ÇOCUKLARDA SÜT DIŞI TEDAVILERI SIRASINDA UYGULANAN BILGISAYAR KONTROLLÜ ANESTEZI SISTEMI İLE KONVANSIYONEL İNFILTRATIF ENJEKSIYON ANESTEZI YÖNTEMININ KARŞILAŞTIRILMASI
Abstract
Çalışmamızda çocuklarda bilgisayar kontrollü dental anestezi sistemi ve konvansiyonel enjeksiyon ile infiltratif lokal anestezi yöntemlerinin çocuk hastada oluşan kaygı düzeyleri ve ağrı açısından karşılaştırılması amaçlandı. Ege Üniversitesi Dişhekimliği Fakültesi Pedodonti Anabilim Dalı Kliniği’ne başvuran 8-10 yaş aralığında 40 hasta çalışmaya dahil edildi. Her bir hastaya farklı seanslarda randomize olarak bilgisayar kontrollü anestezi cihazı Sleeper One® (Milestone Scientific, Livingston, USA) ve konvansiyonel enjeksiyonla infiltratif anestezi uygulandı. Her iki anestezi yöntemi öncesi enjeksiyon yapılacak bölgeye topikal anestezi uygulandı. Sleeper One için %2’lik Lidokain karpül, konvansiyonel enjeksiyon yöntemi için Jetokain ampül kullanıldı. Sleeper One için Intralig S iğneleri, klasik enjeksiyon yöntemi için Septoject iğneleri kullanıldı. Anksiyete düzeylerini belirlemek için başlangıçta Children’s Fear Survey Schedule-Dental Subscale (CFDS-DS), seanslarda ise Facial Image Scale (FIS), Spielberger’s State Anxiety Index for Children (STAIC) ve kalp atım verileri kaydedildi. Enjeksiyon sırasındaki ağrı oluşumunu değerlendirmek için Visual Analogue Scale (VAS) kullanıldı. Çalışmanın bulgularına göre Sleeper One® ile konvansiyonel enjeksiyon yönteminin çocuk hastalarda kalp atımı, STAI ve FIS değerlendirildiğinde benzer anksiyeteye neden olduğu sonucuna varıldı. Her iki yöntemde VAS değerleri karşılaştırıldığında Sleeper One® ile konvansiyonel enjeksiyon kıyaslandığında daha düşük bulundu. İki yöntem arasında oluşan ağrı değerlendirildiğinde anlamlı fark bulunmadı.
Keywords
Dental anestezi anksiyete bilgisayar kontrollü dental anestezi sleeper one konvansiyonel enjeksiyon infiltratif anestezİ
References
- [1] Locker D, Liddell A, Dempster L, Shapiro D. Age of onset of dental anxiety. J Dent Res 1999; 78: 790-796. [2] Roghani S, Duperon SF, Barochana N. Evaluating the efficacy of commonly used topical anesthetics. Pediatr Dent 1999; 21: 197- 200. [3] Meechan J. Effective topical anesthetic agents and techniques. Dent Clin North Am 2002; 46: 759-766. [4] Ten Berge M, Veerkamp JS, Hoogstraten J. The etiology of childhood dental fear: The role of dental conditioning experiences. J Anxiety Disorder 2002; 16: 321-329. [5] Klinberg G, Berggren U, Noren JG. Dental fear in an urban Swedish child population: prevalence and cocncomitant factors. Community dent Health 1994; 11: 208-214. [6] Baart JA, Brand HS. Local anesthesia in dentistry. Hoboken: Wiley; 2008. [7] Kuscu OO, Akyuz S. Is it the injection device or the anxiety experienced that causes pain during dental local anesthesia? Int J Paediatr Dent 2008; 18: 139-45. [8] Vilette A. Pain anesthesia. Comparison among different systems of electronic injection. L’information Dentaire 2006; 17: 973-977. [9] Ram D, Peretz B. The assessment of pain sensation during local anesthesia using compuerized local anesthesia (Wand) and conventional syringe. J Dent Child 2003; 70:130-133. [10] Nieuwenhuizen J, Hembrecht EJ, Aartman IH, Krikken J, Veerkamp JS. Comparison of two computerised anesthesia delivery systems: pain-related behaviour in children during a dental injection . Eur Arch Paediatr Dent 2013; 14: 9-13. [11] Verslot J, Veerkamp JS, Hoogstraten J. Computerized anesthesia delivery systems vs traditional syringe: comparing pain and pain related behaviour in children. Eur J Oral Sci 2005; 113: 488-493. [12] Kuscu OO, Akyuz S. Children’s preferences concerning the physical appearance of dental injectors. J Dent Child 2006; 73: 116-21. [13] Queiroz AM, Carvalho AB, Censi LL, Cardoso CL, Leite-Panissi CR, da Silva RA de Carvalho FK, Nelson-Filho P da Silva LA. Stress anxiety in children after the use of computerized dental anesthesia. Braz Dent J 2015; 26: 303-307. [14] Oztas N, Ulusu T, Bodur H, Doğan C. The wand in pulp therapy: an alternative to inferior alveolar nevre block. Quintessence Int 2005; 36: 559-564. [15] San Martin-Lopez Al, Garrigos Esparza LD, Torre Delgadillo G, Gordillo-Moscocso A, Hernandez-Sierra JF, Pozos-Guillen AJ. Clinical comparison of pain perception rates between computerized local anesthesia and conventional syringe in pediatric patients. J Clin Pediatr Dent 2005; 29: 239-243 [16] Sumer M, Mısır F, Koyutürk AE. Comparison of the Wand with conventional technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: 106-109. [17] Yesilyurt C, Bulut G, Taşdemir T. Pain perception during inferior alveolar injection administered with Wand or conventional syringe. Br Dent J 2008; 205: 258- [18] Koyutürk AE, Avsar A, sumer M. Efficacy of dental practitioners in injection techniques: computerized device and traditional syringe. Quint Int 2009; 40: 73… [19] Tahmassebi JF, Nikolaou M, Duggal MS. A comparison of pain and anxiety associated with the administration of maxillary local analgesia with Wand and conventional technique. Eur Arch Paediatr Dent 2009; 10: 77-82. [20] Kincheloe JE Mealiea WL, Mattison GD, Seib K. Psychophysical measurement on perception after administration of a topical anesthetic . Quintessence Int 1991; 22: 311- 315.
