A Randomized Clinical Trial to Assess Pain and Anxiety During Infiltration Anesthesia Using Dental Anesthesia Injector Versus Conventional Syringe in Pediatric Patients

What this Trial Is About

Researchers are conducting a randomized controlled trial to compare pain and anxiety levels in children aged 6 to 8 years undergoing dental treatment with two methods of local anesthesia: a dental anesthesia injector device and the traditional syringe. The study focuses on healthy, cooperative pediatric patients who have deeply carious maxillary primary molars with reversible pulpitis and require buccal infiltration anesthesia before pulpotomy. The goal is to find a method that reduces pain and anxiety during dental injections. Participants will receive topical lidocaine anesthesia for one minute on dried mucosa before local anesthesia administration using either the dental anesthesia injector or the conventional syringe. Each child will experience both injection techniques on separate occasions, with the side of administration assigned randomly (right or left). The study uses a split-mouth design, allowing direct comparison within the same patient. During and immediately after injections, researchers will measure pain using a Visual Analogue Scale, anxiety with the Corah Dental Anxiety Scale, and physiological indicators like heart rate and oxygen saturation via a pulse oximeter. The need for additional anesthesia will also be assessed during the dental visit. The study includes careful monitoring and aims to evaluate which injection method provides a less painful and less anxiety-inducing experience for children.

Assessment of Pain and Anxiety During Infiltration Anesthesia Using Dental Anesthesia Injector Versus Conventional Syringe in Pediatric Patients