Evaluating Child Behavior and Preference Toward NumBee and Traditional Syringe (a Randomized Clinical Trial)

Autores

  • Duaa Kamal Naji
  • Zainab Juma Jafar

DOI:

https://doi.org/10.5195/d3000.2024.589

Palavras-chave:

Syringes, Anesthesia, Local, Mental health, Child Behavior, NumBee

Resumo

BACKGROUND: Local anesthetics are the gold standard for pain control in dentistry. Most patients still view the “needle” as a source of anxiety and disruptive behavior rather than relief. The patient’s cooperation and comfort level will increase with the administration of painless local anesthetic injection using appropriate technique. The purpose of this study was to assess the patient cooperation and behavior after receiving local anesthesia injection and to compare patients’ acceptance and preference of needleless NumBee anesthetic delivery device to conventional dental syringe.

MATERIALS AND METHODS: 30 non-fearful 6-8-year-olds who had never been to the dentist were selected for the study using a split-mouth design. They underwent a simple class I restoration on both mandibular permanent first molar teeth in two separated dental visits. The Frankl behavior rating scale was used to assess patient behavior following injection. Patients expressed their preference and acceptance of the used syringes by answering a questionnaire.

RESULTS: After injection by either method, 25 patients had Frankl behavior rating score of 4. Patients that had a negative response with the traditional method, showed a score of 2, following NumBee injection (p=0.035).

CONCLUSION: Patients accepted both methods, and NumBee may induce less fear, with minimum stinging and unpleasant taste.

Biografia do Autor

Duaa Kamal Naji

Master degree student, Department of Pedodontics and Preventive Dentistry, College of Dentistry, University of Baghdad

Zainab Juma Jafar

Professor (MSc.), Department of Pedodontics and Preventive Dentistry, College of Dentistry, University of Baghdad

Referências

Attia S, Austermann T, May A, Mekhemar M, Conrad J, Knitschke M, Böttger S, Howaldt HP, Riad A. Pain perception following computer-controlled versus conventional dental anesthesia: randomized controlled trial. BMC Oral Health. 2022 Dec;22(1):1-3. doi: 10.1186/s12903-022-02454-1. PMID: 36138388; PMCID: PMC9502910.

Aghababaie ST, Monteiro J, Stratigaki E, Ashley PF. Techniques for effective local anaesthetic administration for the paediatric patient. British Dental Journal. 2020 Dec;229(12):779-85. PMID: 33339924

Birnie KA, Noel M, Chambers CT, Uman LS, Parker JA. Psychological interventions for needle-related procedural pain and distress in children and adolescents. Cochrane Database Syst Rev. 2018;10(10):CD005179. Published 2018 Oct 4. doi:10.1002/14651858.CD005179.pub4. PMC6517234

Al Haidar A. Influence of Nonnutritive Sucking Habits on the Oral Carriage of Escherichia coli. International Journal of Dentistry. 2022 Nov 14;2022. PMCID: PMC9678441

Diab BS, Huda S. Khiala. Depression status in relation to caries experience and salivary physiochemical characteristics among 15 years old students in Al-Swera city–Wassit Governorate-Iraq. J Bagh College Dentistry. 2015, June, Vol. 27(2),158-162

Bagherian A, Sheikhfathollahi M. Children's behavioral pain reactions during local anesthetic injection using cotton-roll vibration method compared with routine topical anesthesia: a randomized controlled trial. Dental research journal. 2016 May;13(3):272. PMCID: PMC4878213

Jamil FA, Asmael HM, Al-Jarsha MY. The success of using 2% lidocaine in pain removal during extraction of mandibular premolars: a prospective clinical study. BMC Oral Health. 2020 Dec;20(1):1-8. PMCID: PMC7457358

Koja DB, Bede SY. Evaluation of buffered local anaesthesia in dental extraction: A randomized controlled study. Oral Surgery. 2022 Nov;15(4):489-95.

