BACKGROUND Contemporary innovations in the area of local anesthesia have attempted to provide an absolutely pain free experience for patients.Since the introduction of Computer-Controlled Local Anesthetic Delivery Sys...BACKGROUND Contemporary innovations in the area of local anesthesia have attempted to provide an absolutely pain free experience for patients.Since the introduction of Computer-Controlled Local Anesthetic Delivery Systems to dentistry,many studies have compared its efficacy and safety to conventional anesthesia.However,very few studies have compared single tooth anesthesia(STA)and traditional local anesthesia.AIM To compare pain rating,changes in blood pressure,and heart rate during the local anesthetic injection.The secondary objectives were to measure the patients’level of satisfaction and the differences in anesthetic efficiency between the STA system and traditional local infiltration.METHODS A randomized controlled trial was conducted and a total of 80 patients with dental restorative needs were enrolled for the study.The patients were evaluated for their general physical status and oral clinical findings before enrollment.Information regarding perceived pain,changes in heart rate and blood pressure,and patients’satisfaction was collected using an electronic data form and was analyzed using paired and unpaired t-tests.RESULTS No significant difference was noted in perceived pain(P=0.59)and systolic blood pressure(P=0.09)during anesthetic injection using both traditional and STA techniques.STA patients had a significantly higher heart rate during anesthesia,although a statistically significant difference was noted among the traditional anesthesia and the STA groups even before anesthesia.During the restorative procedure,less pain was perceived by STA patients on the Wong-Baker FACES pain scale,which was statistically significant(P<0.001).Analyses of post-procedure patient responses showed that STA patients had a significantly better treatment experience and preferred to have the same method of injection in the future(P=0.04).CONCLUSION STA system can provide less painful and more comfortable restorative treatment procedures in comparison to the traditional infiltration technique.展开更多
目的探讨氟化钠护齿剂对幼儿园儿童乳牙患龋率和龋面变化的影响。方法选取2017年1月本地区10所公办幼儿园共330名儿童作为研究对象,随机分为三组,每组各110名儿童,A组给予氟化钠护齿剂(含5%氟化钠)0.2 m L/次,1次/年;B组给予入氟化钠护...目的探讨氟化钠护齿剂对幼儿园儿童乳牙患龋率和龋面变化的影响。方法选取2017年1月本地区10所公办幼儿园共330名儿童作为研究对象,随机分为三组,每组各110名儿童,A组给予氟化钠护齿剂(含5%氟化钠)0.2 m L/次,1次/年;B组给予入氟化钠护齿剂0.1 m L/次,1次/年;C组儿童作为空白对照组,记录涂氟后三组儿童2年内乳牙患龋率、龋面均、新增龋面变化、致龋菌检出情况以及涂氟后尿氟浓度变化。结果A组与B组干预后第2年龋齿发生率分别为37.27%、39.09%低于C组51.82%(P<0.05);A组、B组第1年、第2年龋均值低于C组(P<0.05);A组与B组儿童涂氟后第1年与第2年乳牙颊舌面、邻面、牙合面新生龋面均值低于C组(P<0.05);A组与B组儿童干预第2年变形链球菌、远缘链球菌、乳杆菌检出率低于C组(P<0.05);A组、B组儿童涂氟后6 h、12 h尿氟浓度高于C组儿童(P<0.05);三组儿童涂氟后24 h、48 h尿氟浓度比较差异无统计学意义(P>0.05);A组与B组儿童涂氟后龋齿发生率、龋均值、新生龋面、致龋菌检出率比较差异无统计学意义(P>0.05)。结论氟化钠的应用可降低幼儿园儿童龋齿发生率,减少新生龋面,降低致龋菌检出率,无需涂布过多剂量的氟化钠即可达到较好的防龋效果,安全性较高。展开更多
文摘BACKGROUND Contemporary innovations in the area of local anesthesia have attempted to provide an absolutely pain free experience for patients.Since the introduction of Computer-Controlled Local Anesthetic Delivery Systems to dentistry,many studies have compared its efficacy and safety to conventional anesthesia.However,very few studies have compared single tooth anesthesia(STA)and traditional local anesthesia.AIM To compare pain rating,changes in blood pressure,and heart rate during the local anesthetic injection.The secondary objectives were to measure the patients’level of satisfaction and the differences in anesthetic efficiency between the STA system and traditional local infiltration.METHODS A randomized controlled trial was conducted and a total of 80 patients with dental restorative needs were enrolled for the study.The patients were evaluated for their general physical status and oral clinical findings before enrollment.Information regarding perceived pain,changes in heart rate and blood pressure,and patients’satisfaction was collected using an electronic data form and was analyzed using paired and unpaired t-tests.RESULTS No significant difference was noted in perceived pain(P=0.59)and systolic blood pressure(P=0.09)during anesthetic injection using both traditional and STA techniques.STA patients had a significantly higher heart rate during anesthesia,although a statistically significant difference was noted among the traditional anesthesia and the STA groups even before anesthesia.During the restorative procedure,less pain was perceived by STA patients on the Wong-Baker FACES pain scale,which was statistically significant(P<0.001).Analyses of post-procedure patient responses showed that STA patients had a significantly better treatment experience and preferred to have the same method of injection in the future(P=0.04).CONCLUSION STA system can provide less painful and more comfortable restorative treatment procedures in comparison to the traditional infiltration technique.
文摘目的探讨氟化钠护齿剂对幼儿园儿童乳牙患龋率和龋面变化的影响。方法选取2017年1月本地区10所公办幼儿园共330名儿童作为研究对象,随机分为三组,每组各110名儿童,A组给予氟化钠护齿剂(含5%氟化钠)0.2 m L/次,1次/年;B组给予入氟化钠护齿剂0.1 m L/次,1次/年;C组儿童作为空白对照组,记录涂氟后三组儿童2年内乳牙患龋率、龋面均、新增龋面变化、致龋菌检出情况以及涂氟后尿氟浓度变化。结果A组与B组干预后第2年龋齿发生率分别为37.27%、39.09%低于C组51.82%(P<0.05);A组、B组第1年、第2年龋均值低于C组(P<0.05);A组与B组儿童涂氟后第1年与第2年乳牙颊舌面、邻面、牙合面新生龋面均值低于C组(P<0.05);A组与B组儿童干预第2年变形链球菌、远缘链球菌、乳杆菌检出率低于C组(P<0.05);A组、B组儿童涂氟后6 h、12 h尿氟浓度高于C组儿童(P<0.05);三组儿童涂氟后24 h、48 h尿氟浓度比较差异无统计学意义(P>0.05);A组与B组儿童涂氟后龋齿发生率、龋均值、新生龋面、致龋菌检出率比较差异无统计学意义(P>0.05)。结论氟化钠的应用可降低幼儿园儿童龋齿发生率,减少新生龋面,降低致龋菌检出率,无需涂布过多剂量的氟化钠即可达到较好的防龋效果,安全性较高。
