Journal article

Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial


Authors listAttia, Sameh; Austermann, Thomas; May, Andreas; Mekhemar, Mohamed; Conrad, Jonas; Knitschke, Michael; Boettger, Sebastian; Howaldt, Hans-Peter; Riad, Abanoub

Publication year2022

JournalBMC Oral Health

Volume number22

Issue number1

ISSN1472-6831

Open access statusGold

DOI Linkhttps://doi.org/10.1186/s12903-022-02454-1

PublisherBioMed Central


Abstract
Background The administration of local anesthesia (LA) in dental practice requires an injection which is the leading cause of patients' fear and anxiety. Computer-controlled local anesthetic injector, designed to reduce the pain of performing local anesthesia by controlling the speed of injection. This single-blind randomised control trial aimed to compare the pain perception after computer-controlled local anesthesia (CCLA) and conventional LA. Methods Dental students were both test and operator group versus an experienced dentist as additional operator of the LA. Data were collected regarding gender, age, medical condition, smoking habits. Additionally, operator feedback about the handling, pain at insertion and during infiltration, excitement (Dental Anxiety Scale), and complications were assessed. Results Out of the 60 included participants, the majority were females (n = 41; 68.3%), medically healthy (n = 54; 90%), and did not receive medications (n = 54; 90%). While the participating students administered 62 (51.7%) injections, the experienced dentist administered 58 (48.3%) injections. The difference in pain perception on puncture between CCLA and conventional injections was not statistically significant (Sig. = 0.285); however, pain perception during injection was significantly different (Sig. = 0.029) between CCLA (1.65 +/- 1.93) and conventional injections (2.49 +/- 2.31). Conclusion The professional experience influenced the pain perception while applying the LA. CCLA did not reduce pain on puncture significantly; however, pain perception during the injection was significantly reduced in the case of using CCLA devices compared to the conventional syringe.



Citation Styles

Harvard Citation styleAttia, S., Austermann, T., May, A., Mekhemar, M., Conrad, J., Knitschke, M., et al. (2022) Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial, BMC Oral Health, 22(1), Article 425. https://doi.org/10.1186/s12903-022-02454-1

APA Citation styleAttia, S., Austermann, T., May, A., Mekhemar, M., Conrad, J., Knitschke, M., Boettger, S., Howaldt, H., & Riad, A. (2022). Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial. BMC Oral Health. 22(1), Article 425. https://doi.org/10.1186/s12903-022-02454-1



Keywords


ANXIETYComputed-controlled local anesthesiaDental anesthesiaDental educationLocal anesthesiaLOCAL-ANESTHESIANerve blockPAIN PERCEPTIONPHOBIARCTSplit-mouth

Last updated on 2025-10-06 at 11:44