International journal of paediatric dentistry
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Int J Paediatr Dent · Jan 2010
Randomized Controlled Trial Comparative StudyA comparison of inhalation sedation agents in the management of children receiving dental treatment: a randomized, controlled, cross-over pilot trial.
First, to compare the relative effectiveness of inhalation sedation using (A) nitrous oxide and oxygen with (B) nitrous oxide, sevoflurane, and oxygen in the management of children receiving dental extractions. Secondly, to determine patient and guardian preference between the two sedation techniques. ⋯ The results from this pilot study would suggest no increased benefit, in terms of treatment completion, from the additional use of sevoflurane in combination with nitrous oxide and oxygen. There was, however, a small but significant patient preference in favour of nitrous oxide with sevoflurane and oxygen.
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Int J Paediatr Dent · Sep 2009
Randomized Controlled TrialAnticipatory anxiety in children visiting the dentist: lack of effect of preparatory information.
This study sought to explore whether viewing a leaflet explaining the benefits of dental treatment would have a significant impact on children's anticipatory anxiety. ⋯ Providing paediatric patients with preparatory information about what to expect from a visit to the dentist had no effect on anticipatory anxiety in comparison to reading a leaflet about healthy eating. We speculate that reading, or cognitive processing, may have some beneficial effect. Future work should investigate this possibility.
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Int J Paediatr Dent · Nov 2008
Randomized Controlled TrialLidocaine 20% patch vs lidocaine 5% gel for topical anaesthesia of oral mucosa.
Topical anaesthetics are important to provide pain control at dental injection. ⋯ Good pain control can reduce the patients' anxiety level--expressed in heart rate--at the second appointment. The patch and gel seem to provide similar pain reduction at needle stick and injection of local anaesthetics.
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Int J Paediatr Dent · Mar 2008
Randomized Controlled Trial Comparative StudyIs it the injection device or the anxiety experienced that causes pain during dental local anaesthesia?
The aim of this study was to investigate the influence of anxiety and type of dental injection, a plastic syringe or an electronic computerized device, on the pain perceived by children. ⋯ Anxiety plays an important role in the pain reaction of children, and was found to be more determinative in pain perception than the injection devices preferred.
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Int J Paediatr Dent · Sep 2007
Randomized Controlled Trial Comparative StudyAssessment of early postoperative pain and haemorrhage in young children undergoing dental extractions under general anaesthesia.
There have been a lot of guidelines issued about dental extractions under general anaesthesia. There is a considerable body of research about the use of local anaesthetic as an adjunct. Some of this research appears to be contradictory about the use of local anaesthetic in addition to general anaesthesia in very young children. This study attempts to clarify the issue. ⋯ As use of local anaesthetic reduces bleeding without altering pain or distress in young children undergoing posterior deciduous tooth extraction, we should consider using as an adjunct to general anaesthesia.