Effects of low level laser therapy on injection pain and anesthesia efficacy during local anesthesia in children: A randomized clinical trial
Uçar G, Şermet Elbay Ü, Elbay M
International journal of paediatric dentistry · 27 citas
Cómo se estudió
- Diseño
- Ensayo controlado aleatorizado (indexado por PubMed)
- Estudiado en
- Personas
- Resultado principal
- Marcadores de salud y funcionamiento
Quién lo pagó
- Financiación
- Financiación independiente
- Universidad u hospital
- Kocaeli University Scientific Research Projects Coordination Unit.
Según 1 financiador declarado.
Publicación
- Publicado
- 2021-11-05 · Int J Paediatr Dent · vol. 32 · número 4 · págs. 576–584
- Editorial
- Wiley
- Citado
- 38 citas · más que el 96% de estudios similares · 4.9× el promedio de su campo
- Impacto
- Entre el 10 % más citado de su campo
- Referencias
- 35 trabajos
- Acceso
- De pago
- Áreas de investigación
- Dental Anxiety and Anesthesia Techniques · Laser Applications in Dentistry and Medicine · Pediatric Pain Management Techniques
- Palabras clave
- low-level laser therapy, injection pain, dental local anesthesia, topical anesthesia, children, pulpotomy, 810 nm diode laser, anesthetic efficacy, pain duration, pediatric dentistry
- MeSH
- humans, pain, anesthetics, local, pain measurement, anesthesia, local, anesthesia, dental, child, low-level light therapy
3 autores
- Gül Uçar🇹🇷Kocaeli Üniversitesi
- Ülkü Şermet Elbay🇹🇷 · autor de correspondenciaKocaeli Üniversitesi
- Mesut Elbay🇹🇷Kocaeli Üniversitesi
Resumen
El texto original del estudio, en el idioma en que se publicó.
Background
The use of low level laser therapy (LLLT) to reduce injection pain associated with dental local anesthesia is reported in a limited number of studies in adults, but research on the effects of LLLT in children is needed.
Aim
This study aimed to evaluate the effects of topical anesthesia + LLLT on injection pain, anesthesia efficacy, and duration in local anesthesia of children who are undergoing pulpotomy treatment.
Design
The study was conducted as a randomized, controlled-crossover, double-blind clinical trial with 60 children aged 6-9 years. Before local infiltration anesthesia was administered, only topical anesthesia was applied in one side (control group/CG), and topical anesthesia plus LLLT (a diode laser: 810 nm; continuous mode; 0.3W; 20 s; 69 J/cm2 ) was applied in the contralateral side (LG) as pre-anesthesia. The injection pain and anesthesia efficacy were evaluated subjectively and objectively using the Wong-Baker Faces Pain Rating Scale (PRS) and the Face, Legs, Activity, Cry, Consolability (FLACC) scale respectively. Data were analyzed for statistical significance (p < .05).
Results
The "no pain" and "severe pain" rates in the PRS were 41.7% and 3.3% for the LG and 21.7% and 11.7% for the CG, respectively, during injection. Similarly, in the FLACC data, the number of "no pain" responses was higher for the LG than the CG (40%, 33.3%) and no "severe pain" rate was observed in both groups. The only statistically significant difference found for the PRS was p .05). Also, most of the children preferred injection with topical anesthesia + LLLT (66.7%).
Conclusions
It has been determined that the application of topical anesthesia + LLLT with an 810-nm diode laser before local infiltration anesthesia reduced injection pain and did not have an effect on anesthesia efficacy and duration in children.
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