Abstract
References
- [1] Locker D, Liddell A, Dempster L, Shapiro D. Age of onset of dental anxiety. J Dent Res 1999; 78: 790-796. [2] Roghani S, Duperon SF, Barochana N. Evaluating the efficacy of commonly used topical anesthetics. Pediatr Dent 1999; 21: 197- 200. [3] Meechan J. Effective topical anesthetic agents and techniques. Dent Clin North Am 2002; 46: 759-766. [4] Ten Berge M, Veerkamp JS, Hoogstraten J. The etiology of childhood dental fear: The role of dental conditioning experiences. J Anxiety Disorder 2002; 16: 321-329. [5] Klinberg G, Berggren U, Noren JG. Dental fear in an urban Swedish child population: prevalence and cocncomitant factors. Community dent Health 1994; 11: 208-214. [6] Baart JA, Brand HS. Local anesthesia in dentistry. Hoboken: Wiley; 2008. [7] Kuscu OO, Akyuz S. Is it the injection device or the anxiety experienced that causes pain during dental local anesthesia? Int J Paediatr Dent 2008; 18: 139-45. [8] Vilette A. Pain anesthesia. Comparison among different systems of electronic injection. L’information Dentaire 2006; 17: 973-977. [9] Ram D, Peretz B. The assessment of pain sensation during local anesthesia using compuerized local anesthesia (Wand) and conventional syringe. J Dent Child 2003; 70:130-133. [10] Nieuwenhuizen J, Hembrecht EJ, Aartman IH, Krikken J, Veerkamp JS. Comparison of two computerised anesthesia delivery systems: pain-related behaviour in children during a dental injection . Eur Arch Paediatr Dent 2013; 14: 9-13. [11] Verslot J, Veerkamp JS, Hoogstraten J. Computerized anesthesia delivery systems vs traditional syringe: comparing pain and pain related behaviour in children. Eur J Oral Sci 2005; 113: 488-493. [12] Kuscu OO, Akyuz S. Children’s preferences concerning the physical appearance of dental injectors. J Dent Child 2006; 73: 116-21. [13] Queiroz AM, Carvalho AB, Censi LL, Cardoso CL, Leite-Panissi CR, da Silva RA de Carvalho FK, Nelson-Filho P da Silva LA. Stress anxiety in children after the use of computerized dental anesthesia. Braz Dent J 2015; 26: 303-307. [14] Oztas N, Ulusu T, Bodur H, Doğan C. The wand in pulp therapy: an alternative to inferior alveolar nevre block. Quintessence Int 2005; 36: 559-564. [15] San Martin-Lopez Al, Garrigos Esparza LD, Torre Delgadillo G, Gordillo-Moscocso A, Hernandez-Sierra JF, Pozos-Guillen AJ. Clinical comparison of pain perception rates between computerized local anesthesia and conventional syringe in pediatric patients. J Clin Pediatr Dent 2005; 29: 239-243 [16] Sumer M, Mısır F, Koyutürk AE. Comparison of the Wand with conventional technique. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: 106-109. [17] Yesilyurt C, Bulut G, Taşdemir T. Pain perception during inferior alveolar injection administered with Wand or conventional syringe. Br Dent J 2008; 205: 258- [18] Koyutürk AE, Avsar A, sumer M. Efficacy of dental practitioners in injection techniques: computerized device and traditional syringe. Quint Int 2009; 40: 73… [19] Tahmassebi JF, Nikolaou M, Duggal MS. A comparison of pain and anxiety associated with the administration of maxillary local analgesia with Wand and conventional technique. Eur Arch Paediatr Dent 2009; 10: 77-82. [20] Kincheloe JE Mealiea WL, Mattison GD, Seib K. Psychophysical measurement on perception after administration of a topical anesthetic . Quintessence Int 1991; 22: 311- 315.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | April 8, 2018 |
| Submission Date | February 1, 2018 |
| Published in Issue | Year 2018 Volume: 4 Issue: 1 |
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