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01-12-2018 | Original Article

Single tooth anesthesia versus conventional anesthesia: a cross-over study

Authors: Vincenzo Campanella, Antonio Libonati, Roberto Nardi, Vincenzo Angotti, Gianni Gallusi, Edoardo Montemurro, Maurizio D’Amario, Giuseppe Marzo

Published in: Clinical Oral Investigations | Issue 9/2018

Abstract

Objectives

The aim of the present study was to compare an electronic device, the Wand Injection System (Milestone Scientific Livingstone), with conventional anesthesia in terms of the following: pain sensation during anesthetic injection; effectiveness in achieving adequate anesthesia for a complete painless dental treatment; post-operative discomfort; and patient’s anxiety toward dental treatment.

Materials and methods

Eighty adults from 18 to 70 years were enrolled in this cross-over study. Each patient served as his/her own control being subject to two anesthesia techniques: conventional and Single Tooth Anesthesia (STA) performed with the Wand. A split-mouth design was adopted in which each tooth undergoing conservative restorative or endodontic treatment received anesthesia with both techniques at 1-week interval. Before anesthetic administration, the patients’ anxiety levels were determined. Physiological parameteres were measured before, during, and after the two injection procedures, and the Visual Analogue Scale (VAS) was used to assess pain of injection, discomfort, and anesthetic efficacy. Differences in assessment of pain’s injection, discomfort, anesthetic efficacy, vital parameters (heart rate, blood pressure, and oxygen saturation), and state anxiety levels were analyzed using Student’s t test (p value < 0.001).

Results

The mean injection pain and post-operative discomfort ratings with Wand were lower than those with conventional syringe (p = 0.022 and p < 0.001, respectively). No differences were found in the assessment of anesthetic efficacy. Blood pressure and heart rate mean values were lower during the anesthesia performed with the Wand than with the conventional syringe (p < 0.001). The anxiety level was higher during the first appointment, independently from the device used for the injections.

Conclusion

The STA technique resulted in lower pain, discomfort, and lower intensity of physiological parameters.

Clinical relevance

Single Tooth Anesthesia could be an efficacious alternative to conventional procedures.

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Title: Single tooth anesthesia versus conventional anesthesia: a cross-over study
Authors: Vincenzo Campanella
Antonio Libonati
Roberto Nardi
Vincenzo Angotti
Gianni Gallusi
Edoardo Montemurro
Maurizio D’Amario
Giuseppe Marzo
Publication date: 01-12-2018
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 9/2018
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2413-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Single tooth anesthesia versus conventional anesthesia: a cross-over study

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objectives

Materials and methods

Results

Conclusion

Clinical relevance

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