The combined effect of extraoral vibratory stimulus and external cooling on pain perception during intra-oral local anesthesia administration in children: a systematic review and meta-analysis
Tirupathi Sunny Priyatham, Nanda Neethu, Malothu Sardhar, Rathi Nilesh, Chauhan Rashmi Singh, Priyanka Vaka Jeevan, Basireddy Rameshreddy,
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( Tirupathi Sunny Priyatham ) - Dr. D. Y. Patil Vidyapeeth Dr. D. Y. Patil Dental College and Hospital Department of Pediatric and Preventive Dentistry
( Nanda Neethu ) - Govt Dental College Department of Conservative Dentistry and Endodontics
( Malothu Sardhar ) - Mamata Dental College Department of Periodontics
( Rathi Nilesh ) - Dr. D. Y. Patil Vidyapeeth Dr. D. Y. Patil Dental College and Hospital Department of Pediatric and Preventive Dentistry
( Chauhan Rashmi Singh ) - Dr. D. Y. Patil Vidyapeeth Dr. D. Y. Patil Dental College and Hospital Department of Pediatric and Preventive Dentistry
( Priyanka Vaka Jeevan ) - Ramesh Hospital
( Basireddy Rameshreddy ) - Ramesh Hospital
Abstract
This study aimed to assess the combined use of extraoral vibratory stimulation and extraoral cooling in reducing the pain (subjective and objective) of dental local anesthesia administration in children. PubMed, Cochrane Central Register of Controlled Trials, and Ovid SP databases were searched up to July 2021. Article titles were screened and full-text evaluations of the selected articles were performed. Finally, seven studies (391 children, aged 4 ? 12 years) were included in this qualitative and quantitative analysis. The pooled data determined the combined effect of extraoral vibration and extraoral cooling as a single measure. Extraoral vibration or cooling alone were not compared. The measured primary and secondary outcomes were pain perception and subjective and objective pain, respectively. When compared with the control, extraoral vibration and cooling resulted in significant differences in the mean combined data for the variables, pain perception, and pain reaction. Children’s subjective pain as measured by pain scores were reduced when extraoral vibration and cooling was used during local anesthesia administration (mean difference -3.52; 95% confidence interval [-5.06 - 1.98]) and objective pain (mean difference -1.46; 95% confidence interval [-2.95 - 0.02] ; mean difference -1.93; 95% confidence interval [-3.72 - 0.14]). Within the confines of this systematic review, there is low-quality evidence to support the use of combined extraoral vibration and cooling for reducing pain (subjective and objective) during intraoral local anesthesia administration in children.
키워드
Children; Cooling; External; Iintraoral; Local Anesthesia; Vibration
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