The feasibility of needleless jet injection versus conventional needle local anesthesia during dental procedures: a systematic review
Alameeri Alreem Ahmed, AlShamsi Hessa AlFandi, Murad Amel, Alhammadi Mariam Mahmoud, Alketbi Meznah Hamad, AlHamwi Arwa, Rawi Natheer Hashim Al, Kawas Sausan Al, Mohammed Marwan Mansoor, Shetty Shishir Ram,
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( Alameeri Alreem Ahmed ) - University of Sharjah College of Dental Medicine Department of Oral and Craniofacial Health Sciences
( AlShamsi Hessa AlFandi ) - University of Sharjah College of Dental Medicine Department of Oral and Craniofacial Health Sciences
( Murad Amel ) - University of Sharjah College of Dental Medicine Department of Oral and Craniofacial Health Sciences
( Alhammadi Mariam Mahmoud ) - University of Sharjah College of Dental Medicine Department of Oral and Craniofacial Health Sciences
( Alketbi Meznah Hamad ) - University of Sharjah College of Dental Medicine Department of Oral and Craniofacial Health Sciences
( AlHamwi Arwa ) - University of Sharjah College of Dental Medicine Department of Oral and Craniofacial Health Sciences
( Rawi Natheer Hashim Al ) - University of Sharjah College of Dental Medicine Department of Oral and Craniofacial Health Sciences
( Kawas Sausan Al ) - University of Sharjah College of Dental Medicine Department of Oral and Craniofacial Health Sciences
( Mohammed Marwan Mansoor ) - University of Sharjah College of Dental Medicine Department of Oral and Craniofacial Health Sciences
( Shetty Shishir Ram ) - University of Sharjah College of Dental Medicine Department of Oral and Craniofacial Health Sciences
Abstract
This systematic review evaluates current evidence regarding the feasibility of using needleless jet injection instead of a conventional local anesthetic needle. EBSCO, ProQuest, PubMed, and Scopus databases were used to identify relevant literature published in English from 2005 to 2020. Ten studies were selected. Five of them were randomized clinical trials, 3 case-control studies, and 2 equivalence trials. Using the Critical Appraisal Skills Program checklist, 6 studies scored between 67% and 100%, and 4 studies scored between 34% and 66%. According to Jadad’s scale, 2 studies were considered strong, and 8 studies were considered moderate in quality. The results of the 10 studies showed differences in patient preference for needleless jet injection. Needleless injection technique has been found to be particularly useful in uncooperative patients with anxiety and needle phobia. Needleless jet injection is not technique sensitive. However, with needleless jet anesthesia, most treatments require additional anesthesia. Conventional needle anesthesia is less costly, has a longer duration of action, and has better pain control during dental extraction. Needleless jet anesthesia has been shown to be moderately accepted by patients with a fear of needles, has a faster onset of action, and is an efficient alternative to conventional infiltration anesthesia technique.
키워드
Needles; Phobic disorders; Anesthesia; Dentist; Pain
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