Pain perception during inferior alveolar injection administered with the Wand or conventional syringe.
OBJECTIVE
This study compared a computerised device (the Wand) with a conventional syringe in terms of the pain of needle insertion and injection during inferior alveolar nerve (IAN) block injection.


METHODS
The subjects were 40 patients between the ages of 18 and 30 years requiring local anaesthesia for dental restoration in the mandible. Before anaesthetic administration, the patients' anxiety levels were determined. Contralateral IAN injections were administrated at two separate appointments with random use of either the Wand or a conventional syringe. Following the injection, the patients used both the pain rating score (PRS) and a visual analogue scale (VAS) to assess the intensity of pain.


RESULTS
When pain was measured after the injection, the Wand was found to be less painful than the syringe for the pain of both needle insertion and injection (p <0.05).


CONCLUSIONS
The Wand technique resulted in significantly lower pain scores during the IAN block injections. Most of the patients preferred the IAN injection with the Wand for future dental injections.
Yesilyurt
C
C
Department of Operative Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey. cyesilyurt@ktu.edu.tr
Bulut
G
G
Taşdemir
T
T
D000293:Adolescent; D000328:Adult; D000766:Anesthesia, Dental / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002355:Carticaine / Q000008:administration & dosage*; D016854:Dental Anxiety / Q000517:prevention & control; D005157:Facial Pain / Q000517:prevention & control*; D005260:Female; D006801:Humans; D007267:Injections / Q000295:instrumentation; D008297:Male; D008340:Mandibular Nerve; D009407:Nerve Block / Q000379:methods*; D010147:Pain Measurement; D013594:Syringes; D013813:Therapy, Computer-Assisted / Q000295:instrumentation*; D055815:Young Adult
D000779:Anesthetics, Local; C030488:Ultracaine D-S; D002355:Carticaine