. 154-160 ◽  
Author(s):  
Sutharshana Vellingiri

ABSTRACT Background Investigators have begun to address the relationship of parental satisfaction with dental care for children since the dentist/physician and the patient are all aware of the services being provided. These determining characters are essential for compliance of the patient, as patient satisfaction is directly related to health-related issues, needs, and practice. Patient satisfaction has an important role in determining the utilization of the healthcare services and the compliance behavior of the patients. Factors which can influence the patients’ decision to seek care and follow through to the completion of the treatment process can affect the physiologic and functional outcomes of the treatment. Hence, this survey was done to evaluate parent's preference to general or local anesthesia in their children's dental treatments. Materials and methods In this survey, a modified and adapted questionnaire from a previously tested survey that was used to assess parental satisfaction with dental treatments under general anesthesia in pediatric dentistry, was used to assess parents’ preference to general or local anesthesia. Parents whose children were going to undergo treatments in Department of Pedodontics, Saveetha Dental College, was issued with this questionnaire and clinical examination of teeth present and treatment to be done was examined. Results Ninety-seven percent of the parents preferred local anesthesia to general anesthesia. Parents preferred general anesthesia most only in case child below the age of 3 and when multiple settings are required of and their knowledge about anesthesia and its side effects was found to low and preferred local anesthesia in most cases. Conclusion Parents play a unique role in dental care and over all well being of the child. Some parents and dental practitioners prefer the presence of a parent with their child during the delivery of in-office dental care. Parents are aware of their child's previous dental experiences and are also aware of the child's interest and fear. Most of the parent's preference was to local anesthesia (97%) and preferred general anesthesia under given circumstances. How to cite this article Vellingiri S, Gurunathan D. Assessment of Parent's Preference to General or Local Anesthesia for Children undergoing Dental Treatment. World J Dent 2015;6(3):154-160.


2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Annelyse Garret-Bernardin ◽  
Tiziana Cantile ◽  
Vincenzo D’Antò ◽  
Alexandros Galanakis ◽  
Gabriel Fauxpoint ◽  
...  

Aim.To evaluate the pain experience and behavior during dental injection, using the Wand computerized delivery system versus conventional local anesthesia in children and adolescents.Methods.An observational crossover split mouth study was performed on 67 patients (aged 7 to 15 years), requiring local anesthesia for dental treatments in both sides of the dental arch. Patients received both types of injections in two separate appointments, one with the use of a Computer Delivery System (the Wand STA system) and one with the traditional syringe. The following data were recorded: pain rating; changes in heart rate; level of collaboration; patient satisfaction. The data were analyzed using ANOVA for quantitative outcomes and nonparametric analysis (Kruskal–Wallis) for qualitative parameters.Results.The use of the Wand system determined significantly lower pain ratings and lower increase of heart rate than the traditional syringe. During injection, the number of patients showing a relaxed behavior was higher with the Wand than with the traditional local anesthesia. The patient level of satisfaction was higher with the Wand compared to the conventional local anesthesia.Conclusions.The Wand system may provide a less painful injection when compared to the conventional local anesthesia and it seemed to be better tolerated with respect to a traditional syringe.


2021 ◽  
Vol 4 (2) ◽  
pp. 148-154
Author(s):  
Sivakumar Nuvvula ◽  
Kanamarlapudi V Saikiran ◽  
Sainath R Elicherla ◽  
Varada Sahithi ◽  
Mahesh Nunna ◽  
...  

2000 ◽  
Vol 64 (6) ◽  
pp. 440-444
Author(s):  
PC Lekic ◽  
RJ Schroth ◽  
O Odlum ◽  
J deVries ◽  
D Singer

Sign in / Sign up

Export Citation Format

Share Document