Skip to main content
Top
Published in: Clinical Oral Investigations 4/2021

01-04-2021 | Local Anesthesia in Dentistry | Original Article

“Comparative study of conventional anesthesia technique versus computerized system anesthesia: a randomized clinical trial”

Authors: S. Berrendero, O. Hriptulova, M. P. Salido, F. Martínez-Rus, G. Pradíes

Published in: Clinical Oral Investigations | Issue 4/2021

Login to get access

Abstract

Objective

The aim of the present study was to compare in terms of pain perception the use of conventional anesthesia and a computerized system.

Materials and methods

Forty patients in need for extractions, dental restorative, or periodontal treatment bilaterally, were selected. Each patient served as his/her own control being subjected to two anesthesia techniques: conventional and electronically controlled anesthesia with Calaject® (Rønvig Dental MFG, Daugaard, Denmark). Each patient received both treatments in a blind way 1 week apart. The order was previously randomized. After performing the anesthesia (upper dental nerve, palatal posterior nerve, or inferior alveolar nerve), the patients evaluated their pain sensation with a visual analogue scale (VAS) (0–10). After treatment, the patients were asked about the presence of pain during the procedure. Finally, the patients selected their preference between the conventional and electronic anesthesia technique. Differences in assessment of pain’s injection were analyzed using the Wilcoxon test and the Kruskal-Wallis test (α = 0.05).

Results

The mean general pain experienced was 3.73 (1.55 SD) for the conventional anesthesia, and 1.95 (0.53 SD) for computerized anesthesia. Statistical differences (p < 0.05) were found. There was no difference between the treatments (p value = 0.061). Most patients did not feel any pain during the treatment. Finally, 92.5% of the patients preferred the electronic system.

Conclusions

Computerized anesthesia system produces significantly less pain compared with a conventional anesthesia syringe. Although both obtained sufficient anesthetic depth to perform treatments, the majority of patients chose electronic anesthesia as the most satisfactory.

