Pain Experience and Behavior Management in Pediatric Dentistry: A Comparison between Traditional Local Anesthesia and the Wand Computerized Delivery System

Aim. To evaluate the pain experience and behavior during dental injection, using the Wand computerized delivery system versus conventional local anesthesia in children and adolescents. Methods. An observational crossover split mouth study was performed on 67 patients (aged 7 to 15 years), requiring...

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Main Authors: Annelyse Garret-Bernardin, Tiziana Cantile, Vincenzo D’Antò, Alexandros Galanakis, Gabriel Fauxpoint, Gianmaria Fabrizio Ferrazzano, Sara De Rosa, Giulia Vallogini, Umberto Romeo, Angela Galeotti
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2017/7941238
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author Annelyse Garret-Bernardin
Tiziana Cantile
Vincenzo D’Antò
Alexandros Galanakis
Gabriel Fauxpoint
Gianmaria Fabrizio Ferrazzano
Sara De Rosa
Giulia Vallogini
Umberto Romeo
Angela Galeotti
author_facet Annelyse Garret-Bernardin
Tiziana Cantile
Vincenzo D’Antò
Alexandros Galanakis
Gabriel Fauxpoint
Gianmaria Fabrizio Ferrazzano
Sara De Rosa
Giulia Vallogini
Umberto Romeo
Angela Galeotti
author_sort Annelyse Garret-Bernardin
collection DOAJ
description Aim. To evaluate the pain experience and behavior during dental injection, using the Wand computerized delivery system versus conventional local anesthesia in children and adolescents. Methods. An observational crossover split mouth study was performed on 67 patients (aged 7 to 15 years), requiring local anesthesia for dental treatments in both sides of the dental arch. Patients received both types of injections in two separate appointments, one with the use of a Computer Delivery System (the Wand STA system) and one with the traditional syringe. The following data were recorded: pain rating; changes in heart rate; level of collaboration; patient satisfaction. The data were analyzed using ANOVA for quantitative outcomes and nonparametric analysis (Kruskal–Wallis) for qualitative parameters. Results. The use of the Wand system determined significantly lower pain ratings and lower increase of heart rate than the traditional syringe. During injection, the number of patients showing a relaxed behavior was higher with the Wand than with the traditional local anesthesia. The patient level of satisfaction was higher with the Wand compared to the conventional local anesthesia. Conclusions. The Wand system may provide a less painful injection when compared to the conventional local anesthesia and it seemed to be better tolerated with respect to a traditional syringe.
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spelling doaj-art-02d1584a291c4c9383d1f7ab2875bc0f2025-02-03T05:47:50ZengWileyPain Research and Management1203-67651918-15232017-01-01201710.1155/2017/79412387941238Pain Experience and Behavior Management in Pediatric Dentistry: A Comparison between Traditional Local Anesthesia and the Wand Computerized Delivery SystemAnnelyse Garret-Bernardin0Tiziana Cantile1Vincenzo D’Antò2Alexandros Galanakis3Gabriel Fauxpoint4Gianmaria Fabrizio Ferrazzano5Sara De Rosa6Giulia Vallogini7Umberto Romeo8Angela Galeotti9Unit of Dentistry, Bambino Gesù Children’s Hospital, IRCCS, Rome, ItalyUnit of Dentistry, Bambino Gesù Children’s Hospital, IRCCS, Rome, ItalyUnit of Dentistry, Bambino Gesù Children’s Hospital, IRCCS, Rome, ItalyUnit of Dentistry, Bambino Gesù Children’s Hospital, IRCCS, Rome, ItalyClinique Saint Nicolas, 55 allée Charles de Fitte, 31300 Toulouse, FranceDepartment of Neuroscience, Reproductive and Oral Sciences, Section of Pediatric Dentistry, University of Naples, Federico II, Via Pansini 5, 80131 Naples, ItalyUnit of Dentistry, Bambino Gesù Children’s Hospital, IRCCS, Rome, ItalyUnit of Dentistry, Bambino Gesù Children’s Hospital, IRCCS, Rome, ItalyDepartment of Oral and Maxillofacial Sciences, “Sapienza” University of Rome, Via Caserta 6, 00196 Rome, ItalyUnit of Dentistry, Bambino Gesù Children’s Hospital, IRCCS, Rome, ItalyAim. To evaluate the pain experience and behavior during dental injection, using the Wand computerized delivery system versus conventional local anesthesia in children and adolescents. Methods. An observational crossover split mouth study was performed on 67 patients (aged 7 to 15 years), requiring local anesthesia for dental treatments in both sides of the dental arch. Patients received both types of injections in two separate appointments, one with the use of a Computer Delivery System (the Wand STA system) and one with the traditional syringe. The following data were recorded: pain rating; changes in heart rate; level of collaboration; patient satisfaction. The data were analyzed using ANOVA for quantitative outcomes and nonparametric analysis (Kruskal–Wallis) for qualitative parameters. Results. The use of the Wand system determined significantly lower pain ratings and lower increase of heart rate than the traditional syringe. During injection, the number of patients showing a relaxed behavior was higher with the Wand than with the traditional local anesthesia. The patient level of satisfaction was higher with the Wand compared to the conventional local anesthesia. Conclusions. The Wand system may provide a less painful injection when compared to the conventional local anesthesia and it seemed to be better tolerated with respect to a traditional syringe.http://dx.doi.org/10.1155/2017/7941238
spellingShingle Annelyse Garret-Bernardin
Tiziana Cantile
Vincenzo D’Antò
Alexandros Galanakis
Gabriel Fauxpoint
Gianmaria Fabrizio Ferrazzano
Sara De Rosa
Giulia Vallogini
Umberto Romeo
Angela Galeotti
Pain Experience and Behavior Management in Pediatric Dentistry: A Comparison between Traditional Local Anesthesia and the Wand Computerized Delivery System
Pain Research and Management
title Pain Experience and Behavior Management in Pediatric Dentistry: A Comparison between Traditional Local Anesthesia and the Wand Computerized Delivery System
title_full Pain Experience and Behavior Management in Pediatric Dentistry: A Comparison between Traditional Local Anesthesia and the Wand Computerized Delivery System
title_fullStr Pain Experience and Behavior Management in Pediatric Dentistry: A Comparison between Traditional Local Anesthesia and the Wand Computerized Delivery System
title_full_unstemmed Pain Experience and Behavior Management in Pediatric Dentistry: A Comparison between Traditional Local Anesthesia and the Wand Computerized Delivery System
title_short Pain Experience and Behavior Management in Pediatric Dentistry: A Comparison between Traditional Local Anesthesia and the Wand Computerized Delivery System
title_sort pain experience and behavior management in pediatric dentistry a comparison between traditional local anesthesia and the wand computerized delivery system
url http://dx.doi.org/10.1155/2017/7941238
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