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Comparison of Topical 10 Percent Lidocaine and a Local Anesthetic System in Pediatric Dental Patients

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Purpose: The purpose of this study was to compare the effectiveness of a three-in-one injection comfort system (ICS) and 10 percent lidocaine pump spray in reducing injection pain in children.

Methods: Fifty eight- to 12-year-old children treated at a university pediatric dental clinic participated in this study. The Children's Fear Survey Schedule-Dental Subscale was used to select nonanxious children to participate. Contralateral tooth pairs were treated in two separate visits with random use of either ICS or lidocaine pump spray. The pain perception levels were assessed with heart rate changes, the Modified Behavioral Pain Scale (MBPS), and the Wong-Baker FACES Pain Rating Scale (WBFPRS). At the end of the second visit, children's preferences were noted. Kruskal-Wallis and Mann-Whitney U tests were performed to compare the results.

Results: No significant differences were found between the two groups in the MBPS and WBFPRS scores, and mean heart rate changes (P>.05). However, 68 percent of the children preferred ICS.

Conclusions: Both ICS and 10 percent lidocaine pump spray presented the same efficacy in reducing injection pain.
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Keywords: PAIN; PEDIATRIC DENTISTRY; TOPICAL ANESTHESIA

Document Type: Research Article

Affiliations: 1: Department of Pedodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey. [email protected] 2: Department of Pedodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey 3: Department of Pedodontics, Anesthesiology, and Reanimation, in the Faculty of Dentistry, Gazi University, Ankara, Turkey

Publication date: May 1, 2015

More about this publication?
  • Acquired after the merger between the American Society of Dentistry for Children and the American Academy of Pediatric Dentistry in 2002, the Journal of Dentistry for Children (JDC) is an internationally renowned journal whose publishing dates back to 1934. Published three times a year, JDC promotes the practice, education and research specifically related to the specialty of pediatric dentistry. It covers a wide range of topics related to the clinical care of children, from clinical techniques of daily importance to the practitioner, to studies on child behavior and growth and development. JDC also provides information on the physical, psychological and emotional conditions of children as they relate to and affect their dental health.
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