Pain and anxiety associated with Computer-Controlled Local Anaesthesia: systematic review and meta-analysis of cross-over studies.
Eur J Paediatr Dent
; 19(4): 324-332, 2018 Dec.
Article
in En
| MEDLINE
| ID: mdl-30567452
ABSTRACT
AIM:
This review focuses on Computer-Controlled Local Anaesthesia Delivery systems (CCLAD), in comparison with conventional carpule anaesthesia in means of pain and anxiety.METHODS:
Medline, Embase, Web of Science and Cochrane Database for Systematic Reviews were searched up to August 2018. Only cross-over split-mouth design studies aimed to clinically compare CCLAD with a conventional carpule anaesthesia are included. Data about pain and anxiety associated with anaesthesia were sought. The authors performed meta-analysis where appropriate.RESULTS:
A total of 20 studies are included in the systematic review (n = 973 subjects). Quantitative synthesis (conducted on VAS scores from 8 studies) shows that pain intensity is over 9 points lower in CCLAD than in conventional anaesthesia on a scale from 0 to 100 (95% confidence interval, ?12.90 to ?5,53; P<.001). The systematic review showed no differences between the two techniques according to the physiological parameters of pain (heart rate or blood pressure), and the data about anxiety are inconsistent.CONCLUSION:
CCLAD results in significantly slightly less pain perception with respect to conventional injection and is a promising device to help patients. The literature needs to be expanded, mostly regarding anxiety.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Therapy, Computer-Assisted
/
Dental Anxiety
/
Dental Care for Children
/
Pain Management
/
Anesthesia, Dental
/
Anesthetics, Local
Type of study:
Clinical_trials
/
Risk_factors_studies
/
Systematic_reviews
Limits:
Child
/
Humans
Language:
En
Journal:
Eur J Paediatr Dent
Journal subject:
ODONTOLOGIA
/
PEDIATRIA
Year:
2018
Type:
Article
Affiliation country:
Albania