Clinical relevance

Computerized anesthesia devices are valid and more comfortable alternative to conventional anesthesia.
Literature
5.
go back to reference Malamed SF (1998) Local anesthesia. J Calif Dent Assoc 26(657):660 Malamed SF (1998) Local anesthesia. J Calif Dent Assoc 26(657):660
6.
go back to reference Ram D, Hermida LB, Peretz B (2002) A comparison of warmed and room-temperature anesthetic for local anesthesia in children. Pediatr Dent 24:333–336PubMed Ram D, Hermida LB, Peretz B (2002) A comparison of warmed and room-temperature anesthetic for local anesthesia in children. Pediatr Dent 24:333–336PubMed
7.
go back to reference Lee SH, Lee NY (2013) An alternative local anaesthesia technique to reduce pain in paediatric patients during needle insertion. Eur J Paediatr Dent 14:109–112PubMed Lee SH, Lee NY (2013) An alternative local anaesthesia technique to reduce pain in paediatric patients during needle insertion. Eur J Paediatr Dent 14:109–112PubMed
9.
go back to reference Hochman M, Chiarello D, Hochman CB, Lopatkin R, Pergola S (1997) Computerized local anesthetic delivery vs. traditional syringe technique. Subjective pain response. N Y State Dent J 63:24–29PubMed Hochman M, Chiarello D, Hochman CB, Lopatkin R, Pergola S (1997) Computerized local anesthetic delivery vs. traditional syringe technique. Subjective pain response. N Y State Dent J 63:24–29PubMed
11.
go back to reference Asarch T, Allen K, Petersen B, Beiraghi S (1999) Efficacy of a computerized local anesthesia device in pediatric dentistry. Pediatr Dent 21:421–424PubMed Asarch T, Allen K, Petersen B, Beiraghi S (1999) Efficacy of a computerized local anesthesia device in pediatric dentistry. Pediatr Dent 21:421–424PubMed
17.
go back to reference Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H, Herrera D, Kao RT, Kebschull M, Kinane DF, Kirkwood KL, Kocher T, Kornman KS, Kumar PS, Loos BG, Machtei E, Meng H, Mombelli A, Needleman I, Offenbacher S, Seymour GJ, Teles R, Tonetti MS (2018) Periodontitis: consensus report of workgroup 2 of the 2017 world workshop on the classification of periodontal and peri-implant diseases and conditions. J Clin Periodontol 45(Suppl 20):S162–S170. https://doi.org/10.1111/jcpe.12946CrossRefPubMed Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, Flemmig TF, Garcia R, Giannobile WV, Graziani F, Greenwell H, Herrera D, Kao RT, Kebschull M, Kinane DF, Kirkwood KL, Kocher T, Kornman KS, Kumar PS, Loos BG, Machtei E, Meng H, Mombelli A, Needleman I, Offenbacher S, Seymour GJ, Teles R, Tonetti MS (2018) Periodontitis: consensus report of workgroup 2 of the 2017 world workshop on the classification of periodontal and peri-implant diseases and conditions. J Clin Periodontol 45(Suppl 20):S162–S170. https://​doi.​org/​10.​1111/​jcpe.​12946CrossRefPubMed
19.
go back to reference Primosch RE, Brooks R (2002) Influence of anesthetic flow rate delivered by the Wand Local Anesthetic System on pain response to palatal injections. Am J Dent 15:15–20PubMed Primosch RE, Brooks R (2002) Influence of anesthetic flow rate delivered by the Wand Local Anesthetic System on pain response to palatal injections. Am J Dent 15:15–20PubMed
20.
go back to reference Friedman MJ and Hochman MN (1997) A 21st century computerized injection system for local pain control. Compendium of continuing education in dentistry (Jamesburg, NJ : 1995) 18:995-1000, 1002-3; quiz 1004 Friedman MJ and Hochman MN (1997) A 21st century computerized injection system for local pain control. Compendium of continuing education in dentistry (Jamesburg, NJ : 1995) 18:995-1000, 1002-3; quiz 1004
23.
24.
25.
go back to reference Nicholson JW, Berry TG, Summitt JB, Yuan CH, Witten TM (2001) Pain perception and utility: a comparison of the syringe and computerized local injection techniques. Gen Dent 49:167–173PubMed Nicholson JW, Berry TG, Summitt JB, Yuan CH, Witten TM (2001) Pain perception and utility: a comparison of the syringe and computerized local injection techniques. Gen Dent 49:167–173PubMed
26.
go back to reference Palm AM, Kirkegaard U, Poulsen S (2004) The wand versus traditional injection for mandibular nerve block in children and adolescents: perceived pain and time of onset. Pediatr Dent 26:481–484PubMed Palm AM, Kirkegaard U, Poulsen S (2004) The wand versus traditional injection for mandibular nerve block in children and adolescents: perceived pain and time of onset. Pediatr Dent 26:481–484PubMed
27.
go back to reference Ram D, Peretz B (2003) The assessment of pain sensation during local anesthesia using a computerized local anesthesia (Wand) and a conventional syringe. Journal of dentistry for children (Chicago, Ill) 70:130–133 Ram D, Peretz B (2003) The assessment of pain sensation during local anesthesia using a computerized local anesthesia (Wand) and a conventional syringe. Journal of dentistry for children (Chicago, Ill) 70:130–133
30.
32.
33.
go back to reference Jalevik B, Klingberg G (2014) Pain sensation and injection techniques in maxillary dento-alveolar surgery procedures in children--a comparison between conventional and computerized injection techniques (The Wand). Swed Dent J 38:67–75PubMed Jalevik B, Klingberg G (2014) Pain sensation and injection techniques in maxillary dento-alveolar surgery procedures in children--a comparison between conventional and computerized injection techniques (The Wand). Swed Dent J 38:67–75PubMed
34.
go back to reference Kammerer PW, Schiegnitz E, von Haussen T, Shabazfar N, Kammerer P, Willershausen B, Al-Nawas B, Daublander M (2015) Clinical efficacy of a computerised device (STA) and a pressure syringe (VarioJect INTRA) for intraligamentary anaesthesia. Eur J Dent Educ 19:16–22. https://doi.org/10.1111/eje.12096CrossRefPubMed Kammerer PW, Schiegnitz E, von Haussen T, Shabazfar N, Kammerer P, Willershausen B, Al-Nawas B, Daublander M (2015) Clinical efficacy of a computerised device (STA) and a pressure syringe (VarioJect INTRA) for intraligamentary anaesthesia. Eur J Dent Educ 19:16–22. https://​doi.​org/​10.​1111/​eje.​12096CrossRefPubMed
36.
go back to reference Ozer S, Yaltirik M, Kirli I, Yargic I (2012) A comparative evaluation of pain and anxiety levels in 2 different anesthesia techniques: locoregional anesthesia using conventional syringe versus intraosseous anesthesia using a computer-controlled system (Quicksleeper). Oral Surg Oral Med Oral Pathol Oral Radiol 114:S132–S139. https://doi.org/10.1016/j.oooo.2011.09.021CrossRefPubMed Ozer S, Yaltirik M, Kirli I, Yargic I (2012) A comparative evaluation of pain and anxiety levels in 2 different anesthesia techniques: locoregional anesthesia using conventional syringe versus intraosseous anesthesia using a computer-controlled system (Quicksleeper). Oral Surg Oral Med Oral Pathol Oral Radiol 114:S132–S139. https://​doi.​org/​10.​1016/​j.​oooo.​2011.​09.​021CrossRefPubMed
39.
41.
go back to reference Tahmassebi JF, Nikolaou M, Duggal MS (2009) A comparison of pain and anxiety associated with the administration of maxillary local analgesia with Wand and conventional technique. European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry 10:77–82. https://doi.org/10.1007/bf03321604CrossRef Tahmassebi JF, Nikolaou M, Duggal MS (2009) A comparison of pain and anxiety associated with the administration of maxillary local analgesia with Wand and conventional technique. European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry 10:77–82. https://​doi.​org/​10.​1007/​bf03321604CrossRef
46.
51.
Metadata
Title
“Comparative study of conventional anesthesia technique versus computerized system anesthesia: a randomized clinical trial”
Authors
S. Berrendero
O. Hriptulova
M. P. Salido
F. Martínez-Rus
G. Pradíes
Publication date
01-04-2021
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 4/2021
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-020-03553-5

Other articles of this Issue 4/2021

Clinical Oral Investigations 4/2021 Go to the issue