Effect of thermo mechanical stimulation during local anesthesia in pediatric dentistry: a pilot randomized clinical trial

Aim: To evaluate the effectiveness of a thermo mechanical stimulation device (Buzzy®) in relation to pain, fear and anxiety during local anesthesia in children. Materials and methods: Study carried out from May 2018 to July 2019, with children aged 7 to 11 years, without previous experience involvin...

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Detalles Bibliográficos
Autores: Vieira Almeida, Fernanda, Martins da Silva, Bruna, Menezes diGesu, Edde Caroline, Drawanz Hartwig, Andréia, Freire da Silva Júnior, Ivam, Leão Goettems, Marília
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:Brasil
Institución:Universidade Federal do Rio Grande do Sul (UFRGS)
Repositorio:Revista da Faculdade de Odontologia de Porto Alegre (Online)
Idioma:inglés
OAI Identifier:oai:seer.ufrgs.br:article/129705
Acceso en línea:https://seer.ufrgs.br/index.php/RevistadaFaculdadeOdontologia/article/view/129705
Access Level:acceso abierto
Palabra clave:Anestesia local
Ansiedade
Manejo da dor
Medo
Odontopediatria
Anesthesia, local
Anxiety
Pain management
Fear
Pediatric dentistry
Descripción
Sumario:Aim: To evaluate the effectiveness of a thermo mechanical stimulation device (Buzzy®) in relation to pain, fear and anxiety during local anesthesia in children. Materials and methods: Study carried out from May 2018 to July 2019, with children aged 7 to 11 years, without previous experience involving anesthesia in the last 2 years and who needed dental treatment (extraction, restoration or endodontic) under local anesthesia in deciduous molars. The sample was randomized into a control group, which received conventional anesthesia, and an intervention group, which received anesthesia with Buzzy®. The levels of anxiety, fear and pain perception of both groups were verified using: Come Modified Picture Test (VPTM); heart rate; Behavioral Scale Come; Faces Pain Scale – Revised (FPS-R) and Face, Legs, Activity, Cry, Consolability (FLACC). Results: Most children (55%) had low anxiety before and after treatment (P<0.05). The acceptability of the children to Buzzy® was 100% and the majority (90%) would like to use it again. Discussion: The tested device is an interesting tool to complement management techniques during consultations, in view of the excellent acceptability and interest on the part of patients and family members. Conclusion: This study demonstrated that the use of thermo mechanical stimulation is feasible in the dental clinic, due to its easy use and good acceptability in the clinical environment, in addition to not presenting risks in its use.