Kämmerer PW, Palarie V, Schiegnitz E, Ziebart T, Al-Nawas B, Daubländer M. Clinical and histological comparison of pulp anaesthesia and local diffusion after periodontal ligament injection and intrapapillary infiltration anaesthesia. J Pain Relief. 2012;1(10.4172):2167-0846.

Klingberg G, Broberg AG. Dental fear/anxiety and dental behaviour management problems in children and adolescents: a review of prevalence and concomitant psychological factors. International journal of paediatric dentistry. 2007 Nov;17(6):391-406. PMID: 17935593

Christensen C, Arnason SC, Oates R, Crabtree M, Kersey Jr JW, Vandewalle KS. Efficacy of Pulpal Anesthesia Using a Needle-less Syringe. Anesthesia Progress. 2020 Dec 1;67(4):200-6. PMCID: PMC7780256

Frankl SN. Should the parent remain with the child in the dental operatory? J. Dent. Child. 1962;29:150-63.

Young DA, Nový BB, Zeller GG, Hale R, Hart TC, Truelove EL, Ekstrand KR, Featherstone JD, Fontana M, Ismail A, Kuehne J. The American Dental Association caries classification system for clinical practice: a report of the American Dental Association Council on Scientific Affairs. The Journal of the American Dental Association. 2015 Feb 1;146(2):79-86. PMID: 25637205

Patra P. Sample size in clinical research, the number we need. Int J Med Sci Public Health 2012;1:5-9.

Chen H, Cohen P, Chen S. How big is a big odds ratio? Interpreting the magnitudes of odds ratios in epidemiological studies. Communications in Statistics—simulation and Computation®. 2010 Mar 31;39(4):860-4.

Ferguson CJ. An Effect Size Primer: A Guide for Clinicians and Researchers. Professional Psychology Research and Practice. October 2009. 40 (5), 532–538.

Rosnow, R. L., & Rosenthal, R. Statistical procedures and the justification of knowledge in psychological science. American Psychologist, 1989, 44, 1276-1284.

Cohen J. Statistical power analysis for the behavioural sciences. Hillsdale, New Jersey: L. Lea. 1988;56:102.

Haghighat A, Jafari Z, Hasheminia D, Samandari MH, Safarian V, Davoudi A. Comparisons of success rate and onset time of two different anesthesia techniques. Medicina oral, patologia oral y cirugia bucal. 2015 Jul;20(4):e459. PMCID: PMC4523259

Thiem DGE, Schnaith F, Van Aken CME, Köntges A, Kumar VV, Al-Nawas B, Kämmerer PW. Extraction of mandibular premolars and molars: comparison between local infiltration via pressure syringe and inferior alveolar nerve block anesthesia. Clin Oral Investig. 2018;22(3):1523-1530. doi:10.1007/s00784-017-2251-7. PMID: 29043507

Arapostathis KN, Dabarakis NN, Coolidge T, Tsirlis A, Kotsanos N. Comparison of acceptance, preference, and efficacy between jet injection INJEX and local infiltration anesthesia in 6 to 11 year old dental patients. Anesthesia progress. 2010 Mar 1;57(1):3-12. PMCID: PMC2844236

Riba H, Al-Zahrani S, Al-Buqmi N, Al-Jundi A. A review of behavior evaluation scales in pediatric dentistry and suggested modification to the Frankl scale. EC Dental Science. 2017 Dec 30;16(6):269-75.

Enad HH, Al-Mizraqchi AS. Salivary Cortisol as a Stress Biomarker and Total Viable Count of Salivary Bacterial Microbiome among COVID-19 Patients. J Bagh Coll Dent. 2021 Sep.15.33(4):6-10. Available from: https://jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3013

Jafar Z. Interaction of dental anxiety and ABO secretor status of blood group on dental caries in a group of children. Braz. Dent. Sci.2022;25(1):e2928. doi:https://doi.org/10.4322/bds.2022.e2928

Singh B, Deshmukh S. Cognitive Contemporary Behaviour Management Outline. Journal of Evolution of Medical and Dental Sciences. 2021 Oct 4;10(40):3548-54.

Khalaf MS, Khalaf BS, Abass SM. Management of trauma to the anterior segment of the maxilla: alveolar fracture and primary incisors crown and root fracture. Journal of Baghdad College of Dentistry. 2021 Jun 11;33(2):16-20.

Kaufman E, Epstein JB, Naveh E, Gorsky M, Gross A, Cohen G. A survey of pain, pressure, and discomfort induced by commonly used oral local anesthesia injections. Anesthesia progress. 2005 Dec 1;52(4):122-7.

Narayan VK, Samuel SR. Appropriateness of various behavior rating scales used in pediatric dentistry: A Review. J Global Oral Health 2019;2(2):112-7

https://www.researchsquare.com/article/rs-2579302/v1.

Hashim Abd Ali A, D. TE, V. BO, V. KG, P. ST. Investigation of the association of AGTR1 A1166C rs5186 and FTO rs9939609 polymorphisms with the obesity in children and adolescents. Baghdad Sci.J [Internet]. 2022 Dec. 1 [cited 2023 Apr. 18];19(6):1228. Available from: https://bsj.uobaghdad.edu.iq/index.php/BSJ/article/view/6540

Downloads

Publicado

2024-01-05

Edição

v. 12 n. 1 (2024)

Seção

Adults & the Elderly

Licença

Copyright (c) 2024 Duaa Kamal Naji, Zainab Juma Jafar

Creative Commons License
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

  1. The Author retains copyright in the Work, where the term “Work” shall include all digital objects that may result in subsequent electronic publication or distribution.
  2. Upon acceptance of the Work, the author shall grant to the Publisher the right of first publication of the Work.
  3. The Author shall grant to the Publisher and its agents the nonexclusive perpetual right and license to publish, archive, and make accessible the Work in whole or in part in all forms of media now or hereafter known under a Creative Commons Attribution 4.0 International License or its equivalent, which, for the avoidance of doubt, allows others to copy, distribute, and transmit the Work under the following conditions:
    1. Attribution—other users must attribute the Work in the manner specified by the author as indicated on the journal Web site;
    with the understanding that the above condition can be waived with permission from the Author and that where the Work or any of its elements is in the public domain under applicable law, that status is in no way affected by the license.
  4. The Author is able to enter into separate, additional contractual arrangements for the nonexclusive distribution of the journal's published version of the Work (e.g., post it to an institutional repository or publish it in a book), as long as there is provided in the document an acknowledgement of its initial publication in this journal.
  5. Authors are permitted and encouraged to post online a prepublication manuscript (but not the Publisher’s final formatted PDF version of the Work) in institutional repositories or on their Websites prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work. Any such posting made before acceptance and publication of the Work shall be updated upon publication to include a reference to the Publisher-assigned DOI (Digital Object Identifier) and a link to the online abstract for the final published Work in the Journal.
  6. Upon Publisher’s request, the Author agrees to furnish promptly to Publisher, at the Author’s own expense, written evidence of the permissions, licenses, and consents for use of third-party material included within the Work, except as determined by Publisher to be covered by the principles of Fair Use.
  7. The Author represents and warrants that:
    1. the Work is the Author’s original work;
    2. the Author has not transferred, and will not transfer, exclusive rights in the Work to any third party;
    3. the Work is not pending review or under consideration by another publisher;
    4. the Work has not previously been published;
    5. the Work contains no misrepresentation or infringement of the Work or property of other authors or third parties; and
    6. the Work contains no libel, invasion of privacy, or other unlawful matter.
  8. The Author agrees to indemnify and hold Publisher harmless from Author’s breach of the representations and warranties contained in Paragraph 6 above, as well as any claim or proceeding relating to Publisher’s use and publication of any content contained in the Work, including third-party content.

Revised 7/16/2018. Revision Description: Removed outdated link.