Effect of warming anesthetic solutions in injection pain during dental anesthesia. A Randomized clinical trial.

Pedro Christian Aravena, Camila Barrientos, Catalina Troncoso

Abstract


Aim: To determine the effectiveness of anesthesia warming control pain feeling during the administration of anesthesia in maxillary infiltration technique nerve block. Methods: A double-blind clinical trial study was designed. Fifty-six volunteers students (mean age 23.1±2.71 years) of Universidad Austral de Chile Dental School (Valdivia, Chile) were participated. They were given 0.9 ml of 2% lidocaine with 1: 100,000 epinephrine (Alphacaine®; Nova DFL - Brazil) by two punctions at buccal vestibule of lateral incisor. In a hemi-arch a warm anesthesia of 42ºC (107.6°F) was administered; and after one week in to contralateral side a room temperature (21ºC; 69.8°F) was administered. In both times with a standard speed. The level of intensity pain perceived during injection was registered and compared by visual analog scale (VAS) of 100mm (Wilcoxon test p <0.05). Results: With room temperature anesthesia a pain VAS average 34.2 ± 16.6 mm and anesthesia with 42°C a VAS average 15.7 ± 17.4mm was perceived (p <0.0001). Conclusion: The use of anesthesia at 42°C had significantly less pain perception compared to use with room temperature anesthesia during the maxillary infiltration technique.


Keywords


Local anesthetics; pain; injection: warming; temperature.

References


Queiroz AM, Carvalho AB, Censi LL, Cardoso CL, Leite-Panissi CR, Silva RA, Carvalho FK, Nelson-Filho P, Silva LA. Stress and Anxiety in Children After the Use of Computerized Dental Anesthesia. Braz Dent J. 2015; 26(3): 303-7.

van Wijk AJ, Hoogstraten J. Anxiety and pain during dental injections. J Dent. 2009; 37(9): 700-4.

Erten H, Akarslan ZZ, Bodrumlu E. Dental fear and anxiety levels of patients attending a dental clinic. Quintessence Int. 2006; 37(4): 304-10

Malamed SF. Manual de Anestesia Local. 5ta edición Editorial Elservier. Madrid – España. 2006.

Malik A. Technique tips-distraction anaesthesia: applying the gate control theory in delivering painless anaesthesia. Dent Update. 2015; 42(1): 97.

Alonso PE, Perula LA, Rioja LF. Pain-temperature relation in the application of local anaesthesia. Br J Plast Surg. 1993; 46(1): 76-8.

Jaichandran V, Vijaya L, George RJ, InderMohan B. Peribulbar anesthesia for cataract surgery: effect of lidocaine warming and alkalinization on injection pain, motor and sensory nerve blockade. Indian J Ophthalmol. 2010; 58(2): 105-8.

Park KK. Minimize that "pinch and burn": tips and tricks to reduce injection pain with local anesthetics. Cutis. 2015; 95(6): E28-9.

Rogers KB, Fielding AF, Markiewicz SW. The effect of warming local anesthetic solutions prior to injection. Gen Dent. 1989; 37(6): 496-9.

Oikarinen VJ, Ylipaavalniemi P, Evers H. Pain and temperature sensations related to local analgesia. Int J Oral Surg. 1975; 4(4): 151-6.

Ram D, Hermida LB, Peretz B. A comparison of warmed and room-temperature anesthetic for local anesthesia in children. Pediatr Dent. 2002; 24(4): 333-6

Hogan ME, vanderVaart S, Perampaladas K, Machado M, Einarson TR, Taddio A. Systematic review and meta-analysis of the effect of warming local anesthetics on injection pain. Ann Emerg Med. 2011; 58(1): 86-98.

Naidu RS, Lalwah S. Dental anxiety in a sample of West Indian adults. West Indian Med J. 2010; 59(5): 567-72.

Prathima V, Anjum MS, Reddy PP, Jayakumar A, Mounica M. Assessment of anxiety related to dental treatments among patients attending dental clinics and hospitals in Ranga Reddy District, Andhra Pradesh, India. Oral Health Prev Dent. 2014; 12(4): 357-64.

Schulz KF, Altman DG, Moher D; CONSORT Group. CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials. PLoS Med. 2010; 24(7): e1000251.

Waldbillig DK, Quinn JV, Stiell IG, Wells GA. Randomized double-blind controlled trial comparing room-temperature and heated lidocaine for digital nerve block. Ann Emerg Med. 1995; 26(6): 677-81.

Eche Herrera JJF. Influencia de la temperatura de lidocaína 2% con adrenalina 1: 80 000 sobre el dolor por inyección e inicio de acción en el bloqueo del nervio dentario inferior. Tesis para optar al título de Cirujano Dentista. Universidad Nacional Mayor de San Marcos. Perú. 2014. Revisado el 27 de Septiembre de 2015. Disponible en: http://cybertesis.unmsm.edu.pe/bitstream/cybertesis/3593/1/Eche_hj.pdf

Reed KL, Malamed SF, Fonner AM. Local Anesthesia Part 2: Technical Considerations. Anesthesia Progress. 2012: 59(3); 127–137.

Kjeldsen HB, Klausen TW, Rosenberg J. Preferred Presentation of the Visual Analog Scale for Measurement of Postoperative Pain. Pain Pract. 2015; in press.

Wide Boman U, Carlsson V, Westin M, Hakeberg M. Psychological treatment of dental anxiety among adults: a systematic review. Eur J Oral Sci. 2013; 121(3): 225-34.

Touyz LZ, Lamontagne P, Smith BE. Pain and anxiety reduction using a manual stimulation distraction device when administering local analgesia oro-dental injections: a multi-center clinical investigation. J Clin Dent. 2004; 15(3): 88-92.


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Corresponding: Facultad de Odontología, Universidad de Concepción, Chile. Roosevelt 1550, Concepción, Chile. Phone +56-41-2204232 - Fax +56-41-2243311- Mailbox 160-C, Concepción, Chile. E-mail journal@joralres